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Development of a fall prevention program adapted to the individual risks of elderly persons in facilities

Research Project

Project/Area Number 17592239
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionNiigata University (2006-2007)
Kyoto Municipal Junior College of Nursing (2005)

Principal Investigator

KATO Mayumi  Niigata University, Institution of Medicine and Dentistry, Associate Professor (20293350)

Co-Investigator(Kenkyū-buntansha) IZUMI Kiyoko  Kanazawa University, Graduate School of Medical Sciences, Professor (20115207)
HIRAMATSU Tomoko  Kanazawa University, Graduate School of Medical Sciences, Lecturer (70228815)
ASAKAWA Yasuyoshi  Gunma University, School of Medicine, Associate Professor (60231875)
SHOGENJI Miho  Kanazawa University, Graduate School of Medical Sciences, Assistant Professor (80345636)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,260,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥360,000)
Fiscal Year 2007: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2006: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2005: ¥800,000 (Direct Cost: ¥800,000)
Keywordselderly persons in facilities / fall-prevention program / fall risks / evidence / action research / focus group interview
Research Abstract

The aim of this study was to develop a fall-prevention program adapted to the individual risks of elderly patients in a long-term care facility by increasing the caregiving skills and motivation of staff members through mutual action research. The program, developed through the synthesis of seven evidence-based practice studies, consisted of staff education, identification of problems related to fall prevention in the facility by the use of focus group interview, assessment of individual risks, implementation of care adapted to the risks, consultation about fall-related problems, and modification of care in case of falls. The fall-prevention program was shown to be effective, especially in reducing injuries. The fall rate per 1, 000 residential days was reduced from 7.6 to 5.0 in the intervention ward, while it went from 4.8 to 4.3 in the control ward. The percentage of injured persons in the intervention ward was significantly reduced from 22.6% during the 6 months before the intervention period to 9.7% during the 6-month intervention period, and the number of injuries was reduced from 13 to 3. No one was harmed by the program. The process went from expectation and anxiety regarding an unpredictable process to feeling of achievement through role conflicts. Empowerment was considered a driving force. The change agents for staff members were the response of patients and family members to satisfactory care, and the recognition of the need for cooperation with other medical staff members. On the other hand, the change agent for the fall prevention team members was recognition of staff members who could identify individual risks and had potential care skills. In conclusion, the fall-prevention program was shown to be acceptable for use among elderly individuals in a long-term care facility by increasing the caregiving skills and motivation of staff members.

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (52 results)

All 2008 2007 2006 2005 Other

All Journal Article (28 results) (of which Peer Reviewed: 10 results) Presentation (21 results) Book (2 results) Remarks (1 results)

  • [Journal Article] 施設高齢者の転倒リスクに応じた転倒予防-転倒による骨折者の特徴およびフィードバックした結果に対するスタッフの反応-2008

    • Author(s)
      加藤真由美, 石井和子, 白井志津子
    • Journal Title

      看護実践学会 20(1)

      Pages: 52-61

    • NAID

      40016415765

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 施設高齢者の捉える転倒・転落につながるハザード2008

    • Author(s)
      加藤真由美, 泉キヨ子, 平松知子
    • Journal Title

      日本看護管理学会 11(2)

      Pages: 47-58

    • NAID

      130007553770

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 施設高齢者の転倒予防のための運動プログラム(全身版)の開発とその効果2008

    • Author(s)
      加藤真由美, 小松佳江, 泉キヨ子, 西島澄子, 安田知美, 平松知子, 浅川康吉, 樋木和子
    • Journal Title

      日本看護研究学会誌 31(1)

      Pages: 47-54

    • NAID

      10026503887

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Development of a fall-prevention program for elderly Japanese people2008

    • Author(s)
      Mayumi Kato, Kiyoko Izumi, Shizuko Shirai, Kazuko Kondo, Makiko Kanda, et. al.
    • Journal Title

      Nursing & Health Sciences 10(4)(印刷中)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Fall prevention adapted to individual fall risks for elderly persons in a long-term care facility: Characteristics of elderly persons with fall-related fracture and reactions of staff toward the results2008

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Journal of Society Nursing Practice 20(1)

      Pages: 52-61

    • NAID

      40016415765

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Hazards to falls for institutionalized elderly2008

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      The Journal of the Japan Academy of Nursing Administration and Polices 11(2)

      Pages: 47-58

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Effects of exercise training to improve fall-related outcomes for frail elderly persons2008

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Journal of Japanese Society of Nursing Research 31(1)

      Pages: 47-54

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 施設高齢者の転倒予防のための運動プログラム(全身版)の開発とその効果2008

    • Author(s)
      加藤真由美, 小松佳江, 泉キヨ子, 西島澄子, 安田知美, 平松知子, 浅川康吉, 樋木和子
    • Journal Title

      日本看護研究学会誌 31(1)受理(印刷中)

    • NAID

      10026503887

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 日常生活行動に応じた転倒予防-臨床工学技士との連携で開発したTwo-Way Call(TWC)の活用-2007

    • Author(s)
      山下智子, 加藤真由美, 宮下悦子, 西島澄子, 樋木和子, 山本基善
    • Journal Title

      日本看護技術学会誌 6(1)

      Pages: 61-69

    • NAID

      40015499643

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 脳卒中後遺症患者の転倒予防のための運動・歩行指導2007

    • Author(s)
      加藤真由美
    • Journal Title

      Nursing Today 22(12)

      Pages: 82-90

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Journal Article] Fall prevention to activities of daily living: Use of Two-way Call developed by collaboration of nurses and clinical technologist2007

    • Author(s)
      Tomoko, Yamashita, Mayumi, Kato, et. al.
    • Journal Title

      Japanese Journal of Nursing Art and Sciences 6(1)

      Pages: 61-69

    • NAID

      40015499643

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Exercise and walking education for fall prevention among stroke patients2007

    • Author(s)
      Mayumi, Kato
    • Journal Title

      Nursing Today 22(12)

      Pages: 82-90

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 日常生活行動に応じた転倒予防-臨床工学技士との連携で開発したTwo-Way Call (TWC)の活用-2007

    • Author(s)
      山下智子, 加藤真白美, 宮下悦子, 西島澄子, 樋木和子, 山本基善
    • Journal Title

      日本看護技術学会誌 6(1)

      Pages: 61-69

    • NAID

      40015499643

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 入院高齢者の転倒予防のための看護介入-病棟レクリエーションに下肢筋力運動を導入して-2006

    • Author(s)
      加藤真由美, 泉キヨ子, 他
    • Journal Title

      石川看護研究会誌 18・1

      Pages: 7-10

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary 2005 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 健康教室に参加している地域高齢者の転倒要因2006

    • Author(s)
      加藤真由美, 泉キヨ子, 平松知子, 正源寺美穂
    • Journal Title

      北陸公衆衛生学会誌 33・1

      Pages: 9-14

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary 2006 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of an exercise program for fall prevention for elderly persons in a long-term care facility2006

    • Author(s)
      Mayumi Kato, Kiyoko Izumi, Tomoko Hiramatsu, Miho Shogenji
    • Journal Title

      Japan Journal of Nursing Science 3・2

      Pages: 107-117

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary 2006 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Fall prevention for institutionalized elderly: Exercise of lower extremities in daily recreation2006

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Journal of Ishikawa Society of Nursing Research 18(1)

      Pages: 7-10

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Factors associated with falls among the elderly of Health promotion class2006

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Hokuriku Journal of Public Health 33(1)

      Pages: 9-14

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Development of an exercise program for fall prevention for elderly persons in a long-term care facility2006

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Japan Journal of Nursing Science 3(2)

      Pages: 107-117

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 日常生活行動に応じた転倒予防(第2報) Two-way Callを導入した病棟の使用実態2006

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Journal Title

      日本看護技術学会第5回学術集会講演抄録集

      Pages: 89-89

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 施設高齢者の転倒環境2006

    • Author(s)
      加藤真由美, 泉キヨ子, 平松知子, 正源寺美穂
    • Journal Title

      日本看護研究学会雑誌 29・3

      Pages: 292-292

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 身体拘束の廃止へ2005

    • Author(s)
      加藤真由美, 泉キヨ子
    • Journal Title

      治療 87・12

      Pages: 3296-3301

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary 2005 Annual Research Report
  • [Journal Article] Kiyoko Izumi Abolishment of physical restraints2005

    • Author(s)
      Mayumi, Kato
    • Journal Title

      Chiryou 87(12)

      Pages: 3296-3301

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 療養型病床群における高齢者の転倒予防:EBNに基づいた運動プログラムの作成(改定版)(その2)2005

    • Author(s)
      加藤真由美, 泉キヨ子, 他
    • Journal Title

      日本老年看護学会第10回学術集会抄録集

      Pages: 160-160

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 日常生活行動に応じた転倒予防-臨床工学士との連携で開発したTwo - way Callの活用-2005

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Journal Title

      日本看護技術学会第4回学術集会抄録集

      Pages: 112-112

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 療養型病床群における高齢者の転倒予防:EBNに基づいた運動プログラムの作成(改定版)(その1)2005

    • Author(s)
      小松佳江, 加藤真由美, 他
    • Journal Title

      日本看護研究学会雑誌 28・3

      Pages: 268-268

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 療養型病床群における転倒予防に対するスタッフの意識調査-運動プログラム導入をきっかけとして-2005

    • Author(s)
      増由紀子, 津山玲奈, 中島あゆみ, 坪上茂子, 加藤真由美, 他
    • Journal Title

      日本看護研究学会雑誌 28・3

      Pages: 213-213

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Development of a fall-prevention program for elderly Japanese people

    • Author(s)
      Mayumi, Kato, et. al.
    • Journal Title

      Nursing & Health Sciences(during contribution)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 施設高齢者の個の転倒リスクに応じた転倒予防プログラムの開発-アクションリサーチにおける転倒予防チームの内省の変遷-2008

    • Author(s)
      加藤真由美, 白井志津子, 他
    • Organizer
      日本老年看護学会第13回学術集会
    • Place of Presentation
      金沢市(発表予定)
    • Year and Date
      2008-08-09
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 施設高齢者の個の転倒リスクに応じた転倒予防プログラムの開発-スタッフの意識・動機の視点から-2008

    • Author(s)
      白井志津子, 加藤真由美, 他
    • Organizer
      日本老年看護学会第13回学術集会
    • Place of Presentation
      金沢市(発表予定)
    • Year and Date
      2008-08-09
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of a fall prevention program adapted to the individual risks of elderly persons through self-reflection of fall prevention team2008

    • Author(s)
      Mayumi, Kato, et. al.
    • Organizer
      13th Japan Academy of Gerontological Nursing
    • Place of Presentation
      Kanazawa
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of a fall prevention program adapted to the individual risks of elderly persons through enhanced motivation and caregiving skills of staff2008

    • Author(s)
      Shizuko, Shirai, Mayumi, Kato, et. al.
    • Organizer
      13th Japan Academy of Gerontological Nursing
    • Place of Presentation
      Kanazawa
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] TWC(転倒予防センサー)活用のフローチャート開発に向けて-フォーカス・グループ・インタビューから-2007

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Organizer
      日本看護技術学会第6回学術集会
    • Place of Presentation
      前橋市
    • Year and Date
      2007-10-20
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Development of a flowchart for the use of TWC(fall prevention sensor) by focus group interview2007

    • Author(s)
      Tomoko, Yamashita, Etsuko, Miyashita, Kato, Mayumi, et. al.
    • Organizer
      Sixth Nursing Art and Sciences
    • Year and Date
      2007-10-20
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] TWC(転倒予防センサー)活用のフローチャート開発に向けて-フォーカス・グループ・インタビューから-2007

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Organizer
      日本看護技術学会誌
    • Place of Presentation
      前橋市
    • Year and Date
      2007-10-20
    • Related Report
      2007 Annual Research Report
  • [Presentation] 施設高齢者の転倒リスクに応じた転倒予防-転倒による骨折者の特徴およびフィードバックした結果に対するスタッフの反応-2007

    • Author(s)
      石井和子, 加藤真由美, 白井志津子
    • Organizer
      看護実践学会第1回学術集会
    • Place of Presentation
      金沢市
    • Year and Date
      2007-09-02
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Fall prevention adapted to individual fall risks for elderly persons in a long-term care facility: Characteristics of elderly persons with fall-related fracture and reactions of staff toward the results2007

    • Author(s)
      Kazuko, Ishi, Mayumi, Kato, Shizuko, Shirai
    • Organizer
      In Society Nursing Practice
    • Place of Presentation
      Kanazawa
    • Year and Date
      2007-09-02
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 施設高齢者の転倒リスクに応じた転倒予防-転倒による骨折者の特徴およびフィードバックした結果に対するスタッフの反応-2007

    • Author(s)
      石井和子, 加藤真由美, 白井志津子
    • Organizer
      看護実践学会学術集会
    • Place of Presentation
      金沢市
    • Year and Date
      2007-09-02
    • Related Report
      2007 Annual Research Report
  • [Presentation] 日常生活行動に応じた転倒予防(第2報)Two-way Callを導入した病棟の使用実態2006

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Organizer
      日本看護技術学会第5回学術集会
    • Place of Presentation
      岡山市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 施設高齢者の転倒環境2006

    • Author(s)
      加藤真由美, 泉キヨ子, 平松知子, 正源寺美穂
    • Organizer
      日本看護研究学会第32回学術集会
    • Place of Presentation
      別府市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Hazards to falls for institutionalized elderly2006

    • Author(s)
      Mayumi, Kato, et. al.
    • Organizer
      32nd Japanese Society of Nursing
    • Place of Presentation
      Bepu
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 療養型病床群における高齢者の転倒予防:EBNに基づいた運動プログラムの作成(改定版)(その2)2005

    • Author(s)
      加藤真由美, 泉キヨ子, 他
    • Organizer
      日本老年看護学会第10回学術集会
    • Place of Presentation
      栃木県河内郡
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 日常生活行動に応じた転倒予防-臨床工学士との連携で開発したTwo-way Callの活用-2005

    • Author(s)
      山下智子, 宮下悦子, 西島澄子, 樋木和子, 加藤真由美
    • Organizer
      日本看護技術学会第4回学術集会
    • Place of Presentation
      つくば市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 療養型病床群における高齢者の転倒予防:EBNに基づいた運動プログラムの作成(改定版)(その1)2005

    • Author(s)
      小松佳江, 加藤真由美, 他
    • Organizer
      日本看護研究学会第31回学術集会
    • Place of Presentation
      札幌市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 療養型病床群における転倒予防に対するスタッフの意識調査-運動プログラム導入をきっかけとして-2005

    • Author(s)
      増由紀子, 津山玲奈, 中島あゆみ, 坪上茂子, 加藤真由美, 他
    • Organizer
      日本看護研究学会第31回学術集会
    • Place of Presentation
      札幌市
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Effects of exercise training to improve fall-related outcomes for frail elderly persons(Report2)2005

    • Author(s)
      Mayumi, Kato, et. al.
    • Organizer
      Tenth Japan Academy Gerontological Nursing
    • Place of Presentation
      Tochigi-ken Kawachi-gun
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Fall prevention to activities of daily living: Use of Two-way Call developed by collaboration of nurses and clinical technologist2005

    • Author(s)
      Tomoko, Yamashita, Etsuko, Miyashita, Kato, Mayumi, et. al.
    • Organizer
      Fourth Nursing Art and Sciences
    • Place of Presentation
      Tsukuba
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Effects of exercise training to improve fall-related outcomes for frail elderly persons(Reportl)2005

    • Author(s)
      Yoshie, Komatsu, Mayumi, Kato, et. al.
    • Organizer
      31st Japanese Society of Nursing
    • Place of Presentation
      Saporo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Staff's consciousness toward fall prevention after introduction of an exercise program2005

    • Author(s)
      Noriko, Masu, Reina, Tsuyama, Ayumi, Nakashima, Mayumi, Kato, et. al.
    • Organizer
      31st Japanese Society of Nursing
    • Place of Presentation
      Saporo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 運動トレーニング指導のポイント-エビデンス活用の実際-エビデンスに基づく転倒・転落予防2005

    • Author(s)
      加藤真由美
    • Total Pages
      9
    • Publisher
      中山書店
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 在宅高齢者の転倒リスクアセスメントツールエビデンスに基づく転倒・転落予防2005

    • Author(s)
      加藤真由美
    • Total Pages
      11
    • Publisher
      中山書店
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Remarks] 「研究成果報告書概要(和文)」より

    • URL

      http://square.umin.ac.jp/izumi/newpage5-2.html7

    • Related Report
      2007 Final Research Report Summary

URL: 

Published: 2005-04-01   Modified: 2016-04-21  

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