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探讨脊柱手术后老年患者对跌倒的恐惧与疼痛、运动恐惧、焦虑、抑郁的关系及其相关因素。

Examining the relationship between elderly patients' fear of falling after spinal surgery and pain, kinesiophobia, anxiety, depression and the associated factors.

机构信息

Elderly Care Program, Health Services Vocational School, İzmir Demokrasi University, Izmir, Turkey.

Department of Surgical Nursing, Faculty of Nursing, Dokuz Eylül University, Izmir, Turkey.

出版信息

Geriatr Nurs. 2021 Sep-Oct;42(5):1006-1011. doi: 10.1016/j.gerinurse.2021.06.010. Epub 2021 Jul 10.

Abstract

This study aimed to examine the relationship between fear of falling in elderly patients who underwent spinal surgery and pain, kinesiophobia, anxiety, depression, and associated factors. The study was a descriptive, cross-sectional design. The research sample consisted of 211 elderly patients who had undergone spinal surgery. The average age of the patients was 66.68 ± 5.57. Of the sample, 83.4% were afraid of falling, and 21.3% were severely afraid of falling. In the study, age (β = 0.115, p = 0.005), being a woman (β = -0.182, p < 0.001), pain (β = 0.269, p < 0.001), risk of falling (β = 0.084, p = 0.49), Hospital Anxiety and Depression Scale-Anxiety (HADS-A) (β = 0.135, p = 0.044), Hospital Anxiety and Depression Scale Anxiety-Depression (HADS-D) (β = 0.382, p < 0.001), and kinesiophobia (β = 0.722, p < 0.001) were statistically significant predictors of fear of falling. This study provided important information about the variables that surgical nurses should pay attention to while evaluating the fear of falling in elderly patients who underwent spinal surgery.

摘要

本研究旨在探讨老年脊柱手术后患者跌倒恐惧与疼痛、运动恐惧、焦虑、抑郁的关系及相关因素。本研究采用描述性、横断面设计。研究样本由 211 名接受过脊柱手术的老年患者组成。患者平均年龄为 66.68 ± 5.57 岁。样本中,83.4%的患者害怕跌倒,21.3%的患者非常害怕跌倒。在研究中,年龄(β=0.115,p=0.005)、女性(β=-0.182,p<0.001)、疼痛(β=0.269,p<0.001)、跌倒风险(β=0.084,p=0.49)、医院焦虑抑郁量表-焦虑(HADS-A)(β=0.135,p=0.044)、医院焦虑抑郁量表焦虑-抑郁(HADS-D)(β=0.382,p<0.001)和运动恐惧(β=0.722,p<0.001)是跌倒恐惧的统计学显著预测因子。本研究为评估脊柱手术后老年患者跌倒恐惧的外科护士提供了重要信息,护士应该注意这些变量。

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