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与膝骨关节炎老年女性跌倒恐惧相关的因素:一项横断面研究。

Factors associated with fear of falling in older women with knee osteoarthritis: A cross-sectional study.

机构信息

Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil.

Center for Studies in Public Health and Aging, Federal University of Minas Gerais, Av. Prof. Alfredo Balena, Nº 190 - Santa Efigênia, Belo Horizonte, MG 30130-100, Brazil.

出版信息

Geriatr Nurs. 2024 Jan-Feb;55:333-338. doi: 10.1016/j.gerinurse.2023.12.018. Epub 2023 Dec 27.


DOI:10.1016/j.gerinurse.2023.12.018
PMID:38154414
Abstract

Knee instability in patients with knee osteoarthritis (KOA) is associated with fear of falling (FoF). This study aimed to investigate the prevalence and the factors associated with FoF in older women with KOA. A cross-sectional study was conducted with 93 older women with KOA. Sociodemographic variables, medical conditions, handgrip strength, and anthropometric and body composition measurements were assessed. The Short Physical Performance Battery was used to measure functional performance. The Western Ontario and McMaster Universities Osteoarthritis Index was applied to assess pain, stiffness, and disability. FoF was assessed by the Falls Efficacy Scale-International. The prevalence of FoF was high (88.2 %). Disability, history of falls, handgrip strength, obesity, number of medications, and pain were independently associated with FoF. Our findings suggest that health professionals should investigate FoF when evaluating older women with KOA and address these risk factors when developing strategies to prevent or minimize FoF in this population.

摘要

膝骨关节炎(KOA)患者的膝关节不稳定与跌倒恐惧(FoF)有关。本研究旨在调查老年女性 KOA 患者 FoF 的患病率及其相关因素。对 93 名老年女性 KOA 患者进行了横断面研究。评估了社会人口统计学变量、医疗状况、握力以及人体测量学和身体成分测量。使用简短的身体表现电池来衡量功能表现。采用西安大略和麦克马斯特大学骨关节炎指数评估疼痛、僵硬和残疾。使用跌倒效能量表国际版评估 FoF。 FoF 的患病率很高(88.2%)。残疾、跌倒史、握力、肥胖、用药数量和疼痛与 FoF 独立相关。我们的研究结果表明,当评估老年女性 KOA 患者时,健康专业人员应调查 FoF,并在制定预防或减少该人群 FoF 的策略时解决这些危险因素。

相似文献

[1]
Factors associated with fear of falling in older women with knee osteoarthritis: A cross-sectional study.

Geriatr Nurs. 2024

[2]
Risk factors for fear of falling in elderly patients with severe knee osteoarthritis before and one year after total knee arthroplasty.

J Orthop Surg (Hong Kong). 2016-12

[3]
Risk for physical dependence in community-dwelling older adults: The role of fear of falling, falls and fall-related injuries.

Int J Older People Nurs. 2020-9

[4]
Determinants of Falls and Fear of Falling in Ambulatory Persons With Late Effects of Polio.

PM R. 2017-5

[5]
Factors influencing fear of falling in community-dwelling older adults in Singapore: a cross-sectional study.

BMC Geriatr. 2022-3-7

[6]
Which factors are associated with fear of falling in community-dwelling older people?

Age Ageing. 2013-10-6

[7]
Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people: a cross-sectional study.

BMC Geriatr. 2020-10-14

[8]
Sarcopenia and sarcopenic obesity in Spanish community-dwelling middle-aged and older women: Association with balance confidence, fear of falling and fall risk.

Maturitas. 2017-10-7

[9]
Classification of Center of Mass Acceleration Patterns in Older People with Knee Osteoarthritis and Fear of Falling.

Int J Environ Res Public Health. 2022-10-8

[10]
Are history of falls and fear of falling associated with mobility in community-dwelling older adults?

Physiother Theory Pract. 2024-7

引用本文的文献

[1]
Increased fear of falling in primary Sjögren's syndrome: kinesiophobia, impaired balance and poor sleep quality as triggering factors.

Rheumatol Int. 2025-4-15

[2]
A Comparative Study of Risk Factors for Falls in Total Hip and Knee Arthroplasty Patients and Community-Dwelling Older Adults.

Musculoskeletal Care. 2025-3

[3]
Low handgrip strength is associated with falls after the age of 50: findings from the Brazilian longitudinal study of aging (ELSI-Brazil).

Arch Public Health. 2024-10-1

[4]
Study of knee pain, fear of falling, and quality of life among community-dwelling older adults, Northern Thailand.

Narra J. 2024-8

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