Implementation of Maintaining Mobility to Reduce the Risk Falls in Elderly
Abstract
Aging is associated with a decline in the physical and cognitive functions of the human body, which also involves the possibility of age-related diseases. Reduced muscle strength and coordination of the lower extremities, accompanied by decreased gait assurance and balance control, are the results of physical deterioration in the aging body. In decreased physiological function, these disorders lead to a higher risk of falls in the elderly. Maintaining mobility is an effort that can be a preventive measure for falls through physical exercise, meeting nutritional needs, and regular health checks. This study aims to determine the effect of palliative care using a maintaining mobility approach to prevent the risk of falls in the elderly at PSTW Jember. This research design is a pre-experimental quantitative research design with a pretest-posttest group design approach with a total sample of 30 elderly people. This research uses analysis of the Wilcoxon statistical test. The research results showed that elderly people who were at risk of falling had a history of musculoskeletal disease of 33.3%, with a p-value of 0.0001. The implementation of maintaining mobility for the elderly can affect the Morse Fall Scale score. In conclusion, there is an effect of maintaining mobility interventions to reduce the risk of falls in the elderly at PSTW Jember.
Downloads
References
Ansai, J. H., Aurichio, T. R., Gonçalves, R., & Rebelatto, J. R. (2016). Effects of two physical exercise protocols on physical performance related to falls in the oldest old: A randomized controlled trial. Geriatrics & Gerontology International, 16(4), 492–499. https://doi.org/10.1111/ggi.12497
Appeadu MK, B. B. (2023). Falls and Fall Prevention in Older Adults. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560761/
Chittrakul, J., Siviroj, P., Sungkarat, S., & Sapbamrer, R. (2020). Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 17(9). https://doi.org/10.3390/ijerph17093102
Cuevas-Trisan, R. (2019). Balance Problems and Fall Risks in the Elderly. Clinics in Geriatric Medicine, 35(2), 173–183. https://doi.org/10.1016/j.cger.2019.01.008
Dunsky, A., Yahalom, T., Arnon, M., & Lidor, R. (2017). The use of step aerobics and the stability ball to improve balance and quality of life in community-dwelling older adults - a randomized exploratory study. Archives of Gerontology and Geriatrics, 71, 66–74. https://doi.org/10.1016/j.archger.2017.03.003
Fauziah, R. N., Setiawan, & Witdiawati. (2019). Intervensi Perawat Dalam Penatalaksanaan Resiko Jatuh Pada Lansia di Satuan Pelayanan RSLU Garut. Jurnal Keperawatan BSI, 7(2), 1–10. http://ejournal.bsi.ac.id/ejurnal/index.php/jk
Fernández-Argüelles, E. L., Rodríguez-Mansilla, J., Antunez, L. E., Garrido-Ardila, E. M., & Muñoz, R. P. (2015). Effects of dancing on the risk of falling related factors of healthy older adults: a systematic review. Archives of Gerontology and Geriatrics, 60(1), 1–8. https://doi.org/10.1016/j.archger.2014.10.003
Park, S.-H. (2018). Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 30(1), 1–16. https://doi.org/10.1007/s40520-017-0749-0
Phelan, E. A., & Ritchey, K. (2018). Fall Prevention in Community-Dwelling Older Adults. Annals of Internal Medicine, 169(11), ITC81–ITC96. https://doi.org/10.7326/AITC201812040
Ross, L. A., Schmidt, E. L., & Ball, K. (2013). Interventions to maintain mobility: What works? Accident Analysis & Prevention, 61, 167–196. https://doi.org/https://doi.org/10.1016/j.aap.2012.09.027
Schoberer, D., Breimaier, H. E., Zuschnegg, J., Findling, T., Schaffer, S., & Archan, T. (2022). Fall prevention in hospitals and nursing homes: Clinical practice guideline. Worldviews on Evidence-Based Nursing, 19(2), 86–93. https://doi.org/10.1111/wvn.12571
Shalahuddin, I., Maulana, I., Eriyani, T., & Nurrahmawati, D. (2022). Latihan Fisik Untuk Menurunkan Risiko Jatuh pada Lansia: Literatur Review. Jurnal Keperawatan Jiwa (JKJ), 10(4), 739–754.
Sousa, N., Mendes, R., Silva, A., & Oliveira, J. (2017). Combined exercise is more effective than aerobic exercise in the improvement of fall risk factors: a randomized controlled trial in community-dwelling older men. Clinical Rehabilitation, 31(4), 478–486. https://doi.org/10.1177/0269215516655857
Sudiartawan, W., Eva Yanti, N. L. P., & Taruma Wijaya, A. A. N. (2017). Analisis faktor risiko penyebab jatuh pada lanjut usia. Jurnal Ners Widya Husada, 4(3), 95–102. https://journal.uwhs.ac.id/index.php/jners/article/view/322/327
Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2019). Physical activity programs for balance and fall prevention in elderly: A systematic review. Medicine, 98(27), e16218. https://doi.org/10.1097/MD.0000000000016218
Treacy, D., Hassett, L., Schurr, K., Fairhall, N. J., Cameron, I. D., & Sherrington, C. (2022). Mobility training for increasing mobility and functioning in older people with frailty. The Cochrane Database of Systematic Reviews, 6(6), CD010494. https://doi.org/10.1002/14651858.CD010494.pub2
Vu, M. Q., Weintraub, N., & Rubenstein, L. Z. (2004). Falls in the nursing home: are they preventable? Journal of the American Medical Directors Association, 5(6), 401–406. https://doi.org/10.1097/01.JAM.0000144553.45330.AD
Zhao, Y., Chung, P.-K., & Tong, T. K. (2017). Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling: A randomised controlled trial. Geriatric Nursing (New York, N.Y.), 38(6), 491–497. https://doi.org/10.1016/j.gerinurse.2017.02.011
Copyright (c) 2024 Dian Ratna Elmaghfuroh, Dwi Yunita Haryanti; Roza Riska Romadhoni
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
