Fear of Falling Among the Elderly in a Nursing Home: Strongest Risk Factors
Downloads
Introduction: The aging process causes a decrease in physical abilities which can cause fall events. Fall events are influenced by fear of falling. Some risk factors of fear of falling were age, gender, balance while walking, use of a walker, depression and a history of previous falls. This study aim was to identify risk factors related to fear of falling among the elderly in nursing home.
Methods:A cross-sectional study was used in this study. Respondents were elderly aged ≥60 years, can communicate well, able to read and write and not being sick which causes balance disorders and pain when walking. Respondents totaled 155 obtained by proportional random sampling. A questionnaire was used to retrieve data such as age, gender, use of a walker, depression, previous fall history and balance walking.
Results: The results showed a significant relationship between all of these risk factors with the fear of falling (p <0.05) and the power of significance for each variable was different. The age variable was power significance 0.228, gender C = 0.2, previous fall history C = 0.374, use of a walker C = 0.367, balance walking C = 0.355 and depression rs = 0.196. There are three risk factors most closely associated with fear of falling in terms of balance walking (B = 1.424 Exp(B) = 4,153), use of a walker (B = 1,365 Exp(B) = 3,914) and previous fall history (B = 1.425 Exp(B) = 4.159). These factors had strength of 27%.
Conclusion: Balance walking, use of a walker and previous fall history were the strongest risk factors.
Allison L., F. K. (2001). Balance And Vestibular Disorder, Neurogical Rehabilitation (4th ed.). Mosby.
Arken, C. L., Lach, H. W., Birge, S. J., & Miller, J. P. (1994). The Prevalence and Correlates of Fear of Falling in Elderly Persons Living in the Community. American Journal of Public Health, 84, 565–570.
Asnandra, N. (2009). Uji Reliabilitas Time Up and Go Test pada Lansia Perempuan. Politeknik Kesehatan Surakarta.
Austin, N., Devine, A., Dick, I., Prince, R., & Bruce, D. (2007). Fear of falling in older women: A longitudinal study of incidence, persistence, and predictors. Journal of the American Geriatrics Society, 55(10), 1598–1603.
https://doi.org/10.1111/j.1532-5415.2007.01317.x
Boyd, R., & Stevens, J.A. (2009). Falls and fear of falling : burden , beliefs and behaviours. Oxford Journal, 38, 423–428. https://doi.org/10.1093/ageing/afp053
Bradley, S. M., & Hernandez, C. R. (2011). Geriatric assistive devices. American Family Physician, 84(4), 405–411.
C.Scheffer, A., J.Schuurmans, M., Dijk, N. van, Hooft, T. Van der, & de Rooij, S. E. . (2008). Fear of falling : measurement strategy , prevalence , risk factors and consequences among older persons. Age and Ageing, 37, 19–24. https://doi.org/10.1093/ageing/afm169
Fletcher, P. C., & Hirdes, J. P. (2004). Restriction in activity associated with fear of falling among community-based seniors using home care services. Age and Ageing, 33(3), 273–279. https://doi.org/10.1093/ageing/afh077
Friedman, S.M. (2002). Falls and Fear of Falling: Which Comes First? A Longitudinal Prediction Model Suggests Strategies for Primary and Secondary Prevention. Journal of the American Geriatrics Society, 50:1329-1335. Retrieved from papers://85b7707d-3a9d-4f30-bc5c-df0ee0c38a87/Paper/p8739
Greenberg, S. A. (2011). Assessment of Fear of Falling in Older Adults : The Falls Efficacy Scale-International ( FES-I ). Hartford Institute for Geriatric Nursing, 45(29). https://doi.org/10.1159/000320054.Kempen
Himawan, K. ., Rinawaty, W., & Wirawan, H. . (2014). Effect of reminiscence group therapy on depressive symptoms of the nursing home elderly residents in Tangerang, Indonesia: A pilot study. The Guidance Journal, 45(1), 1–22.
Howland, J. (1998). Covariates of Fear of Falling and associated activity curtailment. Gerontologist, 38(5).
Jacobs, M., & Fox, T. (2008). Using the " Timed Up and Go / TUG ” Test to Predict Risk of Falls. Assisted Living Consult, (April).
Jette, A. M. (2012). Fear-of-Falling in Older Persons. Fear of Falling in Older Persons.
Jung, D. (2008). Fear of Falling in Older Adults: Comprehensive Review. Asian Nursing Research, 2(4), 214–222. https://doi.org/10.1016/S1976-1317(09)60003-7
Kumar, S., Awasthi, S., Sharma, V.P., Vendhan, G.H,, & Tiwari, M. (2008). Relationship Between Fear of Falling, Balance Impairment and Functional Mobility in Community Dwelling Elderly. Indian Journal of Physical Medicine and Rehabilitation, 19(482), 48–52.
Lach, H. W. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nursing, 22(1), 45–52.
Legters, K. (2002). Fear of Falling. Physical Therapy (Journal of the American Physical Therapy Association, 82 no.3, 264–272. Retrieved from https://www.msconnection.org/Blog/November-2013/Fear-of-Falling
Lopes, K.T., Costa, D.F., Santos, L.F., Castro, D.P., & Bastone, A.C. (2009). Prevalence of fear of falling among a population of older adults and its correlation with mobility , dynamic balance, risk and history of falls. Revista Brasileira de Fisioterapia, 13(June), 223–229.
Miyamoto, S. T., Lombardi, I., Berg, K. O., Ramos, L. R., & Natour, J. (2004). Brazilian version of the Berg balance scale. Brazilian Journal of Medical and Biological Research, 37(9), 1411–1421. https://doi.org/10.1590/S0100-879X2004000900017
Murphy, S. L. (2002). Characteristics Associated with Fear of Falling and Activity Restriction in Community-Living Older Persons. J Am Geriatr Soc, 50 (3).
Multani, N.K., & Verma, S. K. (2007). Principles of Geriatric Physiotherapy. Retrieved from http://books.google.com/books?id=HATDTIKq0GUC&pgis=1
Public Health Agency of Canada. (2005). Report on Seniors' falls in Canada. Canada: Minister of Public Works and Government Services Canada.
Rayel, M. G., Land, W. B., & Gutheil, T. G. (1999). Dementia as a risk factor for homicide. J-Forensic-Sci, pp. 565–567.
Roman de Mettelinge, T., & Cambier, D. (2015). Understanding the relationship between walking aids and falls in older adults: a prospective cohort study. Journal of Geriatric Physical Therapy (2001), 38(3), 127–132. https://doi.org/10.1519/JPT.0000000000000031
Salkeld, G., Cameron, Cumming, R. G., Easter, S., Seymour, J., Kurrle, S. E., & Quine, S. (2000). Quality of life related to fear of falling and hip fracture in older women: a time trade off study. British Medical Journal, 320, 341–346.
Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T., & de Rooij, S. E. (2007). Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19–24. https://doi.org/10.1093/ageing/afm169
Shaw, G. B. (2010). Fear of Falling and Anxiety. Retrieved from http://www.cato-unbound.org/2010/04/07/richard-thaler/fear-of-falling/
Skelton, T. (2017). Risk Factors for Falls. National Center for Injury Prevention and Control, 12.
Victorian Quality Council. (2004). Minimising the Risk of Falls & Fall-related Injuries. Melbourne Victoria: Metropolitan Health and Aged Care Services Division.
WHO. (2004). What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls ? (March).
World Health Organization. (2007). WHO Global Report on Falls Prevention in Older Age WHO Global Report on Falls Prevention in Older Age. Perancis: WHO.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.