Fall-Related Self-efficacy in Instrumental Activities of Daily Living is Associated with Falls in Older Community-Living People

被引：12
作者：
Hellstrom, Karin [1 ]
Sandstrom, Marie [1 ]
Wagert, Petra Heideken [2 ]
Sandborgh, Maria [2 ]
Soderlund, Anne [2 ]
Adolfsson, Eva Thors [3 ]
Johansson, Ann-Christin [2 ]
机构：
[1] Uppsala Univ, Dept Neurosci Physiotherapy, Box 593,BMC, SE-75124 Uppsala, Sweden
[2] Sch Hlth Care & Social Welf, Dept Physiotherapy, Vasteras, Sweden
[3] Cent Hosp Ing, Primary Care, Vasteras, Sweden
来源：
PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS | 2013年 / 31卷 / 02期
关键词：
fall; fall-related self-efficacy; prevention; older adults; health-related quality of life;
D O I：
10.3109/02703181.2013.792912
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Introduction: The aim of this study was to identify fall risk factors in community-living people 75 years or older. Methods: From a random selection of 525 older adults, a total of 378 (72%) individuals participated in the study. Mean age was 81.7 years (range 75-101 years). A study-specific questionnaire including self-reported fall history for the past 6 months, the Falls-Efficacy Scale (Swedish version: FES(S)) and EuroQol 5 Dimensions (EQ5D) was used. Logistic regression analysis was conducted to find risk factors for falls. Results: The strongest significant predictor of falls was scoring low on FES(S) in instrumental activities of daily living (IADL), with an odds ratio of 7.89 (95% confidence interval 2.93-21.25). One fifth had experienced one or more falls during the past 6 months. Both fall-related self-efficacy and health-related quality of life were significantly lower among fallers. Conclusion: Our results imply that identifying community-living older adults with an increased risk of falling should include a measure of fall-related self-efficacy in IADL.
引用
收藏
页码：128 / 139
页数：12
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