Doctoral School of the Medical University of Silesia in Katowice, Faculty of Health Sciences in Bytom, Medical University of Silesia, Katowice, Poland.
Department of Toxicology and Health Protection in the Occupational Environment, Faculty of Health Sciences in Bytom, Medical University of Silesia, Katowice, Poland.
Front Public Health. 2022 Apr 12;10:801109. doi: 10.3389/fpubh.2022.801109. eCollection 2022.
Ambulophobia is a type of specific phobia that involves a fear of walking. This phobia mainly affects older people, who prefer not to leave their bed or home to avoid walking on uneven surfaces and reduce the risk of falling. The problem seems to be very important in terms of public health and the organization of long-term care, as Poland has one of the highest rates of elderly population growth.
The aim of the study was to determine the prevalence of ambulophobia among patients of long-term care facilities in Poland and to identify factors increasing the risk of this specific phobia in the study group.
The study was conducted between January and July 2021. Data collected from 379 patients of 16 long-term care facilities located in Poland were analyzed. The study used the diagnostic criteria for specific phobias according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, and standardized questionnaires such as MMSE, GDS-16, DOS and ADL. The χ test was used to test the significance of differences ( = 0.05).
The prevalence of ambulophobia in the study group was 30.1%. Ambulophobia significantly more often concerned the female sex (37.7%) and people over 70 years of age (42,1%). Factors such as depression, Parkinson's disease, orthostatic hypotonia, a history of falling or being a witness to another person falling, and disability of at least a moderate degree increased the likelihood of ambulophobia.
Based on the obtained results, it was found that the protective factors in the development of ambulophobia are male sex, younger age, high independence, fewer drugs used per day and no previous falls or seeing another person fall.
恐旷症是一种特定恐惧症，涉及对行走的恐惧。这种恐惧症主要影响老年人，他们宁愿不离开床或家，以避免在不平坦的表面行走，降低跌倒的风险。这个问题在公共卫生和长期护理组织方面似乎非常重要，因为波兰是老年人口增长最快的国家之一。
本研究旨在确定波兰长期护理机构患者中恐旷症的患病率，并确定增加研究组中这种特定恐惧症风险的因素。
该研究于 2021 年 1 月至 7 月进行。分析了来自波兰 16 个长期护理机构的 379 名患者的数据。该研究使用了《精神障碍诊断与统计手册》第 5 版的特定恐惧症诊断标准和标准化问卷，如 MMSE、GDS-16、DOS 和 ADL。 χ 检验用于检验差异的显著性（ = 0.05）。
研究组中恐旷症的患病率为 30.1%。恐旷症更常见于女性（37.7%）和 70 岁以上的人群（42.1%）。抑郁、帕金森病、体位性低血压、跌倒史或目睹他人跌倒、至少中度残疾等因素增加了恐旷症的可能性。
根据获得的结果，发现恐旷症发展的保护因素是男性、年轻、高度独立、每日使用的药物较少以及没有跌倒或目睹他人跌倒的经历。
Zotero 插件