首页 | 本学科首页   官方微博 | 高级检索  
检索        


Relationship Between Fear of Falling and Outcomes of an Inpatient Geriatric Rehabilitation Population—Fear of the Fear of Falling
Authors:Michael D Denkinger MD  Wilmar Igl PhD  Albert Lukas MD  Anne Bader  Stefanie Bailer  Sebastian Franke MSc  Claudia M Denkinger MD  MSc  Thorsten Nikolaus MD  PhD  Michael Jamour MD
Institution:1. From the *Bethesda Geriatric Clinic and Geriatric Competence Center, ?Institute of Epidemiology and Geriatric Competence Center, Ulm University, Ulm, Germany;2. ?Department of Genetics and Pathology, Uppsala University, Uppsala, Sweden;3. §Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts;4. and ∥Geriatric Rehabilitation Clinic, Krankenhaus GmbH Alb‐Donau Kreis, Ehingen, Germany
Abstract:OBJECTIVES: To examine the effects of various risk factors on three functional outcomes during rehabilitation. SETTING: Geriatric inpatient rehabilitation unit. DESIGN: Observational longitudinal study. PARTICIPANTS: One hundred sixty‐one geriatric rehabilitation inpatients (men, women), mean age 82, who were capable of walking at baseline. MEASUREMENTS: Functional status was assessed weekly between admission and discharge and at a follow‐up 4 months later at home using the function component of the Short Form—Late Life Function and Disability Instrument, the Barthel Index, and Habitual Gait Speed. Various risk factors, such as falls‐related self‐efficacy (Falls Efficacy Scale–International), were measured. Associations between predictors and functional status at discharge and follow‐up were analyzed using linear regression models and bivariate plots. RESULTS: Fear of falling predicted functioning across all outcomes except for habitual gait speed at discharge and follow‐up. Visual comparison of functional trajectories between subgroups confirmed these findings, with different levels of fear of falling across time in linear plots. Thus, superior ability of this measure to discriminate between functional status at baseline across all outcomes and to discriminate between functional change especially with regard to the performance‐based outcome was demonstrated. CONCLUSION: Falls‐related self‐efficacy is the only parameter that significantly predicts rehabilitation outcome at discharge and follow‐up across all outcomes. Therefore, it should be routinely assessed in future studies in (geriatric) rehabilitation and considered to be an important treatment goal.
Keywords:self‐efficacy  fear of falling  inpatient rehabilitation  patterns of change
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号