The Effects of Falling and Fear of Falling on Daily Activity Levels in the Elderly Residing in Korean Rural Community

被引:8
作者
Lee, Ju Hyun [1 ]
Ahn, Eun Mi [1 ]
Kim, Gye Eun [1 ]
Jeong, You Kyung [1 ]
Kim, Jung Hyun [1 ]
Kim, Ji Hye [1 ]
Lee, Geong Ah [1 ]
Lee, Se Jin [1 ]
Jung, So Won [1 ]
机构
[1] Seoul Natl Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Seoul, South Korea
来源
ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2009年 / 13卷 / 02期
关键词
Falling; Fear of falling; Limitation of daily activities;
D O I
10.4235/jkgs.2009.13.2.79
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: The purpose of this study is to assess the prevalence of falls and to correlate if the fear of falling results in avoidance of activities in a rural community elderly population. Methods: A cross-sectional study was done in 299 rural residents in Korea aged >60 years, between June 19, 2007 and June 21, 2007. Questionnaires about basic demographics, falling events, fear of falling (K-ABC), and limitations of daily activities (K-IADL) were completed. Results: Among the 299 participants, 26.1% had experienced a fall. 197 participants confirmed that they experienced fear of falling (66.9%). This was further broken down to participants who were 'a little concerned' (31.4%), 'much concerned' (20.7%), and 'very much concerned' (13.7%). 183 people (61.2%) had limited daily activities caused by a fear of falling. Fallers experienced higher levels of anxiety and fear of falling than non-fallers (p<0.001). Comparing fear of falling with limited daily activities shows that the greater the fear of falling, the larger the limitation in daily activities and the lower the K-IADL score. After adjusting for falling, multiple linear regression showed that fear of falling and limited daily activities were positively correlated (p<0.001). Among groups with fear of falling, non-fallers, exercise group (p=0.024), and good perceived health group (p=0.022) had no limitations in activities compared with the control groups. Conclusion: Modifying drinking habits, diet habits, and social activities associated with perceived health states may improve daily activity levels in the elderly residing in rural communities, even though they have the fear of falling.
引用
收藏
页码:79 / 88
页数:10
相关论文
共 17 条
[1]  
Chang Chongmi, 2004, [The Korean Journal of Rehabilitation Nursing, 재활간호학회지], V7, P48
[2]  
Cho BL, 2005, J KOREAN ACAD FAM ME, V26, pS378
[3]  
Choe JS, P KOR SOC COMM LIV S, pS193
[4]  
FRANZONI S, 1994, GERONTOLOGY, V40, P38
[5]  
Jang S. N., 2003, J KOR GERIATR SOC, V7, P255
[6]  
Kim S.W., 1998, J KOREAN ACAD FAMILY, V19, P1400
[7]  
Kim W. O., 1998, KOREAN ACAD SOC REHA, V1, P43
[8]  
Lee Mi Jin, 2009, [Social Welfare Policy, 사회복지정책], V36, P201
[9]   Fear of falling in elderly persons: Association with falls, functional ability, and quality of life [J].
Li, FZ ;
Fisher, KJ ;
Harmer, P ;
McAuley, E ;
Wilson, NL .
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2003, 58 (05) :P283-P290
[10]   Characteristics associated with fear of falling and activity restriction in community-living older persons [J].
Murphy, SL ;
Williams, CS ;
Gill, TM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (03) :516-520