FEAR OF FALLING AND FALL-RELATED EFFICACY IN RELATIONSHIP TO FUNCTIONING AMONG COMMUNITY-LIVING ELDERS

FEAR OF FALLING AND FALL-RELATED EFFICACY IN RELATIONSHIP TO FUNCTIONING AMONG COMMUNITY-LIVING ELDERS
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DOI:
10.1093/geronj/49.3.m140
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发表时间:
1994-05-01
期刊:
JOURNALS OF GERONTOLOGY
影响因子:
--
通讯作者:
BAKER, DI
BAKER, DI
中科院分区:
其他
文献类型:
--
作者:
TINETTI, ME;DELEON, CFM;BAKER, DI

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背景。在一组社区生活的老年人中评估了跌倒恐惧和跌倒相关疗效与基本和辅助日常生活活动(ADL-IADL)以及身体和社会功能的关系。在家庭评估期间,对康涅狄格州纽黑文1103名大于或等于72岁的居民的概率样本进行了社会人口学,医学,心理和身体表现(例如,步态速度,定时手功能)测量。在过去的一年中跌倒和受伤,对跌倒的恐惧,以及对跌倒功效量表的反应也被确定。三个因变量包括一个10项的ADL-IADL量表、一个8项的社会活动量表和一个相对身体活动水平量表。在队列成员中,57%的人否认害怕摔倒,24%的人承认害怕,但否认对活动的影响;19%的人承认因为害怕摔倒而避免活动。24%的近期跌倒者和15%的非跌倒者承认这种活动限制(chi(2) = 13.1;P
Background. The relationships of fear of falling and fall-related efficacy with measures of basic and instrumental activities of daily living (ADL-IADL) and physical and social functioning were evaluated in a cohort of community-living elderly persons.Methods. Sociodemographic, medical, psychological, and physical performance (e.g., gait speed, timed hand function) measures were administered, during an in-home assessment, to a probability sample of 1,103 residents of New Haven, Connecticut, who were greater than or equal to 72 years of age. Falls and injuries in the past year, fear of falling, and responses to the Falls Efficacy Scale were also ascertained. The three dependent variables included a 10-item ADL-IADL scale, an 8-item social activity scale, and a scale of relative physical activity level.Results. Among cohort members, 57% denied fear of falling whereas 24% acknowledged fear but denied effect on activity; 19% acknowledged avoiding activities because of fear of falling. Twenty-four percent of recent fallers vs 15% of nonfallers acknowledged this activity restriction(chi(2) = 13.1; P