与虚弱老年人跌倒恐惧相关的因素。
Factors associated with fear of falling among frail older adults.
机构信息
Department of Physiotherapy, University of Valencia, Gascó Oliag 5, 46010, Valencia, Spain; Frailty and cognitive impairment organized group (FROG), University of Valencia, Valencia, Spain.
Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, Espartero 7, 46007, Valencia, Spain.
出版信息
Geriatr Nurs. 2021 Sep-Oct;42(5):1035-1041. doi: 10.1016/j.gerinurse.2021.06.007. Epub 2021 Jul 10.
Some factors increase the fear of falling in frail older adults. Our aim is to quantify the influence of these factors. This cross-sectional study involved 229 community-dwelling prefrail and frail older adults aged 70 years and older. Fear of falling was moderate in 38.9% of our sample and high in 12.2%. Higher values were observed in women, those living alone, and those meeting criteria for slowness and feelings of exhaustion. A linear regression showed that being a woman, a history of falls, and depressive symptoms were related to higher fear of falling, while high levels of independence in basic and instrumental activities of daily living, along with good gait and balance, were associated with lower fear of falling. Screening for depressive symptoms and fear of falling in the comprehensive geriatric assessment of frail community-dwelling older adults could help to support preventive strategies.
一些因素会增加虚弱老年人跌倒的恐惧。我们的目的是量化这些因素的影响。这项横断面研究涉及 229 名 70 岁及以上的社区居住的虚弱前期和虚弱老年人。我们样本中 38.9%的人有中度跌倒恐惧，12.2%的人有高度跌倒恐惧。女性、独居者和符合缓慢和疲惫感标准的人跌倒恐惧程度更高。线性回归显示，女性、跌倒史和抑郁症状与更高的跌倒恐惧有关，而日常生活基本活动和工具性活动的独立性高、步态和平衡良好与较低的跌倒恐惧有关。在虚弱的社区居住老年人的综合老年评估中筛查抑郁症状和跌倒恐惧可以帮助支持预防策略。
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