Strutz Nicole, Brodowski Hanna, Mümken Sandra Angelika, Müller-Werdan Ursula, Kiselev Joern
Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Germany.
Institution of Health Sciences, Department od Physiotherapy, Pain and Exercise Research Luebeck University of Luebeck, Luebeck, Germany.
Gerontol Geriatr Med. 2023 Feb 1;9:23337214231152700. doi: 10.1177/23337214231152700. eCollection 2023 Jan-Dec.
Coping is defined as cognitive and behavioral effort to manage specific external and/or internal demands, such as managing one's own fall risk. Little is known about the relationship between the risk of falling in older adults and their coping strategies. The purpose of this study is to examine the fall risk after hospitalization, the adequacy of self-perceived fall risk and coping strategies of older adults. In this mixed-methods study, the adequacy of perceived fall risk was determined using the de Morton Mobility Index and the ABC Scale in 98 geriatric patients recruited in a geriatric hospital. Semi-structured interviews were conducted with a subsample of 16 participants 6 months after discharge to identify coping strategies. The six interviewees who adequately assessed their fall risk reported active/positive coping. In contrast, participants who assessed their fall risk inadequately (10 out of 16) reported passive/negative coping. Older adults who inadequately assessed their fall risk need special accompaniment in geriatric wards to develop active/positive coping strategies.
应对被定义为管理特定外部和/或内部需求的认知和行为努力，比如管理自身的跌倒风险。关于老年人跌倒风险与其应对策略之间的关系，人们知之甚少。本研究的目的是调查老年人住院后的跌倒风险、自我感知跌倒风险的充分性以及应对策略。在这项混合方法研究中，使用德莫顿活动指数和ABC量表，对一家老年医院招募的98名老年患者感知跌倒风险的充分性进行了测定。出院6个月后，对16名参与者的子样本进行了半结构化访谈，以确定应对策略。六名充分评估自身跌倒风险的受访者报告了积极的应对方式。相比之下，跌倒风险评估不充分的参与者（16人中有10人）报告了消极的应对方式。跌倒风险评估不充分的老年人在老年病房需要特别陪伴，以制定积极的应对策略。
