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首页> 外文期刊>BMC Geriatrics >Associations between health-related quality of life, physical function and fear of falling in older fallers receiving home care
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Associations between health-related quality of life, physical function and fear of falling in older fallers receiving home care

机译：与健康相关的生活质量，身体机能与接受家庭护理的老年跌倒者的跌落恐惧之间的关联

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Falls and injuries in older adults have significant consequences and costs, both personal and to society. Although having a high incidence of falls, high prevalence of fear of falling and a lower quality of life, older adults receiving home care are underrepresented in research on older fallers. The objective of this study is to determine the associations between health-related quality of life (HRQOL), fear of falling and physical function in older fallers receiving home care. This study employed cross-sectional data from baseline measurements of a randomised controlled trial. 155 participants, aged 67+, with at least one fall in the?previous year, from six Norwegian municipalities were included. Data on HRQOL (SF-36), physical function and fear of falling (FES-I) were collected in addition to demographical and other relevant background information. A multivariate regression model was applied. A higher score on FES-I, denoting increased fear of falling, was?significantly associated with a lower score on almost all subscales of SF-36, denoting reduced HRQOL. Higher age was significantly associated with higher scores on physical function, general health, mental health and the mental component summary. This analysis adjusted for sex, education, living alone, being at risk of or malnourished, physical function like balance and walking speed, cognition and number of falls. Fear of falling is important for HRQOL in older fallers receiving home care. This association is independent of physical measures. Better physical function is significantly associated with higher physical HRQOL. Future research should address interventions that reduce fear of falling and increase HRQOL in this vulnerable population. ClinicalTrials.gov. NCT02374307 . First registration, 16 February 2015. First enrolment of participants, February 2016.
机译：老年人跌倒和受伤对个人和社会都会造成重大后果和代价。尽管跌倒的发生率很高，对跌倒的恐惧的发生率很高，生活质量较低，但是在老年人摔跤者的研究中，接受家庭护理的老年人人数不足。这项研究的目的是确定与健康相关的生活质量（HRQOL），对跌倒的恐惧与接受家庭护理的老年跌倒者的身体机能之间的关联。这项研究采用了来自随机对照试验基线测量的横断面数据。包括来自六个挪威城市的155名年龄在67岁以上的参与者，去年同期至少有一名跌倒。除人口统计资料和其他相关背景信息外，还收集了有关HRQOL（SF-36），身体功能和跌落恐惧感（FES-1）的数据。应用了多元回归模型。 FES-1评分较高，表示对跌倒的恐惧增加，与几乎所有SF-36子量表的评分较低相关，这表示HRQOL降低。年龄越大，身体机能，总体健康，心理健康和心理组成摘要得分越高。该分析针对性别，受教育程度，独自生活，处于危险或营养不良，身体功能（如平衡和步行速度），认知度和跌倒次数进行了调整。害怕摔倒对于HRQOL在接受家庭护理的老年摔跤者中很重要。这种关联独立于物理量度。更好的身体机能与更高的身体HRQOL显着相关。未来的研究应针对减少易受伤害人群跌倒的恐惧并增加HRQOL的干预措施。 ClinicalTrials.gov。 NCT02374307。首次注册，2015年2月16日。首次注册参加者，2016年2月。

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