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conferenceseries
.com
Volume 6, Issue 4 (Suppl)
J Nurs Care, an open access journal
ISSN: 2167-1168
Euro Nursing 2017
October 26-28, 2017
32
nd
EURO
NURSING AND MEDICARE SUMMIT
October 26-28, 2017 | Paris, France
Effect of a multifactorial, interdisciplinary intervention on falls and fall rate of the older people in
the community
Seon Heui Lee
1
and
Hee Sun Kim
2
1
Gachon University, Republic of Korea
2
Chonbuk National University, Republic of Korea
F
alls are a widespread problem and cause considerable morbidity in older people. The overall effect of various programs
for preventing falls including exercise or multifactorial programs in the community remains controversial. The aim of
this study was to determine the effect of several prevention programs on fall rates, number of fallers and fall-related injuries
in the community. We searched Medline, EMBASE, CINAHL, Cochrane, and Korean Med systematically in Mar 2016 for
randomized controlled trials to reduce falls among older people residing in the community. The outcomes were fall rates,
number of falls, and fallers. The computerized search strategy found 827 potential articles, thirty of which met the inclusion
criteria. 37 trials were eligible. Meta-analysis found that multifactorial interventions significantly reduced falls rate (RR=0.78,
95% CI=0.70-0.87), while exercise tended to reduce the number of fallers but did not achieve a significant reduction (RR=0.93,
95% CI=0.85-1.02). In terms of intensity of programs, assessment with active programs significantly reduced fall rates (RR=
0.77, 95% CI=0.63-0.93), while assessment with referral did not achieves a significant reduction (RR=0.93, 95%CI=0.82-1.07).
In terms of programs for high risk group (e.g., recurrent fallers), multifactorial programs significantly reduced fall rates (RR=
0.78, 95% CI=0.67-0.91). The study shows that a multifactorial intervention to reduce the risk of falling among elderly people
living in the community. Assessment with active programs or multifactorial programs for high risk group significantly reduced
falls rates more. It needs more explorations considering the components and intensities of exercise programs.
Biography
Seon Heui Lee has completed her PhD from Yeonsei University. She has worked in Health Insurance Review and Assessment Service and National Evidence-
based Healthcare Collaborating Agency of Korea. Now she is an Associate Professor at the College of Nursing, Gachon University.
sunarea87@gachon.ac.krSeon Heui Lee et al., J Nurs Care 2017, 6:4(Suppl)
DOI: 10.4172/2167-1168-C1-061