정기 방문형 낙상방지 주거복지 서비스의 효과 탐색: S구 노인의 주택환경 만족도, 정주의식, 낙상 위험 인식 변화 = Exploring the Effects of a Regular-Visit Fall Prevention Housing Welfare Service: Changes in Housing Satisfaction, Residential Stability, and Fall Risk Perception among Older Adults in S-gu, Seoul

국문 초록 (Abstract)

본 연구는 S구가 시행한 정기 방문형 「어르신 낙상방지를 위한 주거복지 서비스」의 사전-사후 변화를 단일집단 사전–사후 설계를 통해 탐색적으로 검증하였다. 본 서비스는 연 3회 방문(사정–시공–점검/상담)과 통합돌봄 연계를 결합한 주거환경 개선 모델이다. 2025년 8월과 10월, 서비스 이용 노인 98명을 대상으로 전화면접조사(CATI)를 실시하였다. 분석 결과, 주택환경 만족도는 사전 3.82점에서 사후 4.14점으로 유의하게 향상되었으며(t=-3.761, p<.001; d=0.41), 정주의식(정주욕구·정주지속성)은 통계적으로 유의한 변화가 나타나지 않았다. 낙상 위험 인식은 응답에 참여한 41명을 대상으로 분석한 결과, 낙상 경험, 근낙상 인식, 활동 위축이 유의하게 감소하였다. 또한 사후 조사에서 서비스 만족도와 추천 의향은 모두 높게 나타났다. 본 연구는 정기 방문형 주거환경 개선과 통합돌봄 연계를 결합한 지역사회 기반 예방 모델이 단기간에도 주택환경 만족도와 일부 낙상 관련 위험을 완화할 수 있음을 시사한다.

다국어 초록 (Multilingual Abstract)

This study examined the effects of a regular-visit fall prevention home care service implemented in S-gu, Seoul, using a one-group pretest–posttest design. The program integrates home environment modification with three structured visits (assessment–installation–follow-up/counseling) and linkages to community-based integrated care services. Telephone surveys were conducted with 98 older adults (aged 65 and over) in August (pretest) and October 2025 (posttest). Paired-sample t-tests were performed to assess changes in housing satisfaction and residential stability (desire to remain and perceived sustainability of residence). Housing satisfaction significantly increased from 3.82 to 4.14 (t = -3.761, p < .001; d = 0.41), whereas residential stability showed no statistically significant change. Fall risk perception was analyzed for 41 participants with complete pre–post data; results indicated significant reductions in fall experience, near-fall perception, and activity restriction. Post-intervention ratings of overall satisfaction and willingness to recommend the service were high. The findings suggest that a structured, regular-visit home modification model combined with integrated care linkages may improve housing satisfaction and reduce certain fall-related risks in the short term. The findings suggest that a structured, regular-visit home modification model combined with integrated care linkages may contribute to short-term improvements in housing satisfaction and reductions in certain fall-related risk perceptions among community-dwelling older adults. However, given the absence of a control group, causal inference is limited. Practical implications include the need for local governments to establish standardized home assessment protocols and expand fall prevention housing welfare services with integrated follow-up systems. Future research should employ quasi-experimental designs with control groups and longitudinal follow-up to assess the sustainability and causal mechanisms of such interventions.