Evaluation of Factors Associated with Fall History and Fear of Falling in Geriatric Female Patients with Osteoporosis

Yıl 2023, , 202 - 210, 31.08.2023

Alper Mengi , Emre Sualp

https://doi.org/10.29058/mjwbs.1262316

Öz

Aim: Fear of falling is a common condition in patients with osteoporosis and leads to a decrease in
physical performance of patients, causing a vicious cycle. The objective of the study was to determine
the frequency of falls, descriptive data regarding falls, and factors associated with falling in female
patients with osteoporosis aged 65 years and over, and to evaluate the factors that may affect fear of
falling (FoF).
Material and Methods: Ninety eight female patients (mean age: 74.0±5.1 years) were evaluated with
descriptive information about fall history and FoF, demographic and clinical data, and routine blood
tests. Falls Efficacy Scale International, hand grip strength, the Rivermead Mobility Index, and the
Douleur Neuropathique 4 questionnaire scores were compared.
Results: 25-hydroxyvitamin D, vitamin B12, and hand grip strength were lower and hemoglobin A1C
level was higher in patients who fell within the last three months (p<0.001, p=0.002, p<0.001, p=0.026,
respectively). All patients who fell had FoF, did not live alone, and did not engage in regular physical
activity. The majority of the patients who fell had previously been diagnosed with osteoporosis (83.3%)
and had poorer sleep quality (p=0.003). Increasing age, late menopause, and living alone had a
significant effect on FoF (p=0.026, p=0.010, p=0.006, respectively).
Conclusion: While falling may be associated with serum vitamin D and B12 levels, muscle strength,
blood glucose level, regular physical activity, having FoF, living alone, poor sleep quality and previously
diagnosed with OP; FoF may be associated with advanced age, age of menopause, and living alone.
These results show that falls and FoF are multifactorial events in geriatric patients with osteoporosis

Anahtar Kelimeler

Aging, Elderly, Falling, Fear of falling, Osteoporosis

Destekleyen Kurum

N/A

Proje Numarası

N/A

Teşekkür

N/A

Osteoporozu Olan Geriatrik Kadın Hastalarda Düşme Öyküsü ve Düşme Korkusu ile İlişkili Faktörlerin Değerlendirilmesi

Öz

Amaç: Osteoporozlu hastalarda düşme korkusu sık görülen bir durumdur ve hastaların fiziksel
performanslarında azalmaya yol açarak kısır bir döngüye yol açar. Bu çalışmanın amacı, 65 yaş ve üstü
osteoporozu olan kadın hastalarda, düşme sıklığını, düşmeye ilişkin tanımlayıcı verileri, düşme ile ilişkili
faktörleri belirlemek ve düşme korkusunu etkileyebilecek faktörleri değerlendirmektir.
Gereç ve Yöntemler: Doksan sekiz kadın hasta (yaş ortalaması: 74.0±5.1) , düşme öyküsü ve düşme
korkusuna ilişkin tanımlayıcı bilgiler, demografik ve klinik veriler ve rutin kan testleri ile değerlendirildi.
Hastaların Uluslararası Düşme Etkinliği Ölçeği, el kavrama gücü, Rivermead Mobilite İndeksi ve Douleur
Neuropathique 4 anket puanları karşılaştırıldı.
Bulgular: Son üç ay içinde düşen hastalarda 25-hidroksivitamin D, vitamin B12 ve el kavrama kuvveti
daha düşük, hemoglobin A1C düzeyi daha yüksekti (sırasıyla, p<0.001, p=0.002, p<0.001, p=0.026).Düşen hastaların tamamında düşme korkusu vardı, düşen tüm hastalar evde yalnız yaşamıyor ve düzenli fiziksel aktivite yapmıyordu. Düşen
hastaların çoğuna (%83.3) daha önceden osteoporoz tanısı konmuştu ve uyku kaliteleri daha kötüydü (p=0.003). Yaşın ilerlemesi, geç
menopoz ve yalnız yaşama düşme korkusu üzerinde anlamlı bir etkiye sahipti (sırasıyla, p=0.026, p=0.010, p=0.006).
Sonuç: Düşme, serum D ve B12 vitamini düzeyi, kas gücü, kan glikoz düzeyi, düzenli fiziksel aktivite, düşme korkusu, yalnız yaşama, kötü
uyku kalitesi ve önceden osteoporoz tanısı almış olma ile ilişkili olabilirken; düşme korkusu, ileri yaş, menopoz yaşı ve yalnız yaşama ile
ilişkili olabilir. Bu sonuçlar düşme ve düşme korkusunun osteoporozu olan geriatrik hastalarda çok faktörlü olaylar olduğunu göstermektedir

Anahtar Kelimeler

Yaşlanma, Yaşlı, Düşme, Düşme Korkusu, Osteoporoz

Proje Numarası

N/A

Kaynakça

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