Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USA.
J Geriatr Phys Ther. 2010 Jan-Mar;33(1):41-5.
Research focusing on community-dwelling older adults includes adults living in senior living residences (SLR) and independent community residences (ICR). Walking, physical activity, fear of falling, and fall history may differ on the basis of residence.
We describe characteristics of walking, physical activity, fear of falling, and fall history between community-dwelling older adults by residence.
Participants of this secondary analysis included community-dwelling older adults from independent living units within a senior life care community (SLR) and older adults recruited from the Pittsburgh community (ICR). Demographic information and physical (gait speed and physical activity), psychosocial (fear of falling and confidence in walking), and fall history measures were collected.
Adults living in SLR compared with those in ICR were older, were more likely to live alone, and had greater disease burden. Compared with individuals in ICR, individuals in SLR reported less fear of falling (Survey of Activity and Fear of Falling in the Elderly tool fear results 0.24 and 0.50, respectively). Fewer older adults in SLR compared with those in ICR reported falling in the past year.
Older adults living in SLR compared with those in ICR had similar physical function but differed in report of fear of falling and fall history. Recognizing the possible differences in psychosocial function by place of residence is important for health care providers and researchers conducting interventions and studies for community-dwelling older adults.
以居住环境为基础，研究社区居住的老年人，包括居住在养老院（SLR）和独立社区住所（ICR）的成年人。行走、身体活动、跌倒恐惧和跌倒史可能因住所不同而有所差异。
我们描述了居住在社区的老年人按居住环境的行走、身体活动、跌倒恐惧和跌倒史特征。
本二次分析的参与者包括来自高级生活护理社区（SLR）独立生活单元的社区居住老年人，以及从匹兹堡社区招募的老年人。收集了人口统计学信息以及身体（步态速度和身体活动）、心理社会（跌倒恐惧和行走信心）和跌倒史措施。
与居住在 ICR 的老年人相比，居住在 SLR 的成年人年龄更大，更有可能独居，并且疾病负担更重。与居住在 ICR 的老年人相比，居住在 SLR 的老年人跌倒恐惧程度较低（活动和老年人跌倒恐惧调查工具恐惧结果分别为 0.24 和 0.50）。与居住在 ICR 的老年人相比，居住在 SLR 的老年人报告过去一年跌倒的人数较少。
与居住在 ICR 的老年人相比，居住在 SLR 的老年人身体功能相似，但跌倒恐惧和跌倒史报告不同。认识到居住地点可能存在的心理社会功能差异，对于为社区居住的老年人进行干预和研究的医疗保健提供者和研究人员非常重要。
