Volume 15, Issue 4 (Winter 2021)
Salmand: Iranian Journal of Ageing 2021, 15(4): 506-523 |
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1- Department of Nursing, Age and Community Health, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Age Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , hajatysaeede@yahoo.com
3- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Age Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , hajatysaeede@yahoo.com
3- Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (4174 Views)
Objectives: Old age is associated with various health threats, including falls which have psychological, physical, and social consequences. One of these consequences is the fear of falling especially after orthopedic surgery. This study aims to evaluate the fear of falling and anxiety in older adults with a history of fall-related orthopedic surgery.
Methods & Materials: In this descriptive-correlational study with cross-sectional design, 280 older people with a history of fall-related orthopedic surgery referred to the selected hospitals affiliated to Iran University of Medical Sciences were selected using a convenience sampling method. Data collection tools were a demographic form, the Abbreviated Mental Test (AMT), the Fall Efficacy Scale-International (FES-I), and the subscale of Anxiety from the Depression, Anxiety and Stress Scale-21 (DASS-21). Data were analyzed using descriptive and inferential statistics such as independent t-test, Pearson correlation test, one-way ANOVA, and linear regression analysis in SPSS v. 20 considering a significance level of P≤ 0.05.
Results: The Mean±SD age of participants was 69.50±4.29 years and 65% were female. Most of them (99%) reported a high fear of falling level; 47.9% reported moderate anxiety and 26% reported severe to very severe level of anxiety. Their Mean±SD anxiety score (11.88±4.18) was higher than the cut-off point (10). Anxiety was significantly correlated with gender, educational level, marital status, history of fallinh, and history of chronic diseases (P<0.05). According to the results of Pearson correlation test, There was a statistically significant direct correlation between fear of falling and anxiety (r= -0.254, P=0.001). According to the results of linear regression analysis, being female had the greatest effect on anxiety (β=0.183), while being female and single, having good economic status, and living with spouse had the greatest effect on the fear of falling (β=0.236, 0.545, 0.047, and 0.545, respectively).
Conclusion: Fear of falling seems to be high in older adults with a history of fall-related orthopedic surgery. Given the adverse consequences of the fear of falling and the high prevalence of anxiety in these people, it is recommended that counseling programs be provided for them at the time of discharge from the hospital.
Methods & Materials: In this descriptive-correlational study with cross-sectional design, 280 older people with a history of fall-related orthopedic surgery referred to the selected hospitals affiliated to Iran University of Medical Sciences were selected using a convenience sampling method. Data collection tools were a demographic form, the Abbreviated Mental Test (AMT), the Fall Efficacy Scale-International (FES-I), and the subscale of Anxiety from the Depression, Anxiety and Stress Scale-21 (DASS-21). Data were analyzed using descriptive and inferential statistics such as independent t-test, Pearson correlation test, one-way ANOVA, and linear regression analysis in SPSS v. 20 considering a significance level of P≤ 0.05.
Results: The Mean±SD age of participants was 69.50±4.29 years and 65% were female. Most of them (99%) reported a high fear of falling level; 47.9% reported moderate anxiety and 26% reported severe to very severe level of anxiety. Their Mean±SD anxiety score (11.88±4.18) was higher than the cut-off point (10). Anxiety was significantly correlated with gender, educational level, marital status, history of fallinh, and history of chronic diseases (P<0.05). According to the results of Pearson correlation test, There was a statistically significant direct correlation between fear of falling and anxiety (r= -0.254, P=0.001). According to the results of linear regression analysis, being female had the greatest effect on anxiety (β=0.183), while being female and single, having good economic status, and living with spouse had the greatest effect on the fear of falling (β=0.236, 0.545, 0.047, and 0.545, respectively).
Conclusion: Fear of falling seems to be high in older adults with a history of fall-related orthopedic surgery. Given the adverse consequences of the fear of falling and the high prevalence of anxiety in these people, it is recommended that counseling programs be provided for them at the time of discharge from the hospital.
Type of Study: Research |
Subject:
gerontology
Received: 2020/05/03 | Accepted: 2020/10/20 | Published: 2021/01/01
Received: 2020/05/03 | Accepted: 2020/10/20 | Published: 2021/01/01
References
1. World Health Organization (2016) 10 Facts On Ageing And The Life Course, Available: https://www.who.int/features/factfiles/ageing/ageing_facts/en/[Accessed 3 March 2018].
2. Statistical Center Of Iran (2016) detailed results of the Population and Housing Census, 2016. , Available: http://www. sci.org [Accessed 17 October 2018].
3. World Health Organization (2011) Global Health and Aging Report, Available: https://www.who.int/ageing/publications/global_health.pdf?ua=1.
4. Caldwell, K. Harrison , M. Adams, M .and Triple , N . (2009), Effects of Pilates and Taiji quan Training on Self-efficacy,Sleep quality,Mood and Physical Performance of College Students; Journal of Bodywork and Movement Therapies , 13(2);155-63. [DOI:10.1016/j.jbmt.2007.12.001] [PMID]
5. Stanhope M. and Lancester, J. (2006) Foundations of Nursing in the Community, Community-Oriented Practice; Mosbey.
6. Raoufi, S. (2006) Study of the causes of the fall of the elderly in Aligudarz city in 2006, Quarterly journal of Lorestan University of Medical Sciences. Khorramabad Nursing and Midwifery Faculty, 2(4.5), pp. 48.54.
7. Viña, J., Borrás, C. and Miquel, J.(2007) Theories of ageing. IUBMB life, 59(4‐5), pp. 249.254. [DOI:10.1080/15216540601178067] [PMID]
8. Bemben MG, Clary SR, Barnes C, Bemben DA, Knehans AW. Effects of Ballates, step Aerobics, and Walking on Balance in women Aged 50 to 75 Years. Medicine And science in sports and exercise. 2006;38(5):45. [DOI:10.1249/00005768-200605001-02744]
9. Hatamabadi, H., Rafieenejad, A., Moghaddam, M. A. and Sum, S. (2014) A study on consequences of fall among elderly people referred to Emam Hossein hospital in Tehran city during 2010.2011. SALMAND, 9(1).
10. Alvi, A. S. and Safdar, S. (2017) Depression and risk factors among elderly population of central Punjab, Pakistan. Rawal Medical Journal, 42(4), pp. 571.574.
11. Akbarian, M. (2002) Epidemiology and Importance of Osteoporosis, Tehran: Andishamand Publication.
12. Soheili Azad, A. A., Yavari, H. and Azami, M. (2005) Assessment of the Costs of Hip Fractures in Patients who referred to Orthopedic Clinic of Sina Hospital. Razi Journal of Medical Sciences, 12(47), pp. 83.92.
13. Pang, M. Y. and Eng, J. J. (2008) Fall.related self.efficacy, not balance and mobility performance, is related to accidental falls in chronic stroke survivors with low bone mineral density. Osteoporos Int, 19(7), pp. 919.27. [DOI:10.1007/s00198-007-0519-5] [PMID] [PMCID]
14. Khajavi, D. (2013) Validation and reliability of Persian version of fall efficacy scale.international (FES.I) in community.dwelling older adults. Iranian Journal of Ageing, 8(2), pp. 39.47.
15. Patel, K. V., Phelan, E. A., Leveille, S. G., Lamb, S. E., Missikpode, C., Wallace, R. B., Guralnik, J. M. and Turk, D. C. (2014) High prevalence of falls, fear of falling, and impaired balance in older adults with pain in the United States: findings from the 2011 National Health and Aging Trends Study. J Am Geriatr Soc, 62(10), pp. 1844.52. [DOI:10.1111/jgs.13072] [PMID] [PMCID]
16. Kumar, A., Carpenter, H., Morris, R., Iliffe, S. and Kendrick, D. (2014) Which factors are associated with fear of falling in community.dwelling older people? Age and ageing, 43(1), pp. 76.84. [DOI:10.1093/ageing/aft154] [PMID]
17. Akosile, C. O., Anukam, G. O., Johnson, O. E., Fabunmi, A. A., Okoye, E. C., Iheukwumere, N. and Akinwola, M. O. (2014) Fear of falling and quality of life of apparently.healthy elderly individuals from a Nigerian population. J Cross Cult Gerontol, 29(2), pp. 201.9. [DOI:10.1007/s10823-014-9228-7] [PMID]
18. Metter, J. Desphand, N. Lautretani, F. Bandinelli, S. and Ferrucci. L. (2009); Interpreting fear of falling in elderly: What DO we need to consider? Journal of Geriatrics Physical Therapy; 32(3):91-96 [DOI:10.1519/00139143-200932030-00002] [PMID]
19. Riahi, M. E. (2008) A Comparative Study on the Status of Elderly In the Traditional and Modern Societies. Salmand: Iranian Journal of Ageing, 3(3), pp. 10.21.
20. Apostolo, J. L., Figueiredo, M. H., Mendes, A. C. and Rodrigues, M. A. (2011) Depression, anxiety and stress in primary health care users. Rev Lat Am Enfermagem, 19(2), pp. 348.53. [DOI:10.1590/S0104-11692011000200017] [PMID]
21. Kaplan A, Sadock S. synopsis of psychiatry, behavioral sciences psychiatry. 10nd ed. Baltimore: Lippincott Williams and Wilkins; 2007.p: 254-67.
22. Gill TM, Murphy TE, Gahbauer EA, Allore HG. Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons. Am J Epidemiol. 2013; 178(3): 418-25. [DOI:10.1093/aje/kws554] [PMID] [PMCID]
23. Yardley, L., Beyer, N., Hauer, K., Kempen, G., Piot.Ziegler, C. and Todd, C. (2005) Development and initial validation of the Falls Efficacy Scale.International (FES.I). Age and ageing, 34(6), pp. 614.619. [DOI:10.1093/ageing/afi196] [PMID]
24. Lovibond, S. H. and Lovibond, P. F. (1996) Manual for the depression anxiety stress scales, Sydney: Psychology Foundation of Australia. [DOI:10.1037/t01004-000]
25. Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T. and de Rooij, S. E. (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing, 37(1), pp. 19.24. [DOI:10.1093/ageing/afm169] [PMID]
26. Jafarian Amiri, S., Zabihi, A., Aziznejad Roshan, P., Hosseini, S. and Bijani, A. (2013) Fall at Home and its Related Factors among the Elderly in Babol City Iran. Journal of Babol University Of Medical Sciences, 15(5), pp. 95.101.
27. Tavsanli, N. and Turkmen, S. (2015). Fear of falling in elderly people living in a nursing home-perspective from Manisa ;Journal Pakistan Medical Association (Aprill2015) .5(4)
28. Orces, C. H. (2014) Prevalence and determinants of fall.related injuries among older adults in Ecuador. Current gerontology and geriatrics research, 2014. [DOI:10.1155/2014/863473] [PMID] [PMCID]
29. Vital, I. C. O., Cameron, L. E., da Cunha, T. R. and Santos, C. I. (2018) Information As An Instrument Of Care To Patients Undergoing Orthopedic Surgery. Cogitare Enferm, 23(1), pp. e51192. [DOI:10.5380/ce.v23i1.51192]
30. Zareipour, M., Jadgal, K., Zareie, F., Valizadeh, R. and Ghelichi Ghojogh, M. (2016) The relationship between perceived stress and blood sugar levels in patients with type 2 diabetes. Rahavard Salamat Journal, 2(4), pp. 1.13.
31. Alipoor, F., Sajadi, H., Forozan, A. and Biglarian, A. (2009) The role of social support in elderly quality of life. Social Welfare, 8(33), pp.149.167.
32. Mousavi, S., Sabzevari, S., Abbaszade, A. and Hosseinnakhaie, F. (2011) The effect of preparatory face to face education to reduce depression and anxiety in open heart surgery adult patient in Shafa hospital in Kerman, 2008.
33. Nemati, M. H. and Astaneh, B. (2011) The impact of coronary artery bypass graft surgery on depression and anxiety. J Cardiovasc Med (Hagerstown), 12(6), pp. 401.4. [DOI:10.2459/JCM.0b013e32834358e9] [PMID]
34. Senuzun, F., Fadiloglu, C., Burke, L. E. and Payzin, S. (2006) Effects of home.based cardiac exercise program on the exercise tolerance, serum lipid values and self.efficacy of coronary patients. Eur J Cardiovasc Prev Rehabil, 13(4), pp. 640.5. [DOI:10.1097/01.hjr.0000198445.41680.ec] [PMID]
35. Rantanen, A., Kaunonen, M., Astedt.Kurki, P. and Tarkka, M. T. (2004) Coronary artery bypass grafting: social support for patients and their significant others. J Clin Nurs, 13(2), pp. 158.66. [DOI:10.1046/j.1365-2702.2003.00847.x] [PMID]
36. Davoodi, F., Etemad, K., Taheri Tanjani, P. and Khodakarim, S. (2016) The Relationship between Depression and Cognitive Impairment with Falls Leading to Fractures in Elderly. 2016, 4(2), pp. 8.
37. Liu.Ambrose, T. Y., Ashe, M. C., Graf, P., Beattie, B. L. and Khan, K. M. (2008) Increased risk of falling in older community.dwelling women with mild cognitive impairment. Phys Ther, 88(12), pp. 1482.91. [DOI:10.2522/ptj.20080117] [PMID] [PMCID]
38. Iaboni, A. and Flint, A. J. (2013) The complex interplay of depression and falls in older adults: a clinical review. The American Journal of Geriatric Psychiatry, 21(5), pp. 484.492. [DOI:10.1016/j.jagp.2013.01.008] [PMID] [PMCID]
39. Salarvand and Birjandi (2009) Factors Related to Falling Down in Older Adults. Iran journal of nursing, 22(61), pp. 51.60.
40. Brown, L. A., Polych, M. A. and Doan, J. B. (2006) The effect of anxiety on the regulation of upright standing among younger and older adults. Gait Posture, 24(4), pp. 397.405. [DOI:10.1016/j.gaitpost.2005.04.013] [PMID]
41. Momeni, K. and Karimi, H. (2010) The Comparison of General Health of the Residents/Non Residents in the Elder House. Salmand: Iranian Journal of Ageing, 5(3), pp. 0.0.
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