The Effect of Frailty on Quality of Life in Older Patients Receiving Hemodialysis and Associations With Fear of Falling

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2025-03-10 DOI:10.1111/hdi.13228

Zülfünaz Özer, Gülcan Bahçecioğlu Turan, Seda Başak

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引用次数: 0

Abstract

Purpose

This study investigated the effect of frailty and avoidance behavior due to fear of falling on the quality of life in older patients receiving hemodialysis treatment.

Methods

This study is cross-sectional and descriptive. The study was conducted between January 2 and 31, 2022, with 154 individuals aged 65 years and over receiving treatment in dialysis centers. The study data were collected using the Patient Information Form, Edmonton Frail Scale, Fear of Falling Avoidance-Behavior Questionnaire, and Quality of Life Scale (SF-12).

Results

The Mean Edmonton Frail Scale score was found to be 8.7 ± 3.36, the mean Fear of Falling Avoidance-Behavior Questionnaire score was found to be 33.17 ± 9.11, the mean SF-12 physical component score was found to be 34.32 ± 8.51, and the mean mental component score was seen as 41.77 ± 8.35. The Fear of Falling Avoidance-Behavior Questionnaire was an associated factor in the effect of the Edmonton Frail Scale on quality of life. It strengthened the negative impact of the Edmonton Frail Scale on quality of life. The predictive effect of these two variables in explaining quality of life was 59.3%.

Conclusion

It was found that the participants had moderate levels of frailty, moderate levels of activity limitation, and participation restriction due to fear of falling, and low levels of physical and mental quality of life. It was determined that frailty had a direct impact on quality of life. Also, the indirect effect of frailty on quality of life was determined through the role of avoidance behavior due to fear of falling.

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衰弱对老年血液透析患者生活质量的影响及其与跌倒恐惧的关系。

目的：探讨老年血液透析患者因害怕跌倒而产生的虚弱和回避行为对生活质量的影响。方法：本研究采用横断面描述性方法。该研究于2022年1月2日至31日进行，共有154名65岁及以上的患者在透析中心接受治疗。研究数据采用患者信息表、埃德蒙顿虚弱量表、害怕避免跌倒行为问卷和生活质量量表（SF-12）收集。结果：埃德蒙顿体弱量表平均得分为8.7±3.36分，害怕坠落回避行为问卷平均得分为33.17±9.11分，SF-12身体成分平均得分为34.32±8.51分，心理成分平均得分为41.77±8.35分。在埃德蒙顿体弱量表对生活质量的影响中，恐惧逃避行为问卷是一个相关因素。它加强了埃德蒙顿虚弱量表对生活质量的负面影响。这两个变量解释生活质量的预测效应为59.3%。结论：研究发现，参与者存在中度虚弱，中度活动限制和因害怕跌倒而限制参与，身心生活质量较低。人们确定，虚弱对生活质量有直接影响。此外，虚弱对生活质量的间接影响是通过由于害怕跌倒而导致的回避行为的作用来确定的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.