Effects of a Fear of Falling Reduction Program for Older Adults Undergoing Hip Surgery
Keywords:
Fear of falling reduction program, elderly, hip surgeryAbstract
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.
References
Hadjistavropoulos, T., Carleton, R. N., Delbaere, K., Barden, J., Zwakhalen, S., Fitzgerald, B., & Ghandehari, O. (2012). The relationship of fear of falling and balance confidence with balance and dual tasking performance. Psychol Aging, 27(1), 1-13
Ambrose Felicia Anne &Geet Paul. Fall and Facture. Journal of Maturitas, 82 (2015), 85-93
Murphy, & Isaacs. (1982). "The post-fall syndrome: a study of 36 elderly patients". Gerontology 28: 265–270.
Mizue H., & et al.,(2012). Preventing falls in older adult: New interventions to promote more effective chang-insupport balance reaction. The journal of Electromyography and kinesiology, 18(32), 243-254.
Chu, C. L., Liang, C. K., Chow, P. C., & Lin, Y. T., Tang, K., … Chou, M. Y. (2011) Fear of falling (FF):Psychosocial and physical factors among institutionalized older Chinese men in Taiwan. Journal Gorontology and Geriatics, 53(14), 232-236.
Staab, J. P., Balaban, D. C., & Furman, J. M. (2013). Threat assessment and locomotiom: clinical applications of an integrated model of anxiety and postural control. In: Seminars in neurology, 33(3), Germany: Thieme Medical
Jamornlan Naowarut (2548). balance and fall in older adult.Thaihealth. Publishers;2013.p 297-306. (in thai)
Wattanavisit Wiwat (2550).Facture and Dislocation. Orthopedic. (in thai)
Sattasatien Anucha & Daoreing Kommeangpak. (2552). Risk factors for hip fracture of elderly patients in Udon Thani Hospital. Lampang Medical Journal, 30(3), 22-265
Wongpanitkun Kamonporn. (factors associated with fear of falling in community- dwelling elderly, Kanjanaburi Province. (M.S.Thesis) Burapa university ; 2012
Gusi Naris., Adsuar C Jose., Corzo ector, Pozo-Cruz, Olivares R Petro., & Parraca A Jose. Balance training reduces fear of falling and improves dynamic balance and isometric strength
Center for Diseases Control and prevention. (2015). Preventing falls: how to develop community Based falls prevention programs for older adults. National center for injury prevention and Control: Atlanta, Georgia
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บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)
