Factors associated with risk, perception and knowledge of falls in elderly people

Souza, Lídia Ferreira de; Batista, Ruth Ester Assayag; Campanharo, Cássia Regina Vancini; Costa, Paula Cristina Pereira da; Lopes, Maria Carolina Barbosa Teixeira; Okuno, Meiry Fernanda Pinto

doi:10.1590/1983-1447.2022.20200335

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…Em estudo realizado em Rio Grande, no Rio Grande do Sul, a mesma associação foi encontrada (Almeida;Meucci;Dumith, 2019). Negrini et al, (2018) Souza et al, (2022) também observou menor prevalência de queda entre idosos com hipertensão.…”

Section: Discussionunclassified

Queda em idosos e fatores associados: estudo de base populacional em Criciúma - SC

Boit,

Schäfer,

Dallazen

et al. 2024

CLCS

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O envelhecimento se relaciona com alterações fisiológicas que tornam idosos mais suscetíveis a quedas. O objetivo foi avaliar a prevalência e fatores associados a quedas em idosos na cidade de Criciúma, Santa Catarina. É um estudo transversal com dados da pesquisa de base populacional Saúde da População Criciumense, conduzida em 2019 com indivíduos com 18 anos ou mais. O processo amostral ocorreu em duas etapas, com a seleção sistemática dos setores censitário e dos domicílios. Para este estudo, foram analisados apenas indivíduos com 60 anos ou mais. O desfecho foi a queda nos últimos 12 meses, e as exposições foram variáveis sociodemográficas, comportamentais, de saúde e de acessibilidade no bairro de moradia. Para avaliar as associações, utilizou-se Regressão de Poisson ajustada, com nível de significância de 5% e resultados expressos como razão de prevalência (RP). Foram estudados 368 idosos. A prevalência de queda foi 25% e 13% dos idosos tiveram fratura óssea como consequência. A prevalência de queda foi maior entre os idosos do sexo feminino (RP=1,46; IC95%1,04;2,06), com idade igual ou superior a 80 anos (RP=1,88; IC95%1,15;3,07), que moravam sozinhos (RP=1,71; IC95%1,14;2,55), cardiopatas (RP=1,51; IC95%1,01;2,24) e que utilizavam 3 ou mais medicamentos (RP=4,24; IC95%1,77;10,15). Idosos com diagnóstico de hipertensão (RP=0,51; IC95%0,33;0,79) e de câncer (RP=0,23; IC95%0,06;0,87) tiveram menor prevalência de queda. Conclui-se que diversos aspectos estão relacionados com a ocorrência de queda em idosos. Considerando estes achados e o envelhecimento populacional, ações preventivas para redução destes fatores de risco são essenciais para manutenção da qualidade de vida no envelhecimento.

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Section: Discussionunclassified

Queda em idosos e fatores associados: estudo de base populacional em Criciúma - SC

Boit,

Schäfer,

Dallazen

et al. 2024

CLCS

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“…From the perspective of Proactive Health theory, patients can recognize the risk of falls and proactively develop an awareness of prevention, then such proactive behavior serves as an intrinsic motivator for effective fall management and care. However, various factors including education level, age and medication use ( Souza et al, 2022 ) can influence the consistency between perceived and objective fall risk, which is called “perceived bias” ( Bao et al, 2022 ). Perception bias has been noted that both underperceived and overperceived the risk of falls can be detrimental ( Aycock et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Development and validation of fall risk perception scale for patients with Parkinson’s disease

Yang,

Yao,

Guo

et al. 2024

Front. Psychol.

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BackgroundPerception assessment plays an important role in fall risk awareness and fall prevention. Parkinson’s disease patients with motor dysfunction are at high risk of falling. Currently, no instrument has been explicitly crafted to assess the risk perception of fall in PD patients. The purpose of this study was to develop and validate the fall risk perception scale for PD patients (FRPS-PD), providing healthcare professionals with a effective assessment tool to enhance proactive fall prevention initiatives.MethodBased on the Proactive Health theory and Risk Perception Attitude (RPA) Framework, the questionnaire was developed through literature review, semi-structure interview, expert consultation and pilot testing. A total of 428 patients with PD from Grade A tertiary hospitals in Shanghai, Hangzhou and Anhui from January 2023 to July 2023 were recruited. The items and dimensions in the scale were explored and confirmed using item-analysis, content validity, exploratory factor analytical (EFA), confirmatory factor analytical (CFA), internal consistency and test–retest reliability analysis.ResultsA total of 16-items, 2-dimensions structure were identified, including 12 items of risk perception and 4 items of self-efficacy dimension. The cumulative variance of EFA model was 73.669%, further CFA showed that acceptable model fit (χ2/df = 2.226, RMSEA = 0.074, NF = 0.928, TLI = 0.951, CFI = 0.959, GFI = 0.887 and AGFI = 0.848). The content validity index was 0.956. The reliability of the scale was 0.952 using Cronbach’s α coefficient method. The test–retest reliability was 0.944.ConclusionThe FRPS-PD is a valid and reliable measurement for evaluating fall risk perception level for individuals with PD in mainland China.

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“…To continue the process of validating the instrument, the third stage, which is the subject of this study, aims to validate the material based on the response processes. However, in this study, we aimed to restrict the population studied to the elderly, because this population is more susceptible to recurrent hospital admissions, as well as being more fragile due to their inherent functional decline (7) .…”

Section: Introductionmentioning

confidence: 99%

Multi-professional screening instrument for risk of broncho-aspiration in a hospital environment for the elderly population: validity evidence based on response processes

Miquilussi,

Santos,

Massi

2024

CoDAS

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Purpose The objective of this study was to validate the Multiprofessional Screening Instrument for Broncho-aspiration Risk in Hospital Environment, which is aimed at the elderly population, based on response processes. Methods Judges applied the instrument to different patients and randomly selected. After the application, the judges were interviewed so that it was possible to verify their impression regarding the relevance of the items about their interpretation of the written content, as well as grammatical and semantic issues. Suggestions for adding alternative questions and answers were considered, as well as proposals for adapting the questions that made up the instrument. Non-verbal reactions, such as facial expressions that suggested doubts or hesitations, by the judges concerning the instrument were also analyzed. Results The agreement of the judges concerning each item of the device was calculated by the Content Validity Index (CVI) and by the Intraclass Correlation Coefficient (ICC), and their results showed a high level of agreement. Through the suggestions of the judges, a new version of the Multi-professional Screening Instrument for the Risk of Broncho-aspiration in a Hospital Environment in the Elderly was elaborated. Conclusion The results obtained showed that the validity of the Multi-professional Instrument for Screening the Risk of Broncho-aspiration in the Hospital Environment with the elderly population, based on the response processes, was achieved and makes it a promising device to assist professionals in hospital care for the elderly.

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Factors associated with risk, perception and knowledge of falls in elderly people

Cited by 7 publications

References 13 publications

Queda em idosos e fatores associados: estudo de base populacional em Criciúma - SC

Queda em idosos e fatores associados: estudo de base populacional em Criciúma - SC

Development and validation of fall risk perception scale for patients with Parkinson’s disease

Multi-professional screening instrument for risk of broncho-aspiration in a hospital environment for the elderly population: validity evidence based on response processes

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