School of Nursing Nanjing Medical University, Nanjing, Jiangsu, China; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, Utah 84112, USA.
University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, Utah 84112, USA; Utah Valley University, Orem, UT, USA.
Geriatr Nurs. 2023 May-Jun;51:129-135. doi: 10.1016/j.gerinurse.2023.03.001. Epub 2023 Mar 20.
Family caregivers play an important role in coping with older adult falls; however, their perspectives on fear of older adult falling are lacking from the falls prevention literature. A mixed-method design (N=25 dyads) with interview and survey data examined linguistic characteristics and coping strategies used by older adult and family caregiver dyads to manage fear of older adult falling. Fear of older adult falling consisted of both affective (e.g., worry) and cognitive (e.g., cautious) properties. Family caregivers more frequently used affective words and first-person plural pronouns ("we" language) when talking about fear of older adult falling, while older adults more frequently used cognitive and first-and-second person singular pronouns ("I", "you"). The concept of "being careful" was shared within dyads. However, dyad partners differed in their perspectives of what constituted "being careful" and the possibilities of future falling. Findings suggest that the need for family-centered interventions to prevent falls are needed.
家庭照顾者在应对老年人跌倒方面发挥着重要作用；然而，在预防跌倒的文献中缺乏他们对老年人跌倒恐惧的看法。一项混合方法设计（N=25 对）结合访谈和调查数据，研究了老年和家庭照顾者对管理老年人跌倒恐惧时使用的语言特征和应对策略。老年人跌倒恐惧既包括情感（如担忧）又包括认知（如谨慎）特性。家庭照顾者在谈论老年人跌倒恐惧时更频繁地使用情感词汇和第一人称复数代词（“我们”语言），而老年人更频繁地使用认知和第一人称单数和第二人称单数代词（“我”，“你”）。“小心”的概念在对子中是共有的。然而，对子伙伴在什么构成“小心”和未来跌倒的可能性方面存在不同的看法。研究结果表明，需要以家庭为中心的干预措施来预防跌倒。
