Effectiveness of Nurse-Led Fall Prevention Programs among Community-Dwelling Elderly: A Quasi-Experimental Study

Abstract

Background: Falls represent a significant source of illness and death among older adults, particularly those residing in community settings. Programs led by nurses aimed at fall prevention have demonstrated potential in lowering fall risk through education, physical activity, and home safety modifications.

Objectives: This study aimed to assess the effectiveness of a nurse-led fall prevention program in decreasing fall risk and enhancing functional mobility among elderly individuals living in the community.

Methods: A quasi-experimental design with pre-test and post-test control groups was employed, involving 120 elderly participants (60 in the intervention group and 60 in the control group). The intervention group participated in an 8-week structured nurse-led program that included educational sessions, exercise training, and home hazard evaluations. Data were gathered using the Morse Fall Scale and the Timed Up and Go (TUG) test. Statistical analysis was conducted using paired and independent t-tests.

Results: After the intervention, the intervention group showed a significant reduction in fall risk scores (mean difference = 12.4, p < 0.001) and improved mobility, indicated by decreased Timed Up and Go (TUG) scores (mean difference = 3.2 seconds, p < 0.001), compared to the control group.

Conclusion: Nurse-led fall prevention programs are effective in lowering fall risk and enhancing mobility among community-dwelling older adults. Such programs should be incorporated into primary healthcare systems.