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外周前庭功能减退患者的跌倒恐惧及相关因素

Fear of falling and associated factors among patients with peripheral vestibular hypofunction.

作者信息

Song Hee Seung, Lee Hyun Jung

机构信息

Department of Nursing, College of Health & Medical Science, Sangji University, Wonju, Korea.

College of Nursing, Konyang University, Daejeon, Korea.

出版信息

J Exerc Rehabil. 2020 Apr 28;16(2):162-167. doi: 10.12965/jer.2040094.047. eCollection 2020 Apr.

Abstract

The present study aimed to investigate the fear of falling and its associ-ated factors among patients with vestibular hypofunction. We conduct-ed a cross-sectional survey using structured questionnaires to evaluate fear of falling and activities of daily living among participants. Vestibular function was assessed via a rotary chair test. This study was conduct-ed from January through March 2018. The subjects were 167 individuals older than 20 years who agreed to participate in this study. Data were analyzed using SPSS ver. 22.0. The significant variables associated with fear of falling were gender (=0.012), age (<0.001), marital status (=0.006), living alone (=0.020), having a job (<0.001), frequency of dizziness (=0.007), use of antivertigo medication (<0.001), and history of falling (<0.001). Fear of falling showed statistically significant positive correlations with activities of daily living (=0.82, <0.001) and dizziness (=0.61, <0.001). In the multiple regression analysis, age, gender, history of falling, and severity of dizziness explained 53.4% of the variance in fear of falling. The results of this study demonstrate that thoroughly assessing predictors making an impact on fear of falling in the initial assessment and the level of fear of falling needs to be addressed early to prevent sedentary behavior.

摘要

本研究旨在调查前庭功能减退患者的跌倒恐惧及其相关因素。我们使用结构化问卷进行了一项横断面调查,以评估参与者的跌倒恐惧和日常生活活动。通过转椅试验评估前庭功能。本研究于2018年1月至3月进行。研究对象为167名年龄超过20岁且同意参与本研究的个体。使用SPSS 22.0版软件进行数据分析。与跌倒恐惧相关的显著变量包括性别(=0.012)、年龄(<0.001)、婚姻状况(=0.006)、独居(=0.020)、有工作(<0.001)、头晕频率(=0.007)、使用抗眩晕药物(<0.001)以及跌倒史(<0.001)。跌倒恐惧与日常生活活动(=0.82,<0.001)和头晕(=0.61,<0.001)呈统计学显著正相关。在多元回归分析中,年龄、性别、跌倒史和头晕严重程度解释了跌倒恐惧差异的53.4%。本研究结果表明,在初始评估中应全面评估影响跌倒恐惧的预测因素,且需要尽早解决跌倒恐惧水平问题,以预防久坐行为。

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