Effect of different health education methods on fall vigilance of elderly inpatients

doi:10.3969/j.issn.1674-490X.2025.06.008

Abstract

Abstract: Objective To explore the application effect of routine education, gain-based framework healtheducation and loss-based framework health education in fall prevention of hospitalized elderly patients. Methods Ninety-six elderly patients who were hospitalized in the Department of Neurology and Rehabilitation Ward of a tertiary hospital in Baoding city from July to August 2025 were selected as study subjects. The subjects were divided into three groups: the control group implemented conventional health education; to further clarify the impacts of the gain framework and loss framework, the intervention group was divided into the gain-framing group and the loss-framing group. The gain framework group added gain framework theory-guided health education on a conventional basis; and the loss framework group combined loss framework theory intervention on a conventional basis, comparing the fall alertness and fall self-efficacy scores of patients in the three groups before and after the intervention. There were 2 cases of loss of visits in the control group and 1 case of loss of visits in the loss framework group during the intervention period. Results Falls alertness was significantly increased in all three groups of patients after the intervention compared with the pre-intervention period(P<0.05), in which the alertness and falls self-efficacy scores were higher in the gain-framing group and loss-framing group than in the control group, with statistically significant differences(P<0.05), and the loss-framing group was better than that of the gain-framing group in improving falls alertness and self-efficacy, with statistically significant differences(P<0.05). Conclusion The health education program designed based on the theory of information frame effect can effectively enhance the fall prevention awareness and self-management ability of elderly inpatients, and the loss frame-oriented intervention strategy is more advantageous.

Key words: information framework effect theory, framework effect, elderly people, fall vigilance, health education

CLC Number:

R473.1

WANG Zheng, BI Zhaoyu, ZHU Fei, SONG Yanyan, ZHANG Shumin, LIU Juan, GAO Yuan, CHEN Xi. Effect of different health education methods on fall vigilance of elderly inpatients[J]. Journal of Hebei Medical College for Continuing Education, 2025, 42(6): 64-72.

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