Lawrence R H, Tennstedt S L, Kasten L E, Shih J, Howland J, Jette A M
New England Research Institutes, USA.
J Aging Health. 1998 Aug;10(3):267-86. doi: 10.1177/089826439801000301.
Fear of falling is highly prevalent and associated with restricted activity. To help inform design of interventions, the authors examined the correlates of this fear. Data came from baseline information on subjects in a community-based falls intervention study (N = 392). In a multivariate model, lower levels of fear of falling and hurting oneself in the next year were related to being younger, having higher levels of dysfunction, and having lower levels of perceived ability to manage falls, with the last two remaining significant even after controlling for generalized fearfulness. When analyzing specific domains of dysfunction, higher levels of fear of falling and hurting oneself in the next year were associated with higher levels of physical dysfunction. The findings lend support to the expanding awareness that fear of falling may imperil quality of life and suggest the importance of interventions aimed at enhancing ability to manage falls.
害怕跌倒的情况非常普遍，且与活动受限有关。为了有助于为干预措施的设计提供信息，作者研究了这种恐惧的相关因素。数据来自一项基于社区的跌倒干预研究中受试者的基线信息（N = 392）。在一个多变量模型中，下一年较低水平的害怕跌倒和害怕伤害自己与较年轻、功能障碍水平较高以及跌倒应对能力感知水平较低有关，即使在控制了普遍的恐惧情绪后，后两者仍具有显著性。在分析功能障碍的具体领域时，下一年较高水平的害怕跌倒和害怕伤害自己与较高水平的身体功能障碍有关。这些发现支持了人们日益增强的认识，即害怕跌倒可能危及生活质量，并表明旨在提高跌倒应对能力的干预措施的重要性。
