Factors Related to Falls of the Elderly in Rural Communities, Mahasarakham Province

Authors

  • Doonnaput Khowhit Faculty of Nursing, Mahasarakham University
  • Wiravan Kumvan Group of Community Nursing, Faculty of Nursing, Mahasarakham University
  • Kamthorn Dana Srimahasarakham Nursing College Faculty of Nursing, Praboromarajchanok Institute
  • Chanayus Kumsom Regional Health Promotion Centre 7 Khonkaen, Mueang District, Khonkaen Province

Keywords:

factors, fall, elderly, rural communities

Abstract

Objective: to examine the factors related to falls of the elderly in rural communities, Mahasarakham Province.

Methods: the study was conducted on 374 elderlies over 60 years of age from August to September 2020. The research measurements are 1) general questionnaire 2) fall in the elderly questionnaire 3) biological data assessment form and 4) internal and external environmental assessment form. Reliabilities were ranging from .71 to .99. The SPSS was used for data analysis, descriptive statistics for qualitative data and Chi-Square tests for correlation analysis with p-value < .05.

Results: 5.30 % of participants had an experience of fall during past 6 months for 1-2 times. Factors analysis related to a fall of the elderly have found that the experience of accident on legs and feet, psychological problem, use more than 4 medicines, use stairs, use balancing equipment, an inappropriate environment, a squat toilet, bedroom on upper floor and bathroom is located outside the house are related to falls in the elderly in rural communities with p-value < .05, < .01. From the results of this study, is a guideline for caring for the elderly to prevent falls in rural communities.

References

National Statistical Office, Ministry of Digital Economy and Society. The 2021 Survey of the older persons in Thailand. Bangkok: Statistical Forecasting Division National Statistical Office; 2022 (in Thai)

National Statistical Office. Population distribution [Internet]. 2022 [cited 2022 Aug 30]. Available from: http://statbbi.nso.go.th/staticreport/page/sector/th/01.aspx (in Thai)

Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Falls are common in the elderly. Nonthaburi: Bureau of Epidemiology; 2019. (in Thai)

Sichang N, Kawe L. Fall forecast report for the elderly (60 years and over) in Thailand 2018 - 2021. Nonthaburi: Division of Non Communicable Disease. Department of Disease Control, Ministry of Public Health; 2022. (in Thai)

Boongird C. Fall of the elderly. Bangkok: Sahamit Pattana Printing (1992); 2018. (in Thai)

Thasuwanain T. Fall of the elderly. UBRU Journal for Public Health Research 2016:5(2):119 - 31. (in Thai)

Piboon K, Pongsaegphun P, Inchai P. Phithaksilp M. Effectiveness of multifactorial program for prevention falls among community - dwelling older adults. Chonburi: Medical Science. Faculty of Public Health Burapha University; 2019. (in Thai)

WHO. Fall. [Internet]. 2021 [cited 2022 Oct 15]. Available from: https://www.who.int/ news - room/fact - sheets/detail/falls

Kumkwan Y, Khumngeon A, Wannalai U, Khatta K. Home - based fall prevention guideline in Thai contexts for elderly people. Nursing Journal of the Ministry of Public Health 2018:18(3):10 - 22. (in Thai)

Lecktip C, Woratanarat T, Bhubhanil S, Lapmanee S. Risk factors for falls in elderly. Journal of Medicine and Health Science 2019;26(1):85 - 103. (in Thai)

Rodseeda P. Fall prevention among the elderly living in a community: the nursing role in home health care. Thai Red Cross Nursing Journal 2018;11(2):15 - 25. (in Thai)

Rongmuang D, Nakchattri C, Tongdee J, Sombutboon J. Incidence and factors associated with fall among the community - dwelling elderly, Suratthani. Journal of Phrapokklao Nursing College 2016;27(suppl 1):123 - 37. (in Thai)

Howharn C, Onthaisong C, Pramsathis W. Factors predicted falls among elderly in northeastern Thailand. Journal of Phrapokklao Nursing College 2018;1(1):26 - 37. (in Thai)

Mahasarakham Provincial Public Health. Screening report system/assess the elderly aging data [Internet]. 2022 [cited 2022 Aug 30]. Available from: http://mkho.moph.go.th/ ltc - advanced/frontend/web/index.php/site/index (in Thai)

Yang Si Surat Subdistrict Administrative Organization. Older adults of data [Internet]. 2022 [cited 2022 Oct 15]. Available from: https://www.yangsisurat.go.th/index.php/ agency - information/establishment - history. (in Thai)

Yamane T. Statistics: an introductory analysis. 3rd ed. New York: Harper and Row; 1973.

Intraratsamee J, Wannajak P, Rattanan Y, Trirapongsawat K, Somtua J, Khiaosod C, et al. Cooperative learning between elderly people and care giver to develop inside and outside environment of the elderly people’s home within provinces under responsibility regional health promotion center 6. KhonKaen: Regional Health Promotion Center 7 Khon Kaen Department of Health, Ministry of Public Health; 2017. (in Thai)

Muangsiri K, Maharachpong N, Rodjarkpai Y. Factors relating the behavior of fall prevention among elderly in Chonburi Province. Naresuan University Journal: Science and Technology 2017;(25)4:23 - 33. (in Thai)

Wimolphan P. Role of nurses to prevent falls in the elderly living in community. Journal of Nursing and Health Sciences 2014;8(1):8 - 15. (in Thai)

Mahasarakham Provincial Cultural Office. The local wisdom 8 ways life of community, Mahasarakham Province. Mahasarakham: Strategy and Culture Surveillance Bureau of Subdivision, Mahasarakham Provincial Cultural Office, Ministry of Culture; 2017. (in Thai)

Tangaumporntip L, Tangaumporntip C, Tangaumporntip S. Factors contributing to falls in elderly Sikhio Nakhon Ratchasima [Internet]. 2022 [cited 2022 Oct 15]. Available from: http://164.115.27.97/digital/items/show/9398 (in Thai)

Saejiw W. Physical activity and physical fitness of fitness of elderly activity in Chonburi Province [Thesis]. Chonburi: Burapha University; 2016. (in Thai)

Chalermchit I, et al. Development of exercise of the elderly in Taksila community of Talad Subdistrict, Maeng District Maha Sarakham Province. Maha Sarakham: Institute of Physical Education Maha Sarakham Campus; 2014. (in Thai)

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Published

2023-07-17

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Section

บทความวิจัย (Research Report)