Roudebush Veterans Affairs Medical Center, Health Services Research and Development Center on Implementing Evidence-Based Practice, 1481 West 10th Street, 11H, Indianapolis, IN, USA.
Am J Occup Ther. 2011 Mar-Apr;65(2):125-32. doi: 10.5014/ajot.2011.000737.
Fear of falling (FoF) after stroke is not well understood. We assessed change in FoF over the first 6 mo after a stroke and compared 6-mo anxiety, depression, balance, and quality of life (QoL) scores between people with and without baseline FoF (at the time of hospital discharge).
Data for this longitudinal study were collected at baseline and 6 mo. Of the 28 people included at baseline, 18 remained in the study 6 mo later.
FoF significantly decreased over time (p = .015). Participants with baseline FoF had higher 6-mo anxiety and depression scores (s = .002 and .005, respectively) and lower QoL scores (p < .001) than did those without baseline FoF.
The results are suggestive of the need for occupational therapists and their colleagues to consider anxiety and depression variables in managing the needs of poststroke participants experiencing FoF.
对卒中后恐跌（Fear of falling，FoF）的认识尚不足。我们评估了卒中后最初 6 个月 FoF 的变化，并比较了有和无基线 FoF（出院时）患者 6 个月时的焦虑、抑郁、平衡和生活质量（Quality of life，QoL）评分。
本纵向研究的数据在基线和 6 个月时收集。在 28 名基线参与者中，18 名在 6 个月后仍留在研究中。
FoF 随时间显著下降（p =.015）。有基线 FoF 的参与者在 6 个月时的焦虑和抑郁评分更高（s =.002 和.005，分别），QoL 评分更低（p <.001）。
这些结果表明，职业治疗师及其同事在管理有 FoF 的卒中后患者的需求时，需要考虑焦虑和抑郁等变量。
