PREDICTING FACTORS TO FALL IN OLDER PERSONS WITH PARKINSON’ S DISEASE
Keywords:
fall, older person, Parkinson’s diseaseAbstract
The purpose of this descriptive study research to examine 1) fall in older persons with Parkinson’s disease in Parkinson’s clinic Medical Department tertiary care Hospital in Bangkok, 2) the relationships between factors related to which were TUGT, depression, fear of falling, home environment risk, and social support from family, and 3) predictive factors to fall in older persons with Parkinson’s disease. Data were collected from 152 elderly patients who were selected with accidental selection method. Research instruments were demographic questionnaires, Beck depression inventory, falls efficacy scale-international (FES-I), home environmental risk assessment and social support from family instruments. Data analyzed by descriptive statistics, Point Biserial Correlation, and Binary Logistic Regression Analysis.
Results: TUGT, social support from family, fear of falling and home environmental predictive factors to fall in older persons with Parkinson’s disease at level of .05 and accounted for 56.7 percent. The research can be used as a guideline in caretaking of older person with Parkinson’s disease, as well as, a learning material in any subject related to factors in falls in older person with Parkinson’s disease for nursing student and those who are interested.
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References
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Bhidayasiri, R., Wannachai, N., Limpabandhu, S., Choeytim, S., Suchonwanich, Y., & Tananyakul, S., (2011). A national registry to determine the distribution and prevalence of Parkinson’s disease in Thailand: Implications of urbanization and pesticides as risk factors for Parkinson’s disease. Journal of Neurology, 37(3-4), 222-230.
Bloem, B. R., Bleckley, D. J., Hillten, B. R., & Roos, R. A. (2001). Clinicmetrics of postural instability in Pakinson’s disease. The Journal of Neurological, 73(5), 245-258.
Bloem, B. R., Hausdoff, J. M., Visser, J.E., & Giladi, N. (2007). Fall and freezing of gait in Pakinson’s disease: A review of two interconnected, episodic phenomena. Movement Disorders, 19(1), 871-874.
Boonchome, R. (1994). Comparative study of families roles in prevention of home accidents for the aged receiving the services from the government and private hospital : A case study of Parkkred hospital and Parkkred Vejchakarn general hospital (Master. Science, Social Work). Thammasat University, Bangkok.
Brotherton, S., Krause, J., Nietert, P. (2007). Fall in individuals with incomplete spinal cord injury. Spinal Cord. 45(37-40), 100-110.
Burns N, & Grove, S, K. (2005). The practice of nursing research: Conduct critique and utilization (5th ed.) St. Louis, Elsevier Saunders
Calne, M. S., (2005). Late-stage Parkinson’s disease for the rehabilitation specialist: Anursing perspective. Topics in Geriatric Rehabitation, 21(3), 233-246.
Caplan, G. (1974). Support Systems and community mental health: Lectures on concept development. New York: Behavioral Publications.
Ditruchgij, C. (2009). Experiences of living with Parkinson disease of Thai elderly (Master Degree of Nursing Science, Gerontology Nursing). Faculty of Nursing, Chulalongkorn University, Bangkok.
Hale, W. A., Declancy, M. J., & McGaghie, W. C. (1992). Charecteristics and predictors of fall in elderly patient. The Journal of Neurological, 60(4), 150-161.
Huse, D. M., Schulman, K., Orsini, L., Castelli-Haley, J., Kennedy, S., & Lenhart, G. (2006). Burden of illness in Parkinson's disease. Movement Disorder, 20(11), 1449-1454.
Institute of Geriatric medicine. (1999). Mini-mental state examination–Thai version 2002 (MMSE-Thai
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Kamata, N., Matsuo, Y., Yoneda, T., Shinohara, H., Inoue, S., Abe, K. (2007). Overestimation of stability limits lead to a high frequency of fall in patients with Parkinson’s disease. Clinical Rehabitation, 21(4), 357-361.
McDonald, W. M., Richard, I. H., & DeLong, M. R. (2003). Prevalence, etiology, and treatment of depression in Parkinson's disease. PubMed, 54(3), 363-375.
Mak, M. K. Y., & Pang, M. Y. C. (2010). Parkinsonian single fallers versus recurrent fallers: Different fall characteristics and clinical features. Journal of Neurology, 257(9), 1543-1551.
Miller, N., Noble, E., Jones, D., & Burn, D. (2006). Life with communication change in Parkinson’s disease. Age and Ageing, 35(3), 235-239.
Pangjai, R. (1999). Spousal support and well-being of the elderly (Master of Nursing Science Program in Geriatric). Chiang Mai University, Chiang Mai.
Panjamanas, R. (2005). Fall assessment and social support from family among elderly people in community (Master Nursing Science, Community Health Nursing). Mahidol University, Bangkok.
Podsiadlo, D., & Richardson, S. (1991). The timed “up and go”: A test of basic functional mobility for frail elderly persons. Journal of American Gerontology Society, 39, 142-148.
Poungvarin, N. (2005). Pakinson’s disease. Bangkok: Reunkaew printing.
Rudzinska, M., Bukowczan, S., Stozek, J., Zajdel, K., & Mirek, E. (2013). Causes and consequences of fall in Parkinson disease patient in a prospective study. Neurologial Neuroochirurgia Polska, 47(5), 423-430.
Sriyong, M. (1979). Depression of suicidal attempted persons at Fang hospital (Master of Nursing Science Program in Psychiatric and Mental Health). Chiang Mai University). Chiang Mai province.
Stein, M. B., Heuser, I. J., & Juncos, J. L. (1990). Anxiety disorders in patients with Parkinson's disease. Journal of Psychiatry, 147, 217-220.
Thaweewannakij, T. H., Amatachaya, S., Peungsuwan, P. & Mato, L. (2010). Fall and quality of life in active
and inactive elderly. Journal of the Medical Association of Thailand, 22(3), 271-279.
Thiamwong, L., & Petsirasan. R. (2009). Intrinsic risk factors of falls among Thai older adults in the
long-term institutional care. Thai Journal of Nursing Council, 24(1), 77-87.
Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls efficacy as a measure of fear of falling. Journal of Gerontology, 45(6), 239-243.
Voss, T. S., Ele, J. J., Wielinski, C. L., Aminoff, M. J., Bandyyopadhyay, D., Chou, K. L., …, Falls Writing Group NINDS NET-PD Investigators. (2012). Fall frequency and risk assessment in early Pakinson’s disease. Parkinsonism and Related Disorders, 18(7), 837-841.
Wood, B. H., Bilclough, J. A., Bowron, A., & Walker, R. W. (2002). Incidence and prediction of fall in
Parkinson’s disease: A prospective multidisciplinary study. Journal of Neurological Neurosurgical Psychiatry, 72(6), 721-725.
World Health Organization. (2007). WHO global report on falls prevention in older age. France.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
Bhidayasiri, R., Wannachai, N., Limpabandhu, S., Choeytim, S., Suchonwanich, Y., & Tananyakul, S., (2011). A national registry to determine the distribution and prevalence of Parkinson’s disease in Thailand: Implications of urbanization and pesticides as risk factors for Parkinson’s disease. Journal of Neurology, 37(3-4), 222-230.
Bloem, B. R., Bleckley, D. J., Hillten, B. R., & Roos, R. A. (2001). Clinicmetrics of postural instability in Pakinson’s disease. The Journal of Neurological, 73(5), 245-258.
Bloem, B. R., Hausdoff, J. M., Visser, J.E., & Giladi, N. (2007). Fall and freezing of gait in Pakinson’s disease: A review of two interconnected, episodic phenomena. Movement Disorders, 19(1), 871-874.
Boonchome, R. (1994). Comparative study of families roles in prevention of home accidents for the aged receiving the services from the government and private hospital : A case study of Parkkred hospital and Parkkred Vejchakarn general hospital (Master. Science, Social Work). Thammasat University, Bangkok.
Brotherton, S., Krause, J., Nietert, P. (2007). Fall in individuals with incomplete spinal cord injury. Spinal Cord. 45(37-40), 100-110.
Burns N, & Grove, S, K. (2005). The practice of nursing research: Conduct critique and utilization (5th ed.) St. Louis, Elsevier Saunders
Calne, M. S., (2005). Late-stage Parkinson’s disease for the rehabilitation specialist: Anursing perspective. Topics in Geriatric Rehabitation, 21(3), 233-246.
Caplan, G. (1974). Support Systems and community mental health: Lectures on concept development. New York: Behavioral Publications.
Ditruchgij, C. (2009). Experiences of living with Parkinson disease of Thai elderly (Master Degree of Nursing Science, Gerontology Nursing). Faculty of Nursing, Chulalongkorn University, Bangkok.
Hale, W. A., Declancy, M. J., & McGaghie, W. C. (1992). Charecteristics and predictors of fall in elderly patient. The Journal of Neurological, 60(4), 150-161.
Huse, D. M., Schulman, K., Orsini, L., Castelli-Haley, J., Kennedy, S., & Lenhart, G. (2006). Burden of illness in Parkinson's disease. Movement Disorder, 20(11), 1449-1454.
Institute of Geriatric medicine. (1999). Mini-mental state examination–Thai version 2002 (MMSE-Thai
2002). Bangkok: Ministry of Public Health.
Kamata, N., Matsuo, Y., Yoneda, T., Shinohara, H., Inoue, S., Abe, K. (2007). Overestimation of stability limits lead to a high frequency of fall in patients with Parkinson’s disease. Clinical Rehabitation, 21(4), 357-361.
McDonald, W. M., Richard, I. H., & DeLong, M. R. (2003). Prevalence, etiology, and treatment of depression in Parkinson's disease. PubMed, 54(3), 363-375.
Mak, M. K. Y., & Pang, M. Y. C. (2010). Parkinsonian single fallers versus recurrent fallers: Different fall characteristics and clinical features. Journal of Neurology, 257(9), 1543-1551.
Miller, N., Noble, E., Jones, D., & Burn, D. (2006). Life with communication change in Parkinson’s disease. Age and Ageing, 35(3), 235-239.
Pangjai, R. (1999). Spousal support and well-being of the elderly (Master of Nursing Science Program in Geriatric). Chiang Mai University, Chiang Mai.
Panjamanas, R. (2005). Fall assessment and social support from family among elderly people in community (Master Nursing Science, Community Health Nursing). Mahidol University, Bangkok.
Podsiadlo, D., & Richardson, S. (1991). The timed “up and go”: A test of basic functional mobility for frail elderly persons. Journal of American Gerontology Society, 39, 142-148.
Poungvarin, N. (2005). Pakinson’s disease. Bangkok: Reunkaew printing.
Rudzinska, M., Bukowczan, S., Stozek, J., Zajdel, K., & Mirek, E. (2013). Causes and consequences of fall in Parkinson disease patient in a prospective study. Neurologial Neuroochirurgia Polska, 47(5), 423-430.
Sriyong, M. (1979). Depression of suicidal attempted persons at Fang hospital (Master of Nursing Science Program in Psychiatric and Mental Health). Chiang Mai University). Chiang Mai province.
Stein, M. B., Heuser, I. J., & Juncos, J. L. (1990). Anxiety disorders in patients with Parkinson's disease. Journal of Psychiatry, 147, 217-220.
Thaweewannakij, T. H., Amatachaya, S., Peungsuwan, P. & Mato, L. (2010). Fall and quality of life in active
and inactive elderly. Journal of the Medical Association of Thailand, 22(3), 271-279.
Thiamwong, L., & Petsirasan. R. (2009). Intrinsic risk factors of falls among Thai older adults in the
long-term institutional care. Thai Journal of Nursing Council, 24(1), 77-87.
Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls efficacy as a measure of fear of falling. Journal of Gerontology, 45(6), 239-243.
Voss, T. S., Ele, J. J., Wielinski, C. L., Aminoff, M. J., Bandyyopadhyay, D., Chou, K. L., …, Falls Writing Group NINDS NET-PD Investigators. (2012). Fall frequency and risk assessment in early Pakinson’s disease. Parkinsonism and Related Disorders, 18(7), 837-841.
Wood, B. H., Bilclough, J. A., Bowron, A., & Walker, R. W. (2002). Incidence and prediction of fall in
Parkinson’s disease: A prospective multidisciplinary study. Journal of Neurological Neurosurgical Psychiatry, 72(6), 721-725.
World Health Organization. (2007). WHO global report on falls prevention in older age. France.
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Published
2018-06-05
How to Cite
ศรีคำ ป., & สาสัตย์ ศ. (2018). PREDICTING FACTORS TO FALL IN OLDER PERSONS WITH PARKINSON’ S DISEASE. JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE, 10(1), 1–11. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/110318
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