The Delelopment of Health Promotion Models by body balancing movement for fall prevention in Dansai Crown Prince Hospital Elderly Clinic, Dansai District, Loei Province
Article Sidebar
Main Article Content
Abstract
This study aimed to 1) develop a health promotion model using body balance exercises to prevent falls among elderly in the Geriatric Clinic at Somdej Phra Yupparaj Dan Sai Hospital, Dan Sai District, Loei Province, and 2) evaluate the outcomes of the model on behavior changes of participating elderly. Methods: A mixed-methods research and development design was employed, consisting of three phases over 12 months:
1) situational analysis, 2) model design and development, and 3) model implementation and evaluation. Data were collected from a multidisciplinary team (n=5), elderly (n=20), and caregivers (n=20) at the Geriatric Clinic through interviews, focus group discussions, and assessments.
The existing service model at the Geriatric Clinic included a multidisciplinary team providing individual assessments and advice. However, there was a lack of clear objectives to guide the screening of at-risk groups and shape the clinic's service model. After reviewing the process, the objective was revised to promote fall prevention among the elderly. The developed model comprised a comprehensive fall risk assessment system and a physical therapy program tailored to the elderly in Dan Sai District, utilizing the PDCA process for continuous improvement. Following the model's implementation, the elderly demonstrated improved balance and stability, reduced fall frequency, and the healthcare team expressed satisfaction with the model.
The model, developed through participatory processes and multidisciplinary collaboration while considering the specific context of Dan Sai District, appears to be effective in promoting health and preventing falls among the elderly living in this community. However, sustainable implementation requires cooperation from various local sectors in Dan Sai to manage the determinants of elderly health in an integrated manner. Further studies on factors influencing long-term effectiveness and applicability in other contexts within Loei Province are recommended.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This article is published under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which allows others to share the article with proper attribution to the authors and prohibits commercial use or modification. For any other reuse or republication, permission from the journal and the authors is required.References
กรมกิจการผู้สูงอายุ. (2565). การหกล้มในผู้สูงอายุ. https://www.dop.go.th/th/know/15/548
นิภา ศรีช้าง, & ลวิตรา ก๋าวี. (2560-2564). รายงานการพยากรณ์การพลัดตกหกล้มของผู้สูงอายุ 60 ปีขึ้นไป ในประเทศไทย. สำนักโรคไม่ติดต่อ กรมควบคุมโรค กระทรวงสาธารณสุข.
Di Monaco, M., De Toma, E., Gardin, L., & Giordano, S. (2020). Fall prevention in the elderly: Exercises and strategies. Geriatrics, 5(4), 68. https://doi.org/10.3390/geriatrics5040068
Fallon, A., Fallon, A., Dukelow, T., Kennelly, S. P., & O'Neill, D. (2020). COVID-19 in nursing homes. QJM: An International Journal of Medicine, 113(6), 391-392. https://doi.org/10.1093/qjmed/hcaa136
Finnegan, S., Seers, K., & Bruce, J. (2019). Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: A systematic review and meta-analysis. Physiotherapy, 105(2), 187-199. https://doi.org/10.1016/j.physio.2018.09.002
Kemmis, S., & McTaggart, R. (1998). The action research planner (3rd ed.). Deakin University Press.
Mulvale, G., Embrett, M., & Razavi, S. D. (2019). 'Gearing up' to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 20(1), 83. https://doi.org/10.1186/s12875-019-0975-y
Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S., & Lamb, S. E. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, (1). https://doi.org/10.1002/14651858.CD012424.pub2
Tuvemo Johnson, S., Martin, C., Anens, E., Johansson, A. C., & Hellström, K. (2019). Older adults' opinions on fall prevention in relation to physical activity level. Journal of Applied Gerontology, 38(2), 173-189. https://doi.org/10.1177/0733464818774776
World Health Organization. (1986). Ottawa charter for health promotion.
