The Development of Model to Prevent Falls by Network partners Bun Kerd Subdistrict, Dok Khamtai District, Phayao Province.

Abstract

This action research aimed to develop a model for preventing falls in the elderly by the network of Boonkerd Subdistrict, Dok Kham Tai District, Phayao Province. The research was divided into 2 phases: 1) study the overall situation of falls in the elderly by using a questionnaire from a sample group of 316 elderly people. Data were analyzed using descriptive statistics and Chi-square test; and 2) follow the cycle of action research: planning, action, observation, and reflection of the implementation results. The key informants were 20 network members. Group discussions were collected. Qualitative data were analyzed using content analysis. Quantitative data reflecting the success of care were collected using a questionnaire from a sample group of 271 people. Data were analyzed using descriptive statistics. The results of the context study found that the elderly were at risk of falling at 26.94 percent, with a history of falls at 11.81 percent. Factors related to the risk of falling were education, occupation, and having congenital diseases. The results of the model synthesis consisted of 3 implementation teams: the volunteer technician team for improving the environment, the core team for preventing falls to provide advice, and the multidisciplinary team providing training and knowledge. And divide the elderly into 3 color groups, in order of assistance before and after: red, yellow, and green. The evaluation results of the developed model found that the risk group for falls was reduced to 8.86 percent, and falls were reduced to 2.95 percent. In summary, the model for preventing falls in the elderly by the network partners that was developed really helps reduce the problem of falls. The implementation should be expanded to other areas