Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Influencing Factors for Fear of Falling in Degenerative Arthritis Patients

퇴행성관절염 환자의 낙상공포에 영향을 미치는 요인

  • Published : 2007.12.31
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Abstract

Purpose: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. Method: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. Results: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. Conclusion: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.

Keywords

References

  1. Ahn, M. L. (1999). The effect of test time, state-trait anxiety, self-efficacy on test anxiety. Unpublished master's thesis, Yonsei University, Seoul
  2. Arfken, C. L., Lach, H. W., Birge, S. J., & Miller, J. P. (1994). The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health, 84, 565-570 https://doi.org/10.2105/AJPH.84.4.565
  3. Brummel-smith, K. (1989). Falls in the aged. Primary Care, 16, 377-393
  4. Cho, J. P., Paek, K. W., Song, H. J., Jung, Y. S., & Moon, H. W. (2001). Prevalence and associated factors of falls in the elderly community. Korean J Prev Med, 34(1), 47-54
  5. Cho, J. P. (2000). Survey to increase the quality of life for elderly fall victims. Ministry of Health and Welfare Press
  6. Choi, J. H. (2002). The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul
  7. Chun, J. H., Lee, H. J., Kim, M. H., & Shin, J. S. (2003). Predictors of depression and quality of life among older adults with osteoarthritis. J Korean Acad Adult Nurs, 15(4), 650-659
  8. Eom, J. Y. (2006). A study on the elderly patients hospitalized due to fall injuries. Unpublished master's thesis, Ewha Womans University, Seoul
  9. Friedman, S. M., Munoz, B., West, S. K., Rubin, G. S., & Fried, L. O. (2002). Falls and fear of falling: Which comes first?: A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc, 50(8), 1329-1335 https://doi.org/10.1046/j.1532-5415.2002.50352.x
  10. Gagnon, N., Flint, A. J., Naglie, G., & Devins, G. M. (2005). Affective correlates of fear of falling in elderly persons. Am J Geriatr Psychiatry, 13(1), 7-14 https://doi.org/10.1097/00019442-200501000-00003
  11. Huh, J. Y. (2002). The effects of fear of falling and sensory integration on balance and postural control in health elderly. Korean J Sport Psychology, 12(2), 57-68
  12. Huda, A., & Wise, L. C. (1998). Evolution of compliance within a fall prevention program. Journal of Nursing Care Quality, 12(3), 55-63 https://doi.org/10.1097/00001786-199802000-00009
  13. Huang, H. C., Gau, M. L., Lin, W. C., & Kernohan, G. (2003). Assessing risk of falling in older adults. Public Health Nurs, 20(5), 399-411 https://doi.org/10.1046/j.1525-1446.2003.20508.x
  14. Hwang, I. O. (2004). A comparative study on BMI, pain, depression, self-esteem, and self-efficacy between rheumatoid arthritis patients and osteoarthritis patients. Unpublished master's thesis, Chungnam National University, Daejeon
  15. Jung, Y. M., Lee, S. E., & Chung, K. S. (2006). Prevalence and associated factors of falls according to health in elderly living in the community. Journal of KGS, 26(2), 291-303
  16. Kim. S. W., Yang, Y. J., Eo, K. S., Cho, H. J., & Kim, Y. S. (1998). Fear of falling in elderly persons living in a home for the aged. J Korea Acad Fam Med, 19(12), 1400-1409
  17. Kim. S. J. (2004). Risk factors of falling in the elderly in urban cities. Unpublished master's thesis, Ewha Womans University, Seoul
  18. Kressig, R. W., Wolf, S. L., Sattin, R. W., & Greenspan, A. (2001). Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. J Am Geriatr Soc, 49, 1456-1462 https://doi.org/10.1046/j.1532-5415.2001.4911237.x
  19. Ministry of Health & Welfare (2006). The hird Korea National Health and Nutrition Examination Survey (KNHANES III), 2005- Illness of Adults, Ministry of Health & Welfare Press
  20. Oh. J. Y., & Cho. K. H. (1998). Osteoarthitis in elderly patient. J Korean Acad Fam Med, 19(11), 1129-1135
  21. Park, S. H. (2002). The effects of massage on central pain and skin temperature for the patients with stroke. Unpublished master's thesis, Yonsei University, Seoul
  22. Shin, K. R. (1992). The correlates of depressive symptomatology in Korean-American women in New York City. Unpublished doctoral dissertation, Teachers College of Columbia University, New York
  23. Shin, Y. A., Park, S. W., & Lee, S. U. (2006). Relationships between falls experience, excercise habit, fear of falling and physical fitness in elderly population. Korea Sport Research, 17(1), 73-82
  24. Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi, J. H. (2001). The survey of activities and fear of falling in the community dwelling elderly. J Korean Comm Nurs, 15(2), 324-333
  25. Stone, J. T., Wyman, J. F., & Salisbury, S. A. (1999). Clinical gerontological nursing-falls(2nd ed). Philadelphia, W.B.: Saunders Company
  26. Tabachnick, B. G., & Fidell, I. S. (1989). Using multi-variate statistics. New York: Harper Collins
  27. Tideiksaar, R. (2002). Falls in older people-prevention and management(3rd ed.). Baltmore, Maryland: Health Professional Press, Inc.
  28. Yang, J. O. (2006). The effects of Tai Chi exercise on pain, self-efficacy, and falls risk factors of elderly with osteoarthritis. Unpublished master's thesis, Kyunghee University, Seoul
  29. Yang, H. J., & Park, J. S. (2002). The study of pain, depression and quality of life according to the coping strategy in chronic arthritis patients. J Korean Acad Adult Nurs, 14(2), 214-222
  30. Zijlstra, G. A. R., van Haastregt, J. C. M., van Eijk, T M., van Rossum, E., Stalenhoef, P. A., & Kempen, G. I. J. (2007). Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age and Ageing, 36, 304-309 https://doi.org/10.1093/ageing/afm021