Investigation on the status of fear of falling in elderly patients with lower limb fractures at different stages after surgery and its influencing factors
Objective To explore the level of fear of falling in elderly patients with lower limb fractures at different stages after surgery and its influencing factors.Methods A total of 102 elderly patients with lower limb fractures admitted to the hospital from January 2021 to January 2023 were selected as the research subjects.The general information questionnaire,Falls Efficacy Scale-International(FES-I),Self-Efficacy for Rehabilitation Outcome Scale,Hospital Anxiety and Depression Scale,and Social Support Rating Scale were employed to survey the levels of fear of falling,rehabilitation exercise self-efficacy,anxiety and depression,and social support at different stages.Univariate analysis and multiple linear regression models were used to analyze the influencing factors of fear of falling at each stage.Results The level of fear of falling after the first postoperative off-bed activity was 34.19±6.72 points,decreased to 31.63±6.48 points at one month after surgery,and further decreased to 28.88±5.75 points at three months after surgery.The total FES-I score and scores of each dimension of patients in different stages after surgery showed a gradual decreasing trend,with statistically significant differences observed in both total scores and scores of each dimension among different stages(P<0.05).After screening by univariate analysis,multiple linear regression analysis showed that age,time of first getting out of bed,postoperative pain score,total score of rehabilitation exercise self-efficacy,and total score of anxiety and depression were influential factors for the fear of falling after the patient's first off-bed activity(P<0.05);the age,postoperative pain score,total score of rehabilitation exercise self-efficacy,total score of anxiety and depression,and total score of social support were influencing factors for the fear of falling in patients one month after surgery(P<0.05);the age,main caregiver,number of falls in the past six months,total score of rehabilitation exercise self-efficacy,total score of anxiety and depression,and total score of social support were influencing factors for the fear of falling in patients 3 months after surgery(P<0.05).Conclusion The fear of falling in elderly patients with lower limb fractures persists and dynamically changes at different stages after surgery.The level of fear of falling showed a decreasing trend in these patients postoperatively.There were many factors influencing the fear of falling at each stage,which are closely associated with rehabilitation exercise self-efficacy,social support,as well as anxiety and depression.These findings suggest that clinical staffshould pay full attention to assessing postoperative fear of falling in patient after surgery,and provide targeted nursing guidance based on the fear of falling levels and related factors at each stage,so as to reduce the fear of falling and enhance rehabilitation adherence among patients.
Lower limb fracturesElderly patientsFear of fallingInfluencing factorsSelf-efficacySocial support
万方数据
维普
