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1999 Fiscal Year Final Research Report Summary

The development of the fall risk assessment tool in the institutionalized elderly

Research Project

Project/Area Number 09672385
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Nursing
Research InstitutionKanazawa University

Principal Investigator

IZUMI Kiyoko  Kanazawa University, School of Medicine, Professor, 医学部, 教授 (20115207)

Co-Investigator(Kenkyū-buntansha) TAKAHASHI Asako  Kanazawa University, School of Medicine, Assistant, 医学部, 助手 (50313672)
KATO Mayumi  Kanazawa University, School of Medicine, Assistant, 医学部, 助手 (20293350)
MAKIMOTO Kiyoko  Kanazawa University, School of Medicine, Professor, 医学部, 教授 (80262559)
KADEKARU Eiko  Okinawa Prefectural University, School of Nursing, Professor, 看護学部, 教授 (70117571)
Project Period (FY) 1997 – 1999
Keywordsinstitutionalized elderly / assessment tool / falls / nursing
Research Abstract

The purpose of this three-year research project was to develop the fall risk assessment tool in the institutionalized elderly. In the first year, we reviewed research articles dealing with risk factors of falls in the elderly. We measured the isometric maximal knee-extension strength of the institutionalized elderly every year using a hand-held dynamometer, ultrasound bone densitometry of calcaneus, and postural sways. Then, we compared these data with community-residing elderly. In the second year, we surveyed nurses who encountered falls in the nursing home and extended care facility and asked if the nurse predicted the fall of the patient and risk factors identified by the nurse. The result of the qualitative study was integrated in the assessment tool. In addition, we analyzed elderly who had fallen. In the last year, we conducted a prospective study to evaluate the assessment tool in the eleven institutions. The paper and pencil tool consisted of eight elements including, mobility, vision, cognitive function, nurses' prediction to predict falls, trigger events, etc.
The sensitivity of the tool was 68.2%, and the specificity was 74.0% using the cutoff point of 5 excluding trigger events. The highest relative risk of falls was nurses' prediction (RR : 6.5), followed by the history of falls (RR : 5.6), the assistance of elimination (RR : 3.0), and lowed cognitive function (RR : 2.6). The results are consistent with previous studies, the assessment tool was effective in identifying high risk elderly.

  • Research Products

    (12 results)

All Other

All Publications (12 results)

  • [Publications] 加藤真由美、泉キヨ子、他: "入院高齢者の店頭予測因子に関する研究"老年看護学. 4. 58-64 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 平松知子、泉キヨ子、他: "入院高齢者の店頭予測アセスメントツールの開発に関する基礎的研究"金沢大学医学部保健学科紀要. 23(2). 107-110 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 泉キヨ子、平松知子: "高齢者の店頭予測因子としての骨量および重心動揺に関する研究"北陸公衆衛生学雑誌. 26. 25-29 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 加藤真由美、泉キヨ子、他: "地域高齢者の転倒予防に関する研究"金沢大学医学部保健学科紀要. 23(2). 111-115 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 泉キヨ子、加藤真由美、他: "主体性を高める教授法の試み―「転倒と麻痺の看護」"日本老年看護学会第4回学術集会抄録集. 97 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 泉キヨ子、加藤真由美、他: "高齢者の転倒予防に関する研究"第19回日本看護化学会講演集. 348-349 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Kato, M., Izumi, K., et al.: "Preventive factors of falls in the institutionalized elderly : Muscle strength in the lower extremities and ultrasound bone densitometry."Journal of Japan Academy of Gerontological Nursing. 4(1). 58-64 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Hiramatsu, T., Izumi, K., et al.: "Development of an assessment tool to predict which elderly inpatients will fall : The relation between nurse's prediction and actual fall."Memoirs of School of Health Sciences, Faculty of Medicine, Kanazawa University. 23(2). 107-110 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Izumi, K., Hiramatsu, T., et al.: "Ultrasound bone densitometry and postural sway for predictive factors of falls in the elderly."Hokuriku Journal of Publice Health. 26(1). 25-29 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Kato, M., Izumi, K., et al: "Prevention of falls in community-dwelling elderly : Risk factors, muscle strength in the lower extremities, and ultrasound bone densitometry."Memoirs of School of Health Sciences, Faculty of Medicine, Kanazawa University. 23(2). 111-115 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Izumi, K., Kato, M., et al: "Method to increase students' autonomy : Rehabilitation nursing-falls and paralysis."Japan Academy of Gerontological Nursing. 97 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Izumi, K., Kato, M., et al: "Study about prevention of falls in the elderly"Japan Academy of Nursing Sciences. 348-349 (1999)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2001-10-23  

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