Perceived of Fall, Fall Prevention Behavior And Frequency rate of Falls among Elderly after using the Practice Guideline for Preventing Fall Base on 10P’s Multifactorial in a Community - Dwelling Elderly in Udon Thani Province.

Abstract

The quasi-experimental research aimed to comparative of perceived of fall, fall prevention behaviors and frequency rate of falls of the elderly at prior, Immediately after and follow-up periods from using     Multifactorial Fall Prevention Guidelines among community-dwelling elderly. The study conducted on June 2019, 10^th to Dec 2019, 9^th. Sample consisted of 42 older adults aged over 65 years old,  fall risk  over 4 scores, lived in Udon Thani Province. The instruments used in this study there were 3 types; 1) Samples screening tools were (1) Fall risk assessment form among older adults in community with a sensitivity of 0.92 and a specific value of 0.83, (2) Barthel ADL Index assessment form confidence value of 0.91 and      (3) elderly home environment assessment form. The confidence factor is 0.92.  2) Experimental tool was practice guideline for preventing fall using multifactorial concept among older adults in community and    3) Data collection tools was Fall prevention assessment in older adults form. The content validity of the 5 experts (CVI) was 1 and the reliability of the tools according to the Cronbach's alpha coefficient  was 0.86. Test  hypothesis with Repeated Measures ANOVA.

The study findings: Sample drop out 3 peoples to 39 volunteers, 71.80% of the elderly were      female, mean age 68.76 years old, 43.59% had caregiver all the time, 30.77% were alone for sometime, 25.64% were all-time alone or with their spouses, and 74.36% had disease. The results of comparison of the mean score on the perception of falls according to the health beliefs model, fall prevention behaviors and frequency of falls among the elderly prior to receiving nursing care according to the guideline.  Immediately after receiving nursing practices and follow-up periods. The difference was statistically  significant for at least one pair in all aspects, namely the perceived risk. (p <0.001), perception of severity (p= 0.005), perceived benefits (p < 0.001), perceived barriers (p= 0.010), fall prevention behaviors (p < 0.001) and frequency rate of falls (p = 0.023).

Conclusion and recommendations: The results of the research showed that the guideline for preventing fall using 10 P’s multifactorial concepts among older adults in community was useful. And it can promote the elderly to change fall prevention behaviors and also reduce the incidence of falls among the elderly. Therefore, it could be further implemented especially in other semi urban communities.