Research Article
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DETERMINING THE RISK OF FALLING IN HYPERTENSIVE ELDERLY INDIVIDUALS

Year 2022, Volume: 31 Issue: 2, 235 - 241, 11.08.2022
https://doi.org/10.34108/eujhs.1027010

Abstract

In this study, determining the risk of falling and falling in hypertensive older people was aimed. This is a cross-sectional study descriptive study. There were 300 older people included in the research sample. The data were collected through a sociodemographic data form and a questionnaire on falling status. The data analysis of the research was conducted through the IBM SPSS Statistics 23 package program and evaluated by using the number, percentage, and chi-square tests. The mean age of the older people is 70.81±5.42(65-85), with 45.7% being women and 40.1% primary school graduates. One out of every three individuals was determined to have a falling history within the last year, 61% of them to fall at home, and about half (44.8%) them to have recurrent fallings. When the risk factors were evaluated, a statistically significant difference between the age, gender, balance problem, auxiliary-tool-usage status factors, and falling cases in elderly individuals was determined to occur (p<0.05). The risk of falling is 3.085 times higher for the elderly individuals having balance problems, and 1.806 times higher for those using assistive devices (OR=3.085, 95% CI: 1.570, 6.061; OR=1.806, 95% CI: 1.035, 3.153). Training and consultation services on balance and muscle strengthening exercises, selection of assistive devices, and home evaluations to prevent fallings should be provided, especially for hypertensive women older people who use assistive devices and have balance problems within these practices in primary health care services.  

References

  • 1.Özpancar N. Hipertansiyonda kanıta dayalı bakım uygulamaları. Kanıta Dayalı Bakım Uygulamaları Özel Sayısı Turkish Journal of Cardiovascular Nursing 2016; 7:2-11.
  • 2. Chow CK, Teo KK, Rangarajan S, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. The Journal of the American Medical Association 2013; 310:959-968
  • 3. Alp Ç, Sarak T, Çiftçi A, Kabalcı M. Approach to hypertension in the elderly. Turkish Journal of Clinics and Laboratory 2018; 9(3):233-236.
  • 4. Gazibara T, Kurtagic I, Kisic‐Tepavcevic D, et al. Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics 2017; 17(4):215-223.
  • 5. Lindell E, Kollén L, Johansson M, et al. Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population. Aging Clinical and Experimental Research2020; 32(6):1049-1056.
  • 6. AkgülA, TarakciE, Arman N, ve ark. Yaşlılarda denge, mobilite ve düşmenin değerlendirilmesi. Türkiye Klinikleri. Tıp Bilimleri Dergisi 2018; 38(1):94-98.
  • 7. Rubensteın LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing 2006; 35-S2:ii35–ii41.
  • 8. Vakili V, Taghipour A, Farkhani EM, et al. Risk factors for falls among elderly people. Elderly Health Journal 2019; 5(2):84-91.
  • 9. Yoo JS, Kim CG, Yim J F, Jeon MY. Risk factors of repeated falls in the old people. Korean Society of Exercise Rehabilitation 2019; 15(2):275-281.
  • 10.Kose N, Cuvalci S, EkiciG,et al. The risk factors of fall and their correlation with balance, depression, cognitive impairment and mobility skills in elderly nursing home residents.Saudi Medical Journal 2005; 26 (6):978-981.
  • 11. Iadecola C, Yaffe K, Biller J, et al. Impact of hypertension on cognitive function a scientific statement from the american heart association. Hypertansiyon 2016; 68(6):e67-e94.
  • 12. Kennelly SP, Lawlor B A, Kenny RA. Blood pressure and dementia comprehensive review. Therapeutic Advances İn Neurological Disorders 2019; 2(4):241-260.
  • 13. Rosano C, Longstreth WT, Boudreau R,et al.High blood pressure accelerates gait slowing in well‐functioning older adults over 18‐years of follow‐up. Journal of The American Geriatrics Society 2011; 59(3):390-397.
  • 14.Kılıç D, Gülnaz A, Hendekci A. Yaşlılık döneminin önemli sağlık sorunlarından biri: düşme ve düşmeyi etkileyen faktörler. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2021;12(2):517-523.
  • 15.Çevik C, Güneş S, Akrep A, ve ark. Balıkesir kent merkezinde iki aile sağlığı merkezine kayıtlı 65 yaş ve üzeri kişilerde düşmesıklığı ve ilişkili faktörler. Sağlık ve Toplum 2020; 20(3):59-68.
  • 16.Okuyan B, Bilgili N. Yaşlılarda mobilite ve düşme davranışları: Bir huzurevi çalışması. Hemşirelikte Eğitim ve Araştırma Dergisi 2018; 15(1):1-8.
  • 17. Ulusoylar N, Günay DFS, Dokuzlar Ö, Okudur SK. Geriatrik sendromlarda düşmesıklığı. Geriatrik Bilimler Dergisi 2019; 2(1):8-13.
  • 18.Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte araştırma: süreç, uygulama ve kritik. Nobel Tıp Kitabevi; 2017.
  • 19.Irmak HS, Karaaslan T, Arman N,ve ark. Düşme öyküsü olan yaşlıların ev ortamlarının ve düşme risklerinin incelenmesi. Türkiye Klinikleri Sağlık Bilimleri Dergisi 2019; 4(1):7-15.
  • 20.Çırak M, Irmak HS. Nörolojik hastalığı bulunan yaslılarda düşme riskinin analizi. Türkiye Klinikleri Tip Bilimleri Dergisi 2020; 40(3):297-305.
  • 21. Chobanian AV, Bakris GL, Black HR, et al. National high blood pressure education program coordinating committee. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. Jama 2003; 289: 2560-71.
  • 22. James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama 2014; 311: 507-20.
  • 23. Williams JS, Kowal P, Hestekin H, et al. Prevalence, risk factors and disability associated with fall-related injury in older adults in low-and middle-incomecountries: results from the WHO Study on global AGEing and adult health (SAGE). BMC Medicine. 2015;13(1):147.
  • 24. Ballard JE, McFarland C, Wallace LS, et al. The effect of 15 weeks of exercise on balance, leg strength, and reduction in falls in 40 women aged 65 to 89 years. Journal of The American Medical Women's Association 2004;59(9 ):255-61.
  • 25.Solmaz T, Altay B. Yaşlı bireylerde ilaç kullanımı ve düşmeye neden olan faktörlerin belirlenmesi. Balıkesir Sağlık Bilimleri Dergisi 2019;8(3):129-134.
  • 26. Jung D, Shin S, Kim HA. A fall prevention guideline for older adults living in long-term care facilities. International Nursing Review 2014;61(4):525-533.
  • 27. World Health Organization, World Health Organization. Ageing, & Life Course Unit. (2008). WHO global report on falls prevention in older age. World Health Organization.https://www.who.int/ageing/publications/Falls_prevention7March.pdf; Erişim tarihi:10.08.2021
  • 28. Shimbo D, Barrett Bowling C, Levitan EB, et al. Short-term risk of serious fall injuries in older adults initiating and intensifying treatment with antihypertensive medication. Circulation: Cardiovascular Quality and Outcomes 2016; 9(3): 222-229.
  • 29. Bromfield SG, Ngameni CA, Colantonio LD, et al. Blood pressure, antihypertensive polypharmacy, frailty, and risk for serious fall injuries among older treated adults with hypertension. Hypertension 2017; 70(2):259-266.
  • 30.Öztürk ZA, Türkbeyler İH, AbiyeA,ve ark. Health‐related quality of life and fall risk associated with age‐related body composition changes; sarcopenia, obesity and sarcopenic obesity. Internal Medicine Journal 2018; 48(8):973-981.
  • 31.Koçyiğit SE, Bulut EA, Aydın AE, ve ark. Yaşlı olgularda obezite ile sarkopeni birlikteliği: Sarkopenik obezite. İzmir Tepecik Eğitim Hastanesi Dergisi 2021;31(2):187-194.
  • 32. Mortazavi H, Tabatabaeichehr M, Taherpour M, Masoumi M. Relationship between home safety and prevalence of falls and fear of falling among elderly people: a cross-sectional study. Materia Socio-Medica2018;30(2):103.

HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ

Year 2022, Volume: 31 Issue: 2, 235 - 241, 11.08.2022
https://doi.org/10.34108/eujhs.1027010

Abstract

Bu araştırma hipertansif yaşlılarda düşme ve düşmeyi etkileyen risk faktörlerinin belirlenmesi amaçlanmıştır. Tanımlayıcı-kesitsel tipte olan araştırmaya 300 yaşlı alınmıştır. Veriler, sosyo demografik soru formu ve düşme durumuna ilişkin soru formu ile toplanmıştır. Araştırmanın verilerin analizi IBM SPSS Statistics 23 paket program üzerinden yapılmış; sayı, yüzde ve ki-kare testleri kullanılarak değerlendirilmiştir. Yaşlıların ortalama yaşı 70.81±5.42 (65-85) ve % 45.7’si kadın olup, % 40.1’inin eğitim düzeyi ilkokul mezunudur. Her üç yaşlıdan birinin son bir yıl içinde düşme öyküsü olup, % 61’i ev içinde düştüğü, yaklaşık yarısının (% 44.8) tekrarlayan düşmelerinin olduğu saptanmıştır. Risk faktörleri değerlendirildiğinde; yaş, cinsiyet, beden kitle indeksi, denge problemi, yardımcı araç kullanma durumu ile yaşlılarda düşme durumu arasında istatistiksel olarak anlamlı fark olduğu belirlenmiştir (p<0.05). Denge problem yaşayan yaşlıların düşme riski 3.085 kat, yardımcı araç kullananların düşme riski 1.806 kat daha fazladır (OR=3.085, 95% CI: 1.570, 6.061; OR=1.806, 95% CI: 1.035, 3.153). Yardımcı araç kullanan, denge problem yaşayan hipertansif kadın yaşlılar başta olmak üzere denge ve kas kuvvetlendirme egzersizleri, yardımcı araç seçimi, düşmeyi önleyici ev içi değerlendirmelerine yönelik halk sağlığı hemşireleri tarafından eğitim ve danışmanlık hizmeti verilmelidir.

References

  • 1.Özpancar N. Hipertansiyonda kanıta dayalı bakım uygulamaları. Kanıta Dayalı Bakım Uygulamaları Özel Sayısı Turkish Journal of Cardiovascular Nursing 2016; 7:2-11.
  • 2. Chow CK, Teo KK, Rangarajan S, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. The Journal of the American Medical Association 2013; 310:959-968
  • 3. Alp Ç, Sarak T, Çiftçi A, Kabalcı M. Approach to hypertension in the elderly. Turkish Journal of Clinics and Laboratory 2018; 9(3):233-236.
  • 4. Gazibara T, Kurtagic I, Kisic‐Tepavcevic D, et al. Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics 2017; 17(4):215-223.
  • 5. Lindell E, Kollén L, Johansson M, et al. Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population. Aging Clinical and Experimental Research2020; 32(6):1049-1056.
  • 6. AkgülA, TarakciE, Arman N, ve ark. Yaşlılarda denge, mobilite ve düşmenin değerlendirilmesi. Türkiye Klinikleri. Tıp Bilimleri Dergisi 2018; 38(1):94-98.
  • 7. Rubensteın LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing 2006; 35-S2:ii35–ii41.
  • 8. Vakili V, Taghipour A, Farkhani EM, et al. Risk factors for falls among elderly people. Elderly Health Journal 2019; 5(2):84-91.
  • 9. Yoo JS, Kim CG, Yim J F, Jeon MY. Risk factors of repeated falls in the old people. Korean Society of Exercise Rehabilitation 2019; 15(2):275-281.
  • 10.Kose N, Cuvalci S, EkiciG,et al. The risk factors of fall and their correlation with balance, depression, cognitive impairment and mobility skills in elderly nursing home residents.Saudi Medical Journal 2005; 26 (6):978-981.
  • 11. Iadecola C, Yaffe K, Biller J, et al. Impact of hypertension on cognitive function a scientific statement from the american heart association. Hypertansiyon 2016; 68(6):e67-e94.
  • 12. Kennelly SP, Lawlor B A, Kenny RA. Blood pressure and dementia comprehensive review. Therapeutic Advances İn Neurological Disorders 2019; 2(4):241-260.
  • 13. Rosano C, Longstreth WT, Boudreau R,et al.High blood pressure accelerates gait slowing in well‐functioning older adults over 18‐years of follow‐up. Journal of The American Geriatrics Society 2011; 59(3):390-397.
  • 14.Kılıç D, Gülnaz A, Hendekci A. Yaşlılık döneminin önemli sağlık sorunlarından biri: düşme ve düşmeyi etkileyen faktörler. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2021;12(2):517-523.
  • 15.Çevik C, Güneş S, Akrep A, ve ark. Balıkesir kent merkezinde iki aile sağlığı merkezine kayıtlı 65 yaş ve üzeri kişilerde düşmesıklığı ve ilişkili faktörler. Sağlık ve Toplum 2020; 20(3):59-68.
  • 16.Okuyan B, Bilgili N. Yaşlılarda mobilite ve düşme davranışları: Bir huzurevi çalışması. Hemşirelikte Eğitim ve Araştırma Dergisi 2018; 15(1):1-8.
  • 17. Ulusoylar N, Günay DFS, Dokuzlar Ö, Okudur SK. Geriatrik sendromlarda düşmesıklığı. Geriatrik Bilimler Dergisi 2019; 2(1):8-13.
  • 18.Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte araştırma: süreç, uygulama ve kritik. Nobel Tıp Kitabevi; 2017.
  • 19.Irmak HS, Karaaslan T, Arman N,ve ark. Düşme öyküsü olan yaşlıların ev ortamlarının ve düşme risklerinin incelenmesi. Türkiye Klinikleri Sağlık Bilimleri Dergisi 2019; 4(1):7-15.
  • 20.Çırak M, Irmak HS. Nörolojik hastalığı bulunan yaslılarda düşme riskinin analizi. Türkiye Klinikleri Tip Bilimleri Dergisi 2020; 40(3):297-305.
  • 21. Chobanian AV, Bakris GL, Black HR, et al. National high blood pressure education program coordinating committee. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. Jama 2003; 289: 2560-71.
  • 22. James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama 2014; 311: 507-20.
  • 23. Williams JS, Kowal P, Hestekin H, et al. Prevalence, risk factors and disability associated with fall-related injury in older adults in low-and middle-incomecountries: results from the WHO Study on global AGEing and adult health (SAGE). BMC Medicine. 2015;13(1):147.
  • 24. Ballard JE, McFarland C, Wallace LS, et al. The effect of 15 weeks of exercise on balance, leg strength, and reduction in falls in 40 women aged 65 to 89 years. Journal of The American Medical Women's Association 2004;59(9 ):255-61.
  • 25.Solmaz T, Altay B. Yaşlı bireylerde ilaç kullanımı ve düşmeye neden olan faktörlerin belirlenmesi. Balıkesir Sağlık Bilimleri Dergisi 2019;8(3):129-134.
  • 26. Jung D, Shin S, Kim HA. A fall prevention guideline for older adults living in long-term care facilities. International Nursing Review 2014;61(4):525-533.
  • 27. World Health Organization, World Health Organization. Ageing, & Life Course Unit. (2008). WHO global report on falls prevention in older age. World Health Organization.https://www.who.int/ageing/publications/Falls_prevention7March.pdf; Erişim tarihi:10.08.2021
  • 28. Shimbo D, Barrett Bowling C, Levitan EB, et al. Short-term risk of serious fall injuries in older adults initiating and intensifying treatment with antihypertensive medication. Circulation: Cardiovascular Quality and Outcomes 2016; 9(3): 222-229.
  • 29. Bromfield SG, Ngameni CA, Colantonio LD, et al. Blood pressure, antihypertensive polypharmacy, frailty, and risk for serious fall injuries among older treated adults with hypertension. Hypertension 2017; 70(2):259-266.
  • 30.Öztürk ZA, Türkbeyler İH, AbiyeA,ve ark. Health‐related quality of life and fall risk associated with age‐related body composition changes; sarcopenia, obesity and sarcopenic obesity. Internal Medicine Journal 2018; 48(8):973-981.
  • 31.Koçyiğit SE, Bulut EA, Aydın AE, ve ark. Yaşlı olgularda obezite ile sarkopeni birlikteliği: Sarkopenik obezite. İzmir Tepecik Eğitim Hastanesi Dergisi 2021;31(2):187-194.
  • 32. Mortazavi H, Tabatabaeichehr M, Taherpour M, Masoumi M. Relationship between home safety and prevalence of falls and fear of falling among elderly people: a cross-sectional study. Materia Socio-Medica2018;30(2):103.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Research Reports
Authors

Ayşegül Özcan 0000-0003-1626-3342

Publication Date August 11, 2022
Submission Date November 22, 2021
Published in Issue Year 2022 Volume: 31 Issue: 2

Cite

APA Özcan, A. (2022). HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ. Sağlık Bilimleri Dergisi, 31(2), 235-241. https://doi.org/10.34108/eujhs.1027010
AMA Özcan A. HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ. JHS. August 2022;31(2):235-241. doi:10.34108/eujhs.1027010
Chicago Özcan, Ayşegül. “HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ”. Sağlık Bilimleri Dergisi 31, no. 2 (August 2022): 235-41. https://doi.org/10.34108/eujhs.1027010.
EndNote Özcan A (August 1, 2022) HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ. Sağlık Bilimleri Dergisi 31 2 235–241.
IEEE A. Özcan, “HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ”, JHS, vol. 31, no. 2, pp. 235–241, 2022, doi: 10.34108/eujhs.1027010.
ISNAD Özcan, Ayşegül. “HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ”. Sağlık Bilimleri Dergisi 31/2 (August 2022), 235-241. https://doi.org/10.34108/eujhs.1027010.
JAMA Özcan A. HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ. JHS. 2022;31:235–241.
MLA Özcan, Ayşegül. “HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ”. Sağlık Bilimleri Dergisi, vol. 31, no. 2, 2022, pp. 235-41, doi:10.34108/eujhs.1027010.
Vancouver Özcan A. HİPERTANSİF YAŞLILARDA DÜŞME RİSKİNİN BELİRLENMESİ. JHS. 2022;31(2):235-41.