Perceptions of falls among turkish elderly living in institutions: A phenomenological research

Emiroğlu, Oya Nuran; Karatay, Gülnaz

Perceptions of falls among turkish elderly living in institutions: A phenomenological research

Oya Nuran EMİROĞLU, (Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ankara, Türkiye)

Gülnaz KARATAY (Tunceli Üniversitesi, Sağlık Yüksekokulu, Tunceli, Türkiye)

Türk Geriatri Dergisi

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Yıl: 2012 Cilt: 15 Sayı: 2 Sayfa Aralığı: 188 - 194 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Perceptions of falls among turkish elderly living in institutions: A phenomenological research

Öz:

Giriş: Yaşlılarda düşme, ölümlere neden olabilen önemli bir sorundur. Düşmeye ilişkin bir çok çalışma yapılmasına rağmen, yaşlıların düşmeye ilişkin deneyimleri ve algıları hala bilinmemektedir. Bu çalışma, kurumda yaşayan yaşlıların düşmeye ilişkin deneyimlerini ve algılamalarını ortaya çıkarmak amacıyla yapılmıştır. Gereç ve Yöntem: Bu çalışmada Van Manen'in fenomonolojik yaklaşımından köken alan kalitatif desen kullanılmıştır. Amaçlı örnekleme yöntemi ile seçilen 22 yaşlıyla yüz yüze görüşmeler yapılmıştır. Görüşme içeriğinin analizinde Van Manen'in veri analizi yaklaşımı kullanılmıştır.Bulgular: Bu çalışmada, yaşlıların düşme ile ilişkili algılamalarının üç ana temada toplandığı görülmüştür. Bu temalar; acılı deneyim, yazgı ve yaşamın tehlikelerle devam ettiği biçimindedir.Sonuç: Bu çalışma bulgularının, özellikle kurumda yaşayan yaşlıların sağlık bakımında rol alan profesyonellere ve özellikle önemli görevler üstlenen hemşirelere, yaşlıların her birinin birey olarak ayrı ayrı ele alınarak empati ile yaklaşmalarında yardımcı olacağı düşünülmektedir. Yaşlıların düşmeye ilişkin algılamalarının bilinmesi güvenli bir çevrede güvenli davranışlar sergilemesi açısından önemlidir.

Anahtar Kelime:

Konular: Cerrahi

Kurumda yaşayan yaşlıların düşmeye ilişkin algılamaları: Fenomenolojik bir çalışma

Öz:

Introduction: Falls in the elderly are a significant problem with consequences that may lead to death. Although many studies have been conducted regarding falls in the elderly, little is known of their own perceptions and experiences of falling. The purpose of this study was to beter understand how the elderly living in institutions understand and perceive their experiences of falling. Materials and Method: A qualitative design was used based upon van Manen's phenomenological approach. Interviews were conducted with 22 elderly using a purposive sampling method. Van Manen's data analysis approach was used to analyze the data derived from the interviews.Results: Outcomes of this study showed that there were three main perceptions about falls for the elderly: Participants acknowledged falling as a painful experience and that falls should be expected in old age. Still others understood that life goes on but with new areas of concern which will require their attention and care.Conclusion: The results of this study show that all health care personnel, particularly the nurses who care for the elderly in an institutional environment, need to adopt an individualized and empathetic approach to those in their care. Falls happen often and can be fatal to the elderly. Thus it is very important for all health care professionals working with the elderly to be fully informed and involved in ensuring that their patients practice safe behaviors to guard against falls. Care should also be taken to ensure that their living environment is safe and secure.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Stalenhof PA, Diedericks JPM, Knottnerus JA. A risk model for the prediction of recurrent falls in community-dwelling elderly: a prospective cohort study. Journal of Clinical Epidemiology 2002;55:1088-94. (PMID: 12507672).
2. Nurmi I, Luthje P. Incidence and costs of falls and falls injuries among elderly in institutional care. Scandinavian Journal of Primary Health Care 2002;20(2):118-22. (PMID:12184711).
3- James K, Eldemire-Shearer D, Gouldbourne J, Morris C. Falls and falls prevention in the elderly: the Jamaican perspective. West Indian Medical Journal 2007;56(6):534-9. (PMID: 18646499).
4. Dönmez L, Gokkoca Z. Accident profile of older people in Antalya City Center, Turkey. Archives of Gerontology and Geriatrics 2003;37(2):99-108. (PMID:12888223).
5. Kannus P, Sievanen H, Palvanen M, Jarvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. The Lancet 2005;366(26-2):1885-93. (PMID:l6310556).
6. Yardley L, Smith HA. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. Gerontologist 2003;42:17-23. (PMID:11815695).
7. Coleman A L, Stone K, Ewing S K, et al. Higher risk of multiple falls among elderly women who lose visual acuity. Ophthalmology 2004; 111(5):857-62. (PMID:15121359).
8. Kario K, Tobin J N, Wolfson L, et al. Lower standing systolic blood pressure as a predictor of falls in the elderly: a community- based prospective study. Journal of the American College of Cardiology 2001 ;38( 1 ):246-52. (PMID: 11451282).
9- Rekeneire N, Visser M, Peila R, Nevitt M C, Cauley J A, Tylavsky F A, Simonsick E M, Tamara B H. Is a fall just a fall: correlates of falling in healthy older person. The healthy, aging and body composition study. The Journal of American Geriatric Society 2003;51:841-6. (PMIDrl2757573).
10. Rubinstein L, Josephson K. The epidemiology of falls and syncope. Clinical Geriatric Medicine 2002;18:141-58. (PMID:12180240).
11. Nnodim JO, Alexander NB. Assessing falls in older adults: a comprehensive fall evaluation to reduce fall risk in older adults. Geriatrics 2005;60(10):24-8. (PMID: 16218764).
12. Murphy SL, Nyquist LU, Strasburg DM. Bath transfer in older adult congregate housing residents: assessing the person-environment interaction. Journal of The American Geriatric Society 2006;54:1265-70. (PMID:l6913997).
13- Emiroğlu O N, Korkmaz A G. Assessment of environmental risk factors related to falls in rest homes. Turkish Journal of Geriatrics 2007;10(l):24-36.
14. Hughes K, Van Beurden E, Eakin E G, et al. Older persons' perception of risk of falling: implementations for preventive campaigns. The American Journal of Public Health 2008; 98(2):351-7. (PMID:18172132).
15. Yardley L, Beyer N, Haver K, McKee K, Ballinger C, Todd C. Recommendations for promoting the engagement of older people in activities to prevent falls. Quality and Safety Health Care 2009;16:230-4. (PMID: 17545352).
16. Yang XJ, Haralambous B, Angus J, Hill K. Older Chinese Australians? Understanding of falls and falls prevention: exploring their needs for information. Australian Journal of Primary Health 2008;14:36-42.
17. Yardley L, Donovan-Hall M, Francis K, Todd C. Older people's views of advice about falls prevention: a qualitative study. Health Education Research 2006;21:508-17. (PMID: 1646717 3).
18. Ballinger C, Clemson L. Older people's views about community falls prevention: an Australian perspective. British Journal of Occupational Therapy 2006;69:263-70.
19- Mackintosh S, Fryer C, Sutherland M. For falls sake: older carers' perceptions of falls and falls risk factors. The Internet Journal of Allied Health Sciences and Practice 2007;5(3):l-9-
20. Sokolowski R. Introduction to phenomenology. Cambridge University Press, Cambridge, 2000, pp 66-77.
21. Van Manen M. Researching lived experience: human science for an activities sensitive pedagogy. Second Editon, The Althouse Press, Canada, 1997, pp 80-108.
22. Morse JM. Determining sample size. Qualitative Health Research 2000;10(l):3-5.
23- Gray DE. Doing Research in the Real World. Sage Pub, London, 2005,p 442.
24. Harrahill M. Falls in the elderly: making the difference. Journal of Emergency Nursing 2001;27(2):209-210. (PMID:11275874).
25. Marks R, Allegrante J P, MacKenzie C R, Lane J M. Hip fractures among the elderly: causes, consequences and control. Ageing Research Reviews 2003;2(l):57-93. (PMID: 12437996).
26. Becker C, Kron M, Lindemann U, Sturm E, Eichner B, Walter-Jung B, Nikolaus T. Effectiveness of a multifaceted intervention on falls in nursing home residents. The Journal of the American Geriatrics Society 2003;51:306-13. (PMID:12588573).
27. Vu MQ, Weintraub N, Rubenstein L Z. Falls in the nursing home: are they preventable? Journal of the American Medical Directors Association 2005; 6(3):82-87. (PMID: 15890306).

APA	Emiroğlu O, Karatay G (2012). Perceptions of falls among turkish elderly living in institutions: A phenomenological research. , 188 - 194.
Chicago	Emiroğlu Oya Nuran,Karatay Gülnaz Perceptions of falls among turkish elderly living in institutions: A phenomenological research. (2012): 188 - 194.
MLA	Emiroğlu Oya Nuran,Karatay Gülnaz Perceptions of falls among turkish elderly living in institutions: A phenomenological research. , 2012, ss.188 - 194.
AMA	Emiroğlu O,Karatay G Perceptions of falls among turkish elderly living in institutions: A phenomenological research. . 2012; 188 - 194.
Vancouver	Emiroğlu O,Karatay G Perceptions of falls among turkish elderly living in institutions: A phenomenological research. . 2012; 188 - 194.
IEEE	Emiroğlu O,Karatay G "Perceptions of falls among turkish elderly living in institutions: A phenomenological research." , ss.188 - 194, 2012.
ISNAD	Emiroğlu, Oya Nuran - Karatay, Gülnaz. "Perceptions of falls among turkish elderly living in institutions: A phenomenological research". (2012), 188-194.

APA	Emiroğlu O, Karatay G (2012). Perceptions of falls among turkish elderly living in institutions: A phenomenological research. Türk Geriatri Dergisi, 15(2), 188 - 194.
Chicago	Emiroğlu Oya Nuran,Karatay Gülnaz Perceptions of falls among turkish elderly living in institutions: A phenomenological research. Türk Geriatri Dergisi 15, no.2 (2012): 188 - 194.
MLA	Emiroğlu Oya Nuran,Karatay Gülnaz Perceptions of falls among turkish elderly living in institutions: A phenomenological research. Türk Geriatri Dergisi, vol.15, no.2, 2012, ss.188 - 194.
AMA	Emiroğlu O,Karatay G Perceptions of falls among turkish elderly living in institutions: A phenomenological research. Türk Geriatri Dergisi. 2012; 15(2): 188 - 194.
Vancouver	Emiroğlu O,Karatay G Perceptions of falls among turkish elderly living in institutions: A phenomenological research. Türk Geriatri Dergisi. 2012; 15(2): 188 - 194.
IEEE	Emiroğlu O,Karatay G "Perceptions of falls among turkish elderly living in institutions: A phenomenological research." Türk Geriatri Dergisi, 15, ss.188 - 194, 2012.
ISNAD	Emiroğlu, Oya Nuran - Karatay, Gülnaz. "Perceptions of falls among turkish elderly living in institutions: A phenomenological research". Türk Geriatri Dergisi 15/2 (2012), 188-194.