Effects of a Fear of Falling Reduction Program for Older Adults Undergoing Hip Surgery


  • Apirom Thadoungsorn Faculty of Graduate studies, Mahidol University
  • Pimpan Silpasuwan Department of Public Health Nursing, Faculty of Public Health, Mahidol University
  • Dusit Sujirarat Department of Epidemiology, Faculty of Public Health, Mahidol University


Fear of falling reduction program, elderly, hip surgery


Fear of falling is a common problem among older adult especially among those having experienced a fall. This research employed a quasi-experimental design. The objective of this study was to investigate the effects of a fear of falling reduction program among the elderly undergoing postoperative hip surgery. The subjects of this study comprised elderly people admitted as inpatients to Phramongkutklao and Police General Hospitals. The experiment group (n=30) participated in the fear of falling reduction program and received the instruction manual to prevent recurrent falls. The comparison group (n=30) received normal nursing treatment. Data were collected pre-experiment, post- experiment at 6 weeks and at 10-week follow-up period. Data were analyzed through Repeated Measure ANOVA between groups using Bonferroni method and Independent t-test. The results indicated that the average score from the experimental group showed the fear of falling decreased. The experimental group had significantly improved average scores regarding the strength level of leg muscles and capability of balancing better than in the preexperiment period and better than the comparison group with (p-value˂0.001). The findings of this research could suggest implementing the fear of falling reduction program among the elderly undergoing postoperative hip surgery through systematic education. Further, the easily understood manual with illustrations, leg muscle exercise practice, home visits to advise regarding safe environment improvement, prescription review, testing the strength of leg muscles and balancing to enhance elderly confidence, reduce the fear of falling and prevent recurrent falls.


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How to Cite

Thadoungsorn, A., Silpasuwan, P., & Sujirarat, D. (2018). Effects of a Fear of Falling Reduction Program for Older Adults Undergoing Hip Surgery. Journal of Public Health Nursing, 32(2), 81–94. Retrieved from https://he01.tci-thaijo.org/index.php/phn/article/view/245422



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