Evaluations of fall prevention programs by the exercise program and the program of changing the consciousness far the dwelling environment among the community-dwelling elderly

1.对示范区(日本宫城县S镇)65岁及以上社区老年人进行了预防跌倒运动和改变居住环境意识方案的效果调查。2.在对跌倒和居住环境的调查结果中，有跌倒经历的老年人有必要设计预防跌倒的比率为77%，没有跌倒的老年人有61%的人感到有必要设计跌倒预防措施。为执行预防跌倒计划，在访谈的6个月中，…将预防跌倒的课程设置为每月两次，共6个月更多的保留地区(日本宫城Y镇)-培养老年志愿者领导，参加这次秋季预防课程。4.结合对跌倒和居住环境的调查结果，制定了居住环境中跌倒危险因素的检查表。5.在干预地区(日本宫城Y镇)和对照地区(日本宫城O镇)之间，研究了这种干预计划对70-84岁社区老年人的影响。干预地区1年内跌倒患病率为23.8%~17.8%，对照地区为23.9%~20.2%。干预地区跌倒患病率的变化程度高于对照地区跌倒患病率。干预后社区老年人的生活方式、与家庭和邻居的沟通方式、运动健身效果均得到改善或维持，提示通过锻炼预防跌倒和改变居住环境意识有助于降低跌倒风险，改善或维持社区老年人的健康状况

The purpose of this study was to investigate effects of fall prevention programs by the exercise program and the program of changing the consciousness far the dwelling environment among the community-dwelling elderly1.FaIl prevention programs by the fall prevention exercise program and the program of changing the consciousness far the dwelling environment were examined among 197 community-dwelling elderly persons with 65 years and over in the model region (S town in Miyagi, Japan). SlgA concentrations after the fall prevention exercise was significantly increased compared with that be fare the exercise (+25 %).2.In the results of a survey on the falls and the dwelling environment; the rate of elderly people have the feeling of necessary to devise of fall preventions was 77 % in elderly who experienced fall, and 61% in elderly who did not experienced fall3.In order to execute the fall prevention program, the fall prevention classes were held to twice a month far six months in the interv … More ention region (Y town in Miyagi, Japan) - The elderly volunteer leaders were cultivated, participated in this fall prevention classes.4.A check sheet far risk factors of falls in dwelling environment were developed by considering the results of a survey on the falls and the dwelling environment5.Effects of this intervention programs to community-dwelling elderly aged 70-84 years were examined between an intervention region (Y town in Miyagi, Japan) and a control region (O town in Miyagi, Japan). The prevalence of falls far one year significantly changed 23.8% to 17.8 % in an intervention region, 23.9% to 20.2 % in a control region. The degree of changing the prevalence of falls in an intervention region was higher than that of the prevalence of falls in a control region. The life style and communications to family and neighborhood persons, the efficacy of motor fitness were improved or maintained in an intervention region.Those results suggested that the fall prevention program by the exercise programs and the program of changing the consciousness far the dwelling environment contributed to reduce risks of falls and to improve or maintain the healthy condition among the community-dwelling elderly Less