Aging of population leads to limitations in functional abilities and in activities of daily living (ADL) which are the essential elements of independent care of oneself. Limitations in performing these activities result in increasing need for assistance and institutionalizing of the elderly. The aim of this study was to investigate the influence of fear of movement, or kinesiophobia, on ADL in elder institutionalized people with chronic pain. The research included 60 individuals older than 65 suffering from chronic musculoskeletal pain, institutionalized in Gerontoloski Centar Nis. The participants` fear of movement was assesed by Tampa Scale of Kinesiophobia, performing ADL was assesed by Katz index and pain intensity was evaluated by Numerical Rating Scale. We found that a large number of participants had high degree of kinesiophobia (63%), as well as that there is statistically significant negative correlation between the values of Katz index and Tampa Scale (r=-0.583, p<0.01). There is no statistically significant negative correlation between the values of Numerical Rating Scale and Katz index (r=0.139, p<0.289). There is no statistically significant positive correlation between the values of Numerical Rating Scale and Tampa Scale (r=0.215, p=0.098). The research showed that kinesiophobia has influence on ADL in elder institutionalized people with chronic pain. Higher degree of fear of movement corresponds to greater dependence of the participants in performing ADL. Pain intensity influenced neither the fear of movement nor the dependence/independence in performing ADL.

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Background/Aim. After a fall, the elderly can develop a fear of falling which can be more frequent and more serious problem than the fall itself because it represents the main factor limiting an older person in his/her everyday functioning. The aim of this study was to identify and examine, in a more detailed way, risk factors for developing fear of falling triggered by the history of their falls over the previous year in the elderly in Serbia who live in houses or apartments. Methods. The cross-sectional study was conducted on 400 people, mean age 75.04 years (min. 65, max. 94), randomly selected from the register of patients in the Primary Health Center of Niš (164 men and 236 women), in the period January-June 2014. Socio-demographic questionnaire-Elderly Fall Screening Test (EFST), Multi-Factor Questionnaire Falls (MFQ) and Falls Efficacy Scale International (FESI) were used in this study. Results. After applying the multivariate binary logistic regression, it was found that significant predictors for developing fear of falling were as follows: female gender (OR = 2.599; p = 0.009), age 75-79 years (OR = 4.637; p = 0.009) and over 80 years (OR = 3.830; p = 0.001), increase in household members (OR = 1.206; p = 0.033), people who estimate their health as average (OR = 0.268; p < 0.001) and good (OR = 0.059; p < 0.001), number of falls higher than 2 (OR = 2.761; p = 0.003), presence of injuries during the fall (OR = 2.483; p = 0.028), periodical and repeating situations of "near-fall" (OR = 3.830; p = 0.001), limited activity (OR = 2.124; p = 0.007) problems with sight (OR = 3.006; p < 0.001), cognitive problems (OR = 2.296; p = 0.005) and problems with balance (OR = 3.809; p < 0.001). Conclusion. The results of this study can be used for planning promotional programs for falls and a fear of falling prevention, as well as prevention of their consequences.

Background/Aim. Colorectal cancer and its treatment can have a negative impact on the quality of life which has become an important outcome measure for cancer patients. The aim of this work was assessment of psychological and spiritual dimension of the quality of life in colostomy patients, regarding the gender and age. Methods. This is a cross-sectional study conducted at the Abdominal Surgery Polyclinic in the Clinical Canter of Vojvodina among colostomy patients operated between January 2010 and June 2011. The instrument used in this study was Quality of Life Questionnaire for a Patient with an Ostomy (QOL-O). Results. Majority of respondents were male (M:F = 50.7% : 49.3%). The age ranged between 36-86 years. Respondents did not report difficulties in adjustment to stoma, but their great difficulty was to look at it and the sense of depression and anxiety. The care of stoma was worse perceived by younger respondents (p = 0.014). Respondents were mostly satisfied with their memorizing ability and having the sense of control. The lowest score was found in sensing satisfaction or enjoyment in life. The age had a significant impact on positive aspects of psychological well-being (p < 0.05). Higher scores were found among younger age groups. The mean score of spiritual well-being (6.47 ± 3.01) was lower than the mean score of psychological well-being (7.76 ± 2.35). There were no statistically significant differences regarding gender (t =-0.738, df = 65, p = 0.463) or age (F = 1.307, p = 0.280). Conclusion. Psychological and spiritual well-being in colostomy patients appeared to be at satisfactory level, but it is necessary to provide tailor made support in order to prevent and resolve negative responses to stoma.