Factors related to older patients' fear of falling during the first mobilization after total knee replacement and total hip replacement

The aim of this study was to determine fear of falling in the first mobilization and affecting factors in older patients. The study had a descriptive and cross-sectional design. Data were collected in Izmir, Turkey between February 2014 and March 2016. The sample included 204 older patients undergoing joint replacement surgery. Fifty-seven-point four percent and 42.6% of the patients had total hip and knee replacement respectively. 42.2% of the patients had a severe fear of falling when they were first mobilized. There was a statistically significant difference between fear of failing in the first mobilization and the mean pain severity. In addition, the difference between fear of falling and the mean anxiety level was statistically significant. Pain and anxiety are important factors contributing to fear of falling in mobilization. The results of the study can help develop multidimensional strategies for reducing fear of falling in older people after joint replacement. (C) 2017 Elsevier Inc. All rights reserved.