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髋部骨折手术后老年人衰弱与跌倒恐惧之间的独立关联:一项采用二次分析的横断面研究

Independent Association Between Frailty and Fear of Falling in Older Adults After Hip Fracture Surgery: A Cross-Sectional Study Using a Secondary Analysis.

作者信息

Ko YoungJi, Park JungAh, Baek Seung-Hoon

机构信息

Department of Nursing, Daegu Haany University, Gyeongsan-Si, Gyeongsangbuk-Do, Republic of Korea.

Department of Nursing, CHA University, Seoul, Republic of Korea.

出版信息

Nurs Res Pract. 2025 Jan 3;2025:2175740. doi: 10.1155/nrp/2175740. eCollection 2025.

Abstract

This study aimed to investigate the independent association between the fear of falling (FOF) and frailty in Korean older adults after hip fracture surgery. The study included 149 participants. Participants were asked to provide general characteristics and complete walking speed, grip strength, frailty, and Short Falls Efficacy Scale-International assessments. A binary logistic regression model was used to investigate the independent association of the FOF with frailty. Among the participants, 49% were found to be prefrail and 24.8% were frail. Additionally, 86.5% reported a moderate to severe FOF. Participants with a FOF were 1.23 times more likely to be frail, and those aged 85 years and older were 13.25 times more likely to be frail. This study's findings serve as a basis for developing and applying interventions to reduce frailty in older adults after hip fracture surgery. These interventions should consider the oldest-old (≥ 85 years) age group when they are designed.

摘要

本研究旨在调查韩国老年髋部骨折手术后跌倒恐惧(FOF)与衰弱之间的独立关联。该研究纳入了149名参与者。参与者被要求提供一般特征,并完成步行速度、握力、衰弱情况以及国际简短跌倒效能量表评估。采用二元逻辑回归模型来研究FOF与衰弱之间的独立关联。在参与者中,49%被发现为衰弱前期,24.8%为衰弱。此外,86.5%报告有中度至重度的跌倒恐惧。有跌倒恐惧的参与者衰弱的可能性是其他人的1.23倍,而85岁及以上的参与者衰弱的可能性是其他人的13.25倍。本研究结果为制定和应用干预措施以减少老年髋部骨折手术后的衰弱提供了依据。在设计这些干预措施时应考虑最年长(≥85岁)年龄组。

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