Development of a nursing model to promote self-management in Maneevej exercise to reduce the risk of falls in the elderly. Acupuncture Clinic, Udon Thani Hospital.

Abstract

     This research is an action research. The objective is to study and develop a nursing model to promote self-management in exercising with Maniwet postures in the elderly to prevent falls. The research was conducted from March 2024 to February 2025. The trial model was 12 weeks, with activities every 2 weeks, 60 minutes each time, at the outpatient department, Acupuncture Clinic, Udon Thani Hospital. The sample group was the elderly aged 60 years and over. The purposive sampling method was used according to the criteria. Data was collected from questionnaires. Data were analyzed by frequency, percentage, mean, standard deviation, and paired t-test.

     The results of the study found that the elderly had scores of knowledge about Maniwet exercise, knowledge and understanding about fall prevention, self-management behavior in fall prevention, leg muscle strength test (30-second chair stand), and 4-stage balance, which were significantly increased from 31.72±5.63 to 38.78±.94 after using the model (p < .001). The risk of falling score (FES-I), balance and agility scores (Timed Up and Go) were significantly reduced after using the model (p < .001). The nurses were highly satisfied with all issues (mean = 4.27-4.47, SD ± 0.594-0.640). The issues with the highest mean values ​​were the comprehensiveness and appropriateness of the assessment of related factors, and the benefits of the Maniwet exercise model in promoting the elderly (mean = 4.47).