Povezanost učestalosti pada, straha od pada i funkcionalne sposobnosti kod žena starosti 65 godina i više
Sažetak
Uvod/Cilј. Povećana tendencija ka padu s posledičnom pojavom povreda zbog smanjenja funkcionalne sposobnosti je jedan od mnogih problema koji se javljaju kod starijih osoba. Cilj rada je bio utvrditi razlike u funkcionalnim sposobnostima i izraženosti straha od pada između žena starosti 65 godina i više koje su doživele pad u poslednjih 12 meseci i onih koje to nisu. Metode. U ovu studiju preseka je bilo uključeno 236 žena starosti 65 godina i više. Istorija pada je dobijena na osnovu ankete, strah od pada procenjen je na osnovu Internacionalne skale za procenu zabrinutosti zbog pada (Falls Efficacy Scale International – FESI), dok je funkcionalna sposobnost merena preko Lotonove skale za procenu instrumentalnih aktivnosti svakodnevnog života (The Lawton Instrumental Activities of Daily Living – IADL). Rezultati. Nešto manje od polovine žena u uzorku prijavile su jedan ili više padova u poslednjih 12 meseci. Koeficijenti korelacije između funkcionalne sposobnosti i straha od pada, kod grupa G1 i G2, dostigli su statističku značajnost. Potvrđena je jaka i negativna korelacija između IADL i FESI skora za obe grupe, G1 (ρ = -0.695; p < 0.001) i G2 (ρ = -0.657; p < 0.001). Zaklјučak. Poboljšanje funkcionalnih sposobnosti kod žena starosti 65 godina i više mogao bi smanjiti rizik od pada u ovoj populaciji.
Reference
Republički zavod za statistiku Srbije. Statistički godišnjak. 2011. Beograd. Republički zavod, 2012. [Internet]. Available from: http://pod2.stat.gov.rs/ObjavljenePublikacije/G2012/pdf/G20122007.pdf. (Serbian)
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 2010; 21(5): 658‒68.
Avlund K, Kreiner S, Schultz-Larsen K. Functional ability scales for the elderly. Eur J Public Health 1996; 6(3): 35‒42.
Allen SM, Mor V. The prevalence and consequences of unmet need: Contrasts between older and younger adults with disa-bility. Med Care 1997; 35(11): 1132‒48.
Fhon JR, Fabrício-Wehbe SC, Vendruscolo TR, Stackfleth R, Marques S, Rodrigues RA. Accidental falls in the elderly and their relation with functional capacity. Rev Lat Am Enferma-gem 2012; 20(5): 927‒34. (English, Portuguese, Spanish)
Brito TA, Fernandes MH, Coqueiro RD, Jesus CS. Falls and functional capacity in the oldest old dwelling in the communi-ty. Rev Esc Enferm Usp. 2013; 22 (1): 43‒51.
Yoshida S. A Global Report on Falls Prevention: Epidemiolo-gy of Falls. World Health Organization; 2007. [Internet]. Available from:
https://www.who.int/ageing/projects/1.Epidemiology%20of%20falls%20in%20older%20age.pdf
Ivanovic S. Trgovcevic S. Kocic B. Todorovic TC. Jeremic KM. Knezevic A. Identifying elderly persons who are at risk of falling and fall risk factors in the general population. Srp Arh Celok Lek 2018; 146(7‒8): 396‒402.
Ivanovic S. Trgovcevic S. Risk factors for developing fear of fall-ing in the elderly in Serbia. Vojnosanit Pregl 2018; 75(8): 764‒72.
Mugenda OM, Mugenda AG. Research Methods: Quantitative and Qualitative Approaches. 4th ed. Nairobi: Acts Press; 2003.
Vitor PRR, Oliveira ACK, Kohler R, Winter GR, Rodacki C, Krause MP. Prevalence of falls in older women. Acta Ortop Bras 2015; 23(3): 158‒61.
Gale CR, Cooper C, Aihie Sayer A. Prevalence and risk factors for falls in older men and women: The English Longitudinal Study of Ageing. Age Ageing 2016; 45(6): 789–94.
Pallant J. SPSS Survival Manual: A Step by Step Guide to Da-ta Analysis using SPSS for Windows. 3rd ed. Milton Keynes, UK, USA: Open University Press; 2007.
Cevizci S, Uluocak S, Aslan C, Gokulu G, Bilir O, Bakar C. Prevalence of falls and associated risk factors among aged population: community based cross-sectional study from Tur-key. Cent Eur J Public Health 2015; 23 (3): 233–9.
Metcalfe D. The pathophysiology of osteoporotic hip fracture. Mcgill J Med 2008; 11(1): 51‒7.
Cardona M, Joshi R, Ivers RQ, Iyengar S, Chow CK, Colman S, et al. The burden of fatal and non-fatal injury in rural India. Inj Prev 2008; 14(4): 232‒7.
House JS, Landis KR, Umberson D. Social relationships and health. Science 1988; 241 (4865): 540‒5.
Mihić I, Petrović, J. Percepcija kvaliteta odnosa unutar porodice-iskustvo adolescenata iz Srbije. Prim Psihol 2009; 2(4): 369‒84. (Serbian)
Freitas RS, Fernandes MH, Coqueiro RS, Reis Júnior WM, Rocha SV, Brito TA. Functional capacity and associated factors in the elderly: a population study. Acta Paul Enferm 2012; 25(6): 933‒9.
Millán-Calenti JC, Tubío J, Pita-Fernández S, González-Abraldes I, Lorenzo T, Fernández-Arruty T, et al. Prevalence of functional disability in activities of daily living (ADL), instrumental ac-tivities of daily living (IADL) and associated factors, as pre-dictors of morbidity and mortality. Arch Gerontol Geriatr 2010; 50(3): 306‒10.
Alves LC, Leite ID, Machado CJ. Factors associated with func-tional disability of elderly in Brazil: a multilevel analysis. Rev Saúde Pública 2010; 44(3): 468‒78.
De Lima RJ, Piementa LJC, Bezzera AT, Viana CRL Ferreira SRG, Costa MFNK. Functional capacity and risk of falls in the elderly. Rev Rene 2017; 18(5): 616‒22.
Dias RC, Freire MT, Santos ÉG, Vieira RA, Dias JM, Perracini MR. Characteristics associated with activity restriction in-duced by fear of falling in community-dwelling elderly. Braz J Phys Ther 2011; 15(5): 406‒13.
Fisher T. Assessing Function in the Elderly: Katz ADL and Lawton IADL. Halifax, Nova Scotia, Canada: Dalhousie Uni-versity, Measuring Health Outcomes; 2008.