Factors related to older patients' fear of falling during the first mobilization after total knee replacement and total hip replacement

Damar, Hale Turhan; Bilik, Özlem; Ursavaş, Figen Erol

doi:10.1016/j.gerinurse.2017.12.003

Cited by 14 publications

(10 citation statements)

References 41 publications

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“…Perceived pain intensity did not predict fear of falling in the present study, in contrast to a study of older Turkish patients after total knee or hip replacement (Turhan Damar et al, 2018). This discrepancy may reflect cultural differences and the fact that our patients reported lower pain intensity than those in the Turkish study.…”

Section: Discussioncontrasting

confidence: 99%

“…This highlights the need for fear‐reducing interventions early after surgery. On the other hand, fear prevalence in our study was substantially lower than the 71% reported in a study of older Turkish patients who underwent total knee or hip replacement (Turhan Damar et al, 2018). The higher prevalence in that study may reflect cultural or demographic differences, or it may reflect the much higher proportion of women in that study (nearly 70%), since older women are more likely to fear falling, based on previous work (Lavedán et al, 2018; Eunmi et al, 2015; Simsek et al, 2020) and the present study.…”

Section: Discussioncontrasting

confidence: 88%

“…Early postoperative mobilisation, especially within 24 hours of surgery, is important for postoperative rehabilitation (Stowers et al, 2014), the success of which can depend on psychological factors, such as perceived pain severity, anxiety and fear (Filardo et al, 2016; Hirakawa et al, 2014; Zisberg & Syn‐Hershko, 2016). A recent study showed that 71% of patients older than 65 were afraid of falling, 42% of whom were ‘very afraid’, during their first mobilisation after total knee or hip replacement (Turhan Damar et al, 2018). Indeed, fear of falling is frequent among older people in general (Schepens et al, 2012; Liu, 2015); it is more common among older patients after TKA (Hirakawa et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Zhang

2021

Journal of Clinical Nursing

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Background The factors that lead to the fear of falling among older people after total knee arthroplasty (TKA) are poorly understood. The present study aims to examine the fear of falling among such patients and to determine the factors that are associated with that fear. Methods A total of 285 patients aged ≥65 with knee osteoarthritis who underwent TKA at an orthopaedic hospital between November 2019 and May 2020 completed surveys about their own first mobilisation after TKA. They were asked to indicate whether they were afraid of falling by asking a single question, and what their pain level was on a visual analogue scale. They also completed the General Anxiety Disorder scale, the Geriatric Depression Scale–Short Form and the Social Support Rating Scale. Multivariate logistic regression was used to identify risk factors for fear of falling during the first mobilisation after TKA. This study was reported in compliance with the STROBE checklist for cross‐sectional studies (see Supplementary File S1). Results Just over half (56.5%) of participants reported being afraid of falling. Multivariate logistic regression identified three independent risk factors that explained a total of 31% of the variance in the fear of falling: female sex (odds ratio (OR) = 4.21, 95% confidence interval (CI) = 2.35–7.55), higher body mass index (OR =3.93, 95% CI =1.53–10.10) and higher anxiety (OR = 1.56, 95% CI = 1.37–1.78). Conclusions Many older patients fear falling when they begin to move after TKA, particularly women and those with higher body mass index or anxiety. These subgroups may merit special attention from healthcare professionals to mitigate their fears and optimise recovery after TKA.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Zhang

2021

Journal of Clinical Nursing

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“…Artificial hip replacement has become one of the most commonly used methods for the treatment of hip disorders and the restoration of hip function in elderly patients [5]. Artificial hip replacement can effectively relieve pain, improve the functional status of limbs, and improve the quality of life of patients [6]. Although surgical treatment can shorten the bed rest period associated with hip-related diseases in elderly patients, long-term rehabilitation determines the extent of the mobility recovery of patients with hip replacement [7].…”

Section: Introductionmentioning

confidence: 99%

Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study

et al. 2019

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Background The needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery remain unclear. In this study, we qualitatively investigated the needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery. Methods A total of 21 participants undergoing home-based rehabilitation after hip replacement surgery were included in this study. Individual semi-structured interviews involving all participants were performed to determine the needs and experiences of this patient population during home-based rehabilitation. Data were subjected to qualitative content analysis. Results The patients had numerous needs during rehabilitation. Three substantive themes, namely, the need to obtain health-related knowledge, the need to obtain care and support, and the needs of those who cannot perform self-care, were identified from the qualitative data. The participants shared valuable insights into their needs during home-based rehabilitation after hip replacement and provided potential suggestions. Conclusions Patients undergoing home-based rehabilitation after hip replacement have several strong needs and lack proper guidance. The initial and continuous engagement of rehabilitation professionals and the establishment of related policies based on patient’s needs are potential approaches for improving the effectiveness of home-based rehabilitation after hip replacement.

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“…Similarly, in this study, the patients' preoperative quality of life mental scores were low and increased after the surgery. Patients having undergone TKR are known to experience fear of falling, anxiety about not being able to recover, and anxiety about undergoing reoperation (Robert, 2014;Turhan Damar, Bilik, Karayurt, & Ursavas, 2018). Visual and video education given preoperatively is reported to positively affect patients' postoperative psychological statuses (O'Connor, Brennan, Kazmerchak, & Pratt, 2016).…”

Section: Discussionmentioning

confidence: 99%

Total Diz Protezi Olan Hastalarda Video-Temelli Eğitim Programının Ağrı, Fiziksel Fonksiyon ve Yaşam Kalitesi Üzerine Etkileri

Damar¹,

Bilik

2022

İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi

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This study aimed to examine the effects of a video-based education program on pain, physical function, and quality of life in patients with total knee replacement and to explore their perceptions of the intervention. In this study, mixed methods were used. The intervention group (n= 40) patients were given the Video Based Education Program, whereas control group patients were given usual care (n=43). Data were evaluated using the WOMAC Index and Short Form-36 Health Survey. Data were collected at the postoperative sixth week and third month. After the quasi-experimental study data were collected, eleven patients were interviewed by in-depth interview method. While statistically significant differences were determined among patients in terms of pain, physical functioning, physical role, social functioning, emotional role, and mental component summary (p<0.05), no significant differences were determined in terms of stiffness, general health, vitality, and physical component summary (p>0.05). Five themes were identified after qualitative analyses. The video education seems to positively affect the participants' pain, physical function, and quality of life. Because patients have difficulty in remembering information and need support in applying the taught information, it may be recommended that the education is given to the patients be visual and interactive during the perioperative process.

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Factors related to older patients' fear of falling during the first mobilization after total knee replacement and total hip replacement

Cited by 14 publications

References 41 publications

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Incidence and risk factors related to fear of falling during the first mobilisation after total knee arthroplasty among older patients with knee osteoarthritis: A cross‐sectional study

Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study

Total Diz Protezi Olan Hastalarda Video-Temelli Eğitim Programının Ağrı, Fiziksel Fonksiyon ve Yaşam Kalitesi Üzerine Etkileri

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