Department of Health Sciences, Lund University, 221 00 Lund, Sweden.
Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, 222 41 Lund, Sweden.
Int J Environ Res Public Health. 2021 Jul 5;18(13):7202. doi: 10.3390/ijerph18137202.
Falls are common among persons with late effects of polio (LEoP), which may lead to fear of falling and activity avoidance in everyday life. Here, we assessed the occurrence of fall-related activity avoidance among persons with LEoP and explored how these experiences influenced daily life. Fourteen ambulatory persons (seven women; mean age 70 years) with LEoP participated. They responded to the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) and participated in individual interviews, which were analysed by systematic text condensation. Each quotation was deductively analysed from its representation with regard to mSAFFE. We found that many persons often avoided activities related to standing and walking, for example, taking a bath, performing household chores, walking outdoors, attending social events if there were stairs in the building and travelling by public transport, due to fear of falling, increased pain and fatigability. To facilitate the performance of daily activities participants expressed that strategic thinking and aids were important to use. In conclusion, fall-related activity avoidance is common in persons with LEoP, which negatively influence daily life and social participation. To increase daily functioning in this population, fall-related activity avoidance should be included in a multifaceted fall management program.
麻痹后遗症（LEoP）患者常发生跌倒，这可能导致他们在日常生活中害怕跌倒和回避活动。在此，我们评估了 LEoP 患者与跌倒相关的活动回避情况，并探讨了这些经历如何影响日常生活。14 名活动自如的 LEoP 患者（7 名女性；平均年龄 70 岁）参与了本研究。他们回答了改良老年人活动和恐惧跌倒调查（mSAFFE），并参加了个人访谈，访谈内容通过系统文本凝结进行分析。从 mSAFFE 的代表性角度出发，对每个引文进行演绎分析。我们发现，许多患者经常因害怕跌倒、疼痛加剧和疲劳而回避与站立和行走相关的活动，例如洗澡、做家务、户外散步、参加有楼梯的建筑内的社交活动以及乘坐公共交通工具。为了便于进行日常活动，参与者表示，策略性思维和辅助器具的使用非常重要。总之，LEoP 患者中与跌倒相关的活动回避很常见，这对日常生活和社会参与产生负面影响。为了提高该人群的日常功能，应将与跌倒相关的活动回避纳入多方面的跌倒管理计划中。
