Falls, a fear of falling and related factors in older adults with complex chronic disease
Falls, a fear of falling and related factors in older adults with complex chronic disease
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DOI：
10.1111/jocn.13995
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Kim, Chang Oh
中科院分区：
文献类型：
--
作者：
Lee, JuHee;Choi, MoonKi;Kim, Chang Oh
Aims and ObjectivesTo identify factors affecting福尔斯and the fear of falling among older adults with chronic diseases in Korea.BackgroundThe fear of falling and福尔斯in older adults are significant health problems towards which health providers should direct their attention.需要进一步的调查，以提高护理实践，特别是降低风险的福尔斯和恐惧下降在Korea.DesignDescriptive，横断面survey.MethodsA方便的样本108例患者被招募在老年门诊部的三级医院在首尔，韩国。调查了人口统计学特征、合并症、药物使用、跌倒史、体力活动水平、日常生活活动、活动能力、肌肉力量和对跌倒的恐惧。学生的t检验，卡方检验和多元线性回归进行了统计analysis.Results36名参与者（33.3%）108名受试者报告经历1福尔斯在过去的一年。婚姻状况和抗精神病药物的使用与福尔斯有关，而其他因素与福尔斯无显著相关性。在慢性疾病、药物使用与跌倒恐惧的关系分析中，只有前列腺增生和多种药物与跌倒恐惧有显著相关。在回归模型中，合并症的数量、体力活动水平、日常生活活动和活动能力是害怕跌倒的预测因素。药物的使用是微不足道的显着，在model.ConclusionIncreasingphysicalactivity，功能健身和身体独立性是重要的，以减少对跌倒的恐惧，并鼓励积极和健康的生活在老年aduls.Relevance临床practiceThe研究结果为老年人的护理干预措施的发展提供了证据。我们建议早期筛查跌倒恐惧症和护理干预，通过提高身体活动水平和功能来减少跌倒恐惧症。
Aims and objectivesTo identify factors influencing falls and the fear of falling among older adults with chronic diseases in Korea.BackgroundThe fear of falling and falls in older adults are significant health problems towards which healthcare providers should direct their attention. Further investigation is needed to improve nursing practice specifically decreasing risk of falls and the fear of falling in Korea.DesignDescriptive, cross-sectional survey.MethodsA convenience sample of 108 patients was recruited at the geriatric outpatient department of a tertiary hospital in Seoul, Korea. Demographic characteristics, comorbidities, medication use, fall history, level of physical activity, activities of daily living, mobility, muscle strength, and a fear of falling were investigated. Student's t tests, chi-square tests and multiple linear regressions were used in statistical analysis.ResultsThirty-six participants (33.3%) among 108 subjects reported experiencing 1 falls in the past year. Marital status and the use of antipsychotics were associated with falls, while other factors were not significantly related to falls. Only benign prostatic hypertrophy and polypharmacy were significantly related to the fear of falling in the analysis of the relationships between chronic disease, medication use and fear of falling. In the regression model, the number of comorbidities, level of physical activity, activities of daily living and mobility were predictors of a fear of falling. Medication use was marginally significant, in the model.ConclusionIncreasing physical activity, functional fitness and physical independence is important to decrease the fear of falling, and to encourage active and healthy lives in older adults.Relevance to clinical practiceThe findings from this study provide evidence for the development of nursing interventions for older adults. We recommend early screening for a fear of falling and nursing interventions to decrease the fear of falling through enhancing physical activity level and function.