Knowledge about risk factors for falls and practice about fall prevention in older adults among physiotherapists in Nigeria

El-Shamaa

Minia Scientific Nursing Journal

2019

Background: Aging is associated with the loss of balance and increase risk for falling. Gerontological nurse play an essential role in reducing falling and its related injuries through providing safety measures, environmental modification, eliminating risk factors and improving the balance through exercise training Aim of the study: This study aimed to assess the effect of exercise program on balance and prevention of recurrent falling among elderly People. Research design: Quasi-experimental research design was utilized in the current study. Subjects: The study sample including 80 elderly clients male and female. Setting: This study was carried out at three geriatric homes in Minia city (Dar Omar Bn El-khatab-Dar El-Qedesa Hena-Dar El-raee el saleh). Tools of data collection: Two tools were utilized in collecting data; tool I: Interview structured questionnaire; tool II: Berg Balance Scale, the data were collected through one year. Methods: The researcher design booklet in Arabic language and give exercises training program for elderly clients. Results: The current study findings revealed that there was a highly Statistical significant difference in satisfaction of elderly knowledge that show the percent of satisfaction were (85%) after intervention. And also the finding revealed that there was a highly statistical significant difference improvement of elderly balance reported by (80%) and minimizes risk for falling at the end of intervention. Conclusion: The study findings concluded that the regular performing exercises enhances balance and reduces risk for falling for elderly people. Recommendations: We have to spot the light on elderly people to be a part of the education and exercises training program in geriatric homes and community also improve awareness of family members and health care givers about environmental hazards and how avoid it to prevent recurrent falling.

“…This result was in consistent with, (Kalu, et al, 2019), who mentioned that the majority of study sample have high level of knowledge about preventing falls among older adults.…”

Section: Discussionsupporting

confidence: 91%

Assess the Effect of Exercises program on balance and prevention of recurrent falling among Elderly People

El-Shamaa

Minia Scientific Nursing Journal

2019

“…Interestingly, our study also showed a strong correlation between knowledge, attitude and awareness of fall preventive measures with each other. This is supported by several studies as well (14,15,16,20). This shows that continued medical education and training of nurses is required to bring about an overall change in fall incidents in hospitalized patients.…”

Section: Discussionsupporting

confidence: 63%

Knowledge, Attitudes on Fall and Awareness of Hospitalized Patient’s Fall Risk Factors Among the Nurses Working in Tertiary Care Hospitals.

James¹,

Ravikumar²,

Myneni³

et al. 2020

Preprint

Back ground: Fall is the most common patient safety incident in health care organization. This study was initiated to obtain information regarding knowledge & attitude on fall and awareness of fall risk factors among nurses to device evidence based and multidisciplinary educational and training programme to improve patient safety and thereby reducing morbidity and mortality associated with fall. Methods: A descriptive cross sectional survey study was conducted among 339 registered nurses working in Tertiary care hospitals across Chennai, Tamil Nadu, India. Modified version of previously validated standard questionnaire was administered by the investigators through online survey method to explore the level of knowledge &attitude on fall and awareness of inpatient fall risk factors among Nurses. Results: In this study, 15.6% of participants had adequate knowledge on fall, 57.2% had favorable attitude towards fall and 38.3% adequate awareness on fall risk factors. Years of experience in nursing has statistical significant association with level of knowledge on fall. The participant’s attitude towards fall had statistical significant relationship with age, education, experience in nursing and previous patient fall experience. The correlation between fall knowledge, attitude of fall and awareness of fall risk factors were highly significant. Majority of the participants expressed their favorable attitude towards need for fall preventive education. Conclusion: In our study, it is evident that there is a void which has to be filled to improve the knowledge, attitude and awareness on fall and its risk factors .There is a need for extensive education and holistic, multifactorial and interdisciplinary training program to be undertaken through various health care organizations.

“…Variation between nations in referral patterns of foot problems to other health professionals may be due to local referral culture (Kalu et al., 2018) and structural differences in pathways of referral for physiotherapists in the two national health systems. Proportionally, more physiotherapists in Portugal felt that their entry‐level physiotherapy education had provided them with sufficient knowledge of exercise‐based interventions for falls prevention (‘very knowledgeable' 32% PT vs. 5% UK).…”

Section: Discussionmentioning

confidence: 99%

“…The survey was developed considering the latest evidence related to foot risk factors and exercise for falls prevention in community‐dwelling older adults, and was informed by two previous surveys (Kalu et al., 2018; Peel et al., 2008). A total of 28 questions were included.…”

Section: Methodsmentioning

confidence: 99%

Knowledge about foot‐specific foot falls risk factors and exercise among physiotherapists in the UK and Portugal: A cross‐sectional survey

Conde

Hendry

Woodburn

et al. 2022

Physiotherapy Res Intl

Background and purpose: Foot-related falls risk factors and specific foot and ankle exercise interventions are within the scope of Physiotherapy, yet little is known about United Kingdom (UK) and Portugal-based (PT) physiotherapists' selfperceived knowledge, confidence and practice of such interventions, or perceptions of patients' falls prevention knowledge. The purpose of this study was to assess levels of self-reported knowledge, confidence, and practices surrounding foot-specific falls risk and exercise for fall prevention in physiotherapists working in the UK and in Portugal. It also aimed to explore physiotherapists' views about their participants' falls prevention knowledge. Methods: A self-report online survey was developed, and pilot tested in both nations. Registered Physiotherapists were invited to participate through their professional associations, social media and snowballing. Mann-Whitney tests were used to compare mean ranks of ordinal variables between nations and Chi-square test to assess the independency between pairs of variables. Spearman's correlation coefficient (rs) was used to measure the association between pairs of variables (p < 0.05). Results: 682 physiotherapists participated in the survey [UK n = 229 (mean (SD) age = 43(10) years, 86.9% female]; PT n = 453 (mean (SD) age = 33(9) years, 78.3% female]. Among physiotherapists with a caseload of ≥70% older adults, more PT-based physiotherapists held postgraduate qualifications (p = 0.01). Most physiotherapists correctly identified generic and foot-specific risk factors (≥70% of participants for each item). More UK-based physiotherapists reported always prescribing ankle and foot exercises (42.6% vs. 33%, p =< 0.001) and displayed higher levels of self-reported confidence surrounding exercise-based interventions. Discussion: Our sample of UK and Portugal-based physiotherapists are aware of the contribution of foot-specific risk factors and exercise to falls prevention, with the former group being more confident in exercise-based interventions. Both groups of physiotherapists perceived that their older patients had little knowledge aboutThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.