Yin Lu, Sawaya Yohei, Sato Ryo, Shiba Takahiro, Onoda Ko
Division of Physical Therapy, Doctoral Program in Health Sciences, Graduate School of Health and Welfare Sciences, International University of Health and Welfare, Japan.
Nishinasuno General Home Care Center, Department of Day Rehabilitation, Care Facility for the Elderly "Maronie-en", Japan.
J Phys Ther Sci. 2023 Aug;35(8):560-563. doi: 10.1589/jpts.35.560. Epub 2023 Aug 1.
[Purpose] Older adults requiring long-term care have a higher rate of falls than older adults who do not. This study aimed to examine the relationship between falls and fear of falling and their characteristics from the perspective of older adults requiring long-term care based on a sub-item in the Modified Falls Efficacy Scale. [Participants and Methods] This study included 51 older adults who were certified as needing long-term care. Fear of falling was measured using the Modified Falls Efficacy Scale. The Modified Falls Efficacy Scale and basic information, such as cognitive function, history of falls, level of care required, and age, were collected and analyzed based on the fall or non-fall groups. [Results] The fall and non-fall groups had 27 and 24 participants, respectively. Comparisons between the groups showed significant differences in the Modified Falls Efficacy Scale scores. Binomial logistic regression analysis results showed that "crossing the street (pedestrian crossing)" was significantly associated with falls (odds ratio=0.75). [Conclusion] In this study, falls were associated with fear of falling; specifically, among the Modified Falls Efficacy Scale items, "crossing the street (pedestrian crossing)" was significantly associated with falls.
[目的] 需要长期护理的老年人比不需要的老年人跌倒发生率更高。本研究旨在基于改良跌倒效能量表的一个子项目，从需要长期护理的老年人的角度，探讨跌倒与跌倒恐惧之间的关系及其特征。[参与者与方法] 本研究纳入了51名被认证为需要长期护理的老年人。使用改良跌倒效能量表测量跌倒恐惧。根据跌倒组和未跌倒组收集并分析改良跌倒效能量表以及认知功能、跌倒史、所需护理级别和年龄等基本信息。[结果] 跌倒组和未跌倒组分别有27名和24名参与者。两组之间的比较显示改良跌倒效能量表得分存在显著差异。二项逻辑回归分析结果显示，“过马路（人行横道）”与跌倒显著相关（比值比 = 0.75）。[结论] 在本研究中，跌倒与跌倒恐惧相关；具体而言，在改良跌倒效能量表项目中，“过马路（人行横道）”与跌倒显著相关。
