Prevention Program Regarding Falls among Older Adults at Geriatrics Homes

Context: Older adults are vulnerable to falls that result in injury and disability, making fall prevention a national priority. Aim: This study aimed to evaluate the effect of a fall prevention program on older adults' knowledge, practices, and elder wellbeing regarding falls. Methods: A...

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Main Authors: Asmaa T. Mohamed, Mona A. B. Abd Elltef, Shimaa F. Miky
Format: Article
Language:English
Published: Egyptian Electronic Publisher 2024-02-01
Series:Evidence-Based Nursing Research
Subjects:
Online Access:https://eepublisher.com/index.php/ebnr/article/view/118
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author Asmaa T. Mohamed
Mona A. B. Abd Elltef
Shimaa F. Miky
author_facet Asmaa T. Mohamed
Mona A. B. Abd Elltef
Shimaa F. Miky
author_sort Asmaa T. Mohamed
collection DOAJ
description Context: Older adults are vulnerable to falls that result in injury and disability, making fall prevention a national priority. Aim: This study aimed to evaluate the effect of a fall prevention program on older adults' knowledge, practices, and elder wellbeing regarding falls. Methods: A quasi-experimental (single group pre/post-test design) was utilized to achieve the aim of this study. Four geriatric homes at the North district, Cairo governorate were included in the study. The systematic random sample composed of 50 older adults were included in this study. The pre-designed interviewing questionnaire was utilized to collect data regarding socio-demographic characteristics to assess age, sex, marital status of the older adult, and to assess the presence of chronic illness, medication, frequency of falling, and hospitalization. This questionnaire also assesses the knowledge of older adults regarding meaning, causes, protective measures, complications, and a safe environment. Besides, it assesses the reported practices of older adults regarding their health maintenance measures, nutrition, physical activity, and safe home environment. Older adult wellbeing scales developed to assess older adult physical, social, and psychological wellbeing.  An environmental safety checklist used to assess the safety of the geriatric home environment. Results: Revealed that more than two-thirds of older adults aged ≥ 75 years more than half of them experienced falling two times during the past two years, there was a highly statistically significant difference in older adults' total knowledge pre and post prevention program implementation P<0.001. Moreover, there was a highly statistically significant difference between total older adult reported practices pre and post prevention program implementation P<0.001. There was statistically significant improvement related to the physical, social, and psychological wellbeing of older adult pre and post-program implementation. There was a statistically significant correlation between the older adult educational level and their knowledge and practices (p<0.05). Conclusion Application of the prevention program has a positive effect on the studied older adults' knowledge, reported practices, and their wellbeing regarding fall prevention at geriatric homes. The current study recommended that prevention programs should be applied in all geriatric homes to prevent and control falls among older adults.
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spelling doaj-art-8f143eadd24e4308aac043aeb7e3124d2025-08-20T03:11:53ZengEgyptian Electronic PublisherEvidence-Based Nursing Research2636-39922636-400X2024-02-012210.47104/ebnrojs3.v2i2.118Prevention Program Regarding Falls among Older Adults at Geriatrics HomesAsmaa T. Mohamed0Mona A. B. Abd Elltef1Shimaa F. Miky2Faculty of Nursing, Ain Shams UniversityFaculty of Nursing, Ain Shams UniversityFaculty of Nursing, Ain Shams University Context: Older adults are vulnerable to falls that result in injury and disability, making fall prevention a national priority. Aim: This study aimed to evaluate the effect of a fall prevention program on older adults' knowledge, practices, and elder wellbeing regarding falls. Methods: A quasi-experimental (single group pre/post-test design) was utilized to achieve the aim of this study. Four geriatric homes at the North district, Cairo governorate were included in the study. The systematic random sample composed of 50 older adults were included in this study. The pre-designed interviewing questionnaire was utilized to collect data regarding socio-demographic characteristics to assess age, sex, marital status of the older adult, and to assess the presence of chronic illness, medication, frequency of falling, and hospitalization. This questionnaire also assesses the knowledge of older adults regarding meaning, causes, protective measures, complications, and a safe environment. Besides, it assesses the reported practices of older adults regarding their health maintenance measures, nutrition, physical activity, and safe home environment. Older adult wellbeing scales developed to assess older adult physical, social, and psychological wellbeing.  An environmental safety checklist used to assess the safety of the geriatric home environment. Results: Revealed that more than two-thirds of older adults aged ≥ 75 years more than half of them experienced falling two times during the past two years, there was a highly statistically significant difference in older adults' total knowledge pre and post prevention program implementation P<0.001. Moreover, there was a highly statistically significant difference between total older adult reported practices pre and post prevention program implementation P<0.001. There was statistically significant improvement related to the physical, social, and psychological wellbeing of older adult pre and post-program implementation. There was a statistically significant correlation between the older adult educational level and their knowledge and practices (p<0.05). Conclusion Application of the prevention program has a positive effect on the studied older adults' knowledge, reported practices, and their wellbeing regarding fall prevention at geriatric homes. The current study recommended that prevention programs should be applied in all geriatric homes to prevent and control falls among older adults. https://eepublisher.com/index.php/ebnr/article/view/118Prevention program, falls, older adult, and geriatric homes.
spellingShingle Asmaa T. Mohamed
Mona A. B. Abd Elltef
Shimaa F. Miky
Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
Evidence-Based Nursing Research
Prevention program, falls, older adult, and geriatric homes.
title Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
title_full Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
title_fullStr Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
title_full_unstemmed Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
title_short Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
title_sort prevention program regarding falls among older adults at geriatrics homes
topic Prevention program, falls, older adult, and geriatric homes.
url https://eepublisher.com/index.php/ebnr/article/view/118
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