2021年德黑兰医院接受透析的老年人对跌倒的恐惧及相关因素

M. Dehesh, N. Rejeh, Seyyed Davood Tadrisi, A. Tayebi
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摘要

背景与目的:接受血液透析的老年患者发生跌倒及其关键结局的风险高于健康患者。跌倒会导致个人变得害怕再次跌倒。然而,在这一高危人群中,人们对跌倒的恐惧却知之甚少。本研究旨在评估2021年在德黑兰市医院就诊的有跌倒史的老年血液透析患者对跌倒的恐惧及其影响因素。方法:采用描述性分析横断面研究,对2021年在德黑兰市医院就诊的197例血液透析患者进行研究。选取方便抽样的患者。数据收集工具为人口统计学特征量表、国际福尔斯疗效量表(FES-I)。数据分析采用描述性和推断性检验,并通过SPSS v.21软件进行显示。结果:参与者平均年龄为70.02±8.12岁,男性占63.5%。平均跌倒效能量表-国际得分为35.29±13.54分,与对跌倒的高度恐惧一致。对跌倒恐惧的依从性与人口学信息之间存在一致性(P< 0.05)。结论:有跌倒史的老年血液透析患者害怕跌倒的频率明显较高。在老年血液透析患者中,对跌倒的恐惧可能是导致跌倒发生的一个因素。未来的研究应探索减少对跌倒的恐惧作为老年血液透析患者跌倒的预防因素。
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Fear of Falls and Related Factors in The Elderly Undergoing Dialysis Referred to Hospitals in Tehran 2021
Background and Objectives: The elderly patients undergoing hemodialysis are at higher risk for falling and its critical outcomes compared with their healthy counterparts. Falls can lead to the individual becoming fearful of experiencing subsequent falls. Yet little is known about the fear of falling in this high risk population. The present study aimed to assess the fear of falling and its contributing factors in the elderly patients with the history of falls undergoing hemodialysis, who referred to the hospitals in Tehran city in 2021 Methods: In this descriptive analytic cross sectional study, which was performed on 197 patients undergoing hemodialysis referring to Tehran city hospitals in 2021. Patients were selected with convenience sampling. The instruments for data collection was demographic characteristics scale, Falls Efficacy Scale-International (FES-I) . Data analysis was done by using descriptive and inferential tests and was shown via SPSS v.21 software. Results: Mean age of participants was 70.02‌±‌8.12 years and (63.5%) were men. Mean Falls Efficacy Scale-International Score was 35.29‌±‌13.54 points, which is consistent with a high fear of falling. There was consistency between adherence to fear of falling and demographic information (P<‌0.05). Conclusion: According to the results, the frequency of fear of falling in the elderly patients with the history of falls undergoing hemodialysis was significantly high. In older hemodialysis patients, fear of falling is a likely contributor to the occurrence of falls. Future researches should explore reducing the fear of falling as a preventive factor for falls in elderly hemodialysis patients.
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