Falls of elderly people living in rural areas: prevalence and associated factors

Santos, Fernanda dos; Lange, Celmira; Llano, Patrí­cia Mirapalheta Pereira de; Lemões, Marcos Aurélio Matos; Pastore, Carla Alberici; Paskulin, Lisiane Manganelli Girardi; Costa, Arlete Eli Kunz da; Raymundo, José

doi:10.1590/0034-7167-2018-0460

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…A large number of studies showed that aging is a risk factor for falls. However, the current study found that aging is not a nonlinear correlation risk factor for falls, similar to some previous reports [ 22 , 23 ]. This study showed that the tendency to fall increases with age before 85 years, and then the risk declines at >85 years of age.…”

Section: Discussionsupporting

confidence: 92%

“…The prevalence of falls was 30.0% in this elderly rural population, which is higher than the fall prevalence 36.6/1,000 in rural Bangladesh [ 26 ], 11.4% in Ecuador [ 27 ], 27.9% in Brazil [ 22 ], but lower than 49.9% in Riyadh [ 28 ].…”

Section: Discussionmentioning

confidence: 92%

“…Some studies focused on urban-dwelling elderly reporting that the frequency of falls increases with age, which is not observed in rural areas. A few studies reported that age is not a risk factor for falls, and younger elderly (60–69 years old) suffered more falls and exhibited statistically significant factors related to falls [ 22 ], while another report deemed this feature more probable in the 70–79-year-old age group [ 23 ]. Tripping was the most common cause of a fall in the community [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Risk Factors for Fall among Rural Elderly: A County-Based Cross-Sectional Survey

Zhang

Zhao

Feng

et al. 2022

International Journal of Clinical Practice

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Aim. The aim of the study was to provide evidence for the prevention and reduction of falls in the elderly living in rural areas by analyzing epidemiological data of falls among the rural older people (>65 years old) and identifying the risk and protective factors. Methods. This study analyzed the sociodemographic characteristics, living environment, lifestyle, chronic disease condition, mental health, activities of daily living (ADL), and detailed information of falls of 3752 rural elderly. Rank tests, chi-square tests, and binary logistic regression were used for data analysis. Results. The prevalence of falls was 30.0%, and the 75–84-years age group had the highest fall rate (18.8%). According to the binary logistic regression analysis, six variables, including roughage intake frequency, age, gender, cane use, floor tiles, and IADL, were involved in the fall patterns. Low roughage intake (OR = 2.48, 95% CI 1.24–4.97), female gender (OR = 2.12, 95% CI 1.48–3.05), the use of a cane (OR = 2.11, 95% CI 1.08–4.10), and medium IADL (OR = 2.02, 95% CI 1.89–2.32) were the top four risk factors. Conclusion. The fall in the rural elderly was mainly due to the poor living and working conditions. Routine fall assessment could address several preventable risk factors to reduce the prevalence and mitigate the harm of falls.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Prevalence and Risk Factors for Fall among Rural Elderly: A County-Based Cross-Sectional Survey

Zhang

Zhao

Feng

et al. 2022

International Journal of Clinical Practice

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“…The sociodemographic characteristics of the sample in this study are similar to those of other study on falls in the aged, with the exception of color and family arrangement (Santos et al, 2019;Smith et al, 2017). The risk for falls (00155) was prevalent in females, married, working status (retired) and income above one minimum wage.…”

Section: Discussionsupporting

confidence: 77%

Analysis of the Nursing Diagnosis Risk for Falls in Older Adults with Hypertension

Ferreira

Moreira

Felício

et al. 2020

Int J of Nursing Knowl

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OBJECTIVES:To analyze the Nursing Diagnosis risk for falls indicators in aged with hypertension and to verify the association of this diagnosis with sociodemographic variables and antihypertensive agents used by the aged. METHODS: Analytical study, cross-sectional with quantitative approach. It was carried out in three health units in the city of Redenção, Ceará, Brazil, in the Brazilian Northeast. A total of 153 elderly subjects participated in the study. Statistical analysis was performed using Fisher's exact test, Pearson's chi-square test and multinomial logistic regression of variables that presented association with the Nursing Diagnosis. RESULTS: Use of throw rugs, difficulties with gait, acute illness (p = .004), age greater than or equal to 65 years and impaired vision were associated with the Nursing Diagnosis risk for falls (00155). The work situation (retired) was the only sociodemographic variable that had a significant association with the risk for falls. Antihypertensive agents were not associated with the diagnosis. CONCLUSION: Age greater than or equal to 65 years, use of throw rugs, difficulties with gait, acute illness, and impaired vision can be useful to infer the risk for falls and to confirm their presence in the aged with hypertension. IMPLICATIONS FOR NURSING PRACTICE:This study provides data that can help nurses in the process of inferring the diagnosis risk for falls in the aged with hypertension, which streamlines the planning and implementation of preventive interventions.Objetivos: analisar os elementos estruturais do Diagnóstico de Enfermagem Risco de quedas em idosos com hipertensão arterial e verificar a associação desse diagnóstico com variáveis sociodemográficas e agentes anti-hipertensivos utilizados pelos idosos. Métodos: estudo analítico, transversal com abordagem quantitativa. Foi realizado em três unidades de saúde do município de Redenção, no Nordeste brasileiro. Um total de 153 idosos participaram deste estudo. A análise estatística foi pelo teste exato de Fisher, qui-quadrado de Pearson e a regressão logística multinominal de variáveis que apresentaram associação com o Diagnóstico de Enfermagem. Resultados: uso de tapetes soltos, dificuldades na marcha, doença aguda (p = 0,004), idade maior ou igual a 65 anos e visão prejudicada foram associados ao Diagnóstico de Enfermagem Risco de quedas (00155). A situação de trabalho (aposentado) foi a única variável sociodemográfica que teve associação significante com o Risco de quedas. Os agentes anti-hipertensivos não foram associados ao diagnóstico.

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“…Ao analisar as características demográficas da amostra, verificou-se maior prevalência de pessoas idosas do sexo feminino, com idade até 70 anos, casadas, católicas, que sabiam ler e escrever e recebiam aposentadoria ou pensão. Tais achados corroboram com o observado na literatura por outros estudos 5,[9][10][11] .…”

Section: Discussionunclassified

Segurança Do Ambiente Domiciliar E Ocorrência De Quedas Em Pessoas Idosas

Tavares¹,

Araújo

Nunes

2021

REV. CIÊNC. PLURAL

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Introdução: A ocorrência de quedas em pessoas idosas é considerada um problema de saúde pública, acarretando em prejuízos para a saúde, mas que pode ser prevenida a partir da manutenção de um ambiente seguro. Objetivo: Identificar condições relacionadas a ocorrência de quedas e segurança do ambiente domiciliar de pessoas idosas residentes na zona rural de um município do interior do Estado do RN. Metodologia: Foi realizada uma pesquisa-ação com uma das etapas de diagnóstico feito a partir de um estudo analítico e observacional. O estudo foi realizado com agentes comunitários de saúde (ACS) e idosos. Foram realizadas capacitações com os ACS para reconhecimento e identificação dos riscos ambientais de quedas nos domicílios dos idosos. Para coleta de dados, utilizou-se o questionário de avaliação ambiental e quedas da Caderneta de Saúde da Pessoa Idosa. Resultados: Participaram do estudo 288 idosos, dos quais 24,7% relataram ter sofrido queda e desses, 23,9% tiveram fratura óssea. 47,9% das quedas ocorreram dentro de casa, destas 42,2% ocorreram no banheiro. A maioria dos itens de segurança não estava adequado. 53,5% relataram impedimento nas áreas de locomoção, 55,6% não tinham pisos uniformes e tapetes fixos, apenas 27,1% tinham tapete antiderrapante na área do chuveiro, 14,6% afirmaram possuir escada no domicílio, porém, nenhuma apresentava corrimão dos dois lados e firmes e/ou piso antiderrapante. Foram encontradas diferenças significativas entre a ocorrência de queda e a ausência de pisos uniformes e tapetes bem fixos (p<0,001), interruptores acessíveis nas entradas de cômodos (p<0,001), área do chuveiro com antiderrapante (p=0,026) e armários baixos sem necessidade do uso de escadas (p<0,001). Conclusões: A maioria das pessoas idosas vive em um ambiente que favorece a ocorrência de quedas. Enfatiza-se a necessidade de ações de prevenção de quedas e segurança domiciliar tendo em vista suas implicações na qualidade de vida dessas pessoas.

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Falls of elderly people living in rural areas: prevalence and associated factors

Cited by 8 publications

References 16 publications

Prevalence and Risk Factors for Fall among Rural Elderly: A County-Based Cross-Sectional Survey

Prevalence and Risk Factors for Fall among Rural Elderly: A County-Based Cross-Sectional Survey

Analysis of the Nursing Diagnosis Risk for Falls in Older Adults with Hypertension

Segurança Do Ambiente Domiciliar E Ocorrência De Quedas Em Pessoas Idosas

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