Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
J Am Med Dir Assoc. 2013 Mar;14(3):218-20. doi: 10.1016/j.jamda.2012.10.013. Epub 2012 Dec 6.
To determine the prevalence of fear of falling (FoF) in patients after a hip fracture, to investigate the relation with time after fracture, and to assess associations between FoF and other psychological factors.
Cross-sectional study performed between September 2010 and March 2011 in elderly patients after a hip fracture.
Ten postacute geriatric rehabilitation wards in Dutch nursing homes.
A total of 100 patients aged ≥65 years with a hip fracture admitted to a geriatric rehabilitation ward.
FoF and related concepts such as falls-related self-efficacy, depression, and anxiety were measured by means of self-assessment instruments.
Of all patients, 36% had a little FoF and 27% had quite a bit or very much FoF. Scores on the Falls Efficacy Scale-International were 30.6 in the first 4 weeks after hip fracture, 35.6 in the second 4 weeks, and 29.4 in the period ≥8 weeks after fracture. In these 3 periods, the prevalence rates of FoF were 62%, 68%, and 59%, respectively. Significant correlations were found between FoF and anxiety (P < .001), and self-efficacy (P < .001).
In these patients with a hip fracture, FoF is common and is correlated with anxiety and falls-related self-efficacy. During rehabilitation, FoF is greatest in the second 4 weeks after hip fracture. More studies are needed to explore the determinants of FoF and develop interventions to reduce FoF and improve outcome after rehabilitation.
确定髋部骨折后患者对跌倒的恐惧（Fear of Falling，FoF）的发生率，探讨其与骨折后时间的关系，并评估 FoF 与其他心理因素之间的关联。
2010 年 9 月至 2011 年 3 月在髋部骨折后老年患者中进行的横断面研究。
荷兰疗养院的 10 个急性后老年康复病房。
共纳入 100 名年龄≥65 岁、因髋部骨折入住老年康复病房的患者。
使用自我评估工具测量 FoF 及相关概念，如跌倒相关自我效能、抑郁和焦虑。
所有患者中，36%存在轻度 FoF，27%存在中度或高度 FoF。在髋部骨折后 4 周内，国际跌倒效能量表的评分为 30.6，第 2 个 4 周为 35.6，骨折后≥8 周为 29.4。在这 3个时期，FoF 的发生率分别为 62%、68%和 59%。FoF 与焦虑（P <.001）和自我效能（P <.001）呈显著相关。
在这些髋部骨折患者中，FoF 很常见，与焦虑和跌倒相关自我效能相关。在康复期间，髋部骨折后第 2 个 4 周 FoF 最为严重。需要进一步研究来探讨 FoF 的决定因素，并开发减少 FoF 并改善康复后结局的干预措施。
