Assessment of the frequency of falls and attendant risk factors, in conjunction with self-perceived quality of life, in elderly residents of nursing facilities in Wroclaw, Poland

Q3 Health Professions

Physiotherapy Quarterly Pub Date : 2023-01-01 DOI:10.5114/pq.2023.117447

B. Ostrowska, P. Kozłowski, Beata Skolimowska, Rafał Bugaj

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Abstract

Introduction. An increase in the average life expectancy constitutes one of the greatest achievements of humanity, and at the same time a serious challenge for modern health protection and social care systems. The main aim of the work is to investigate quality of life and risk of falls. Methods. Forty-four people (30 females and 14 males) aged 63 to 99 (average: 83.2 ± 7.2), recruited from two local nursing homes, participated in the study. To assess the risk of falling, the short-form version of FallScreen (physiological profile assessment, Prince of Wales Medical Research institute) was used. To assess QoL (quality of life), the Polish version of the SF-36 questionnaire in its standard version was used. Results. it was indicated that in the year preceding the study, nearly 60% of participants fell; 32% ( n = 14) fell once and 27% ( n = 12) fell two or more times. occurrence of chronic diseases and taking at least three medications were reported by more than 80% of the seniors. The Results section presents the components of the physical and mental dimensions of the self-assessment of the quality of life of the participants of the study. The average index of quality of life among the studied people was 94.3 points, which is 55.2% of the maximum score. Conclusions. The dominating risk factor for falls, as established in the nursing home residents against the Physiological Profile Assessment (PPA) scale, consisted in slower reaction to a stimulus; its average value exceeding by threefold the reference value for healthy individuals of similar age.

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评估波兰弗罗茨瓦夫护理机构的老年居民跌倒频率和伴随的风险因素，并结合自我感知的生活质量

介绍。平均预期寿命的增加是人类最伟大的成就之一，同时也是对现代卫生保护和社会保健系统的严重挑战。这项工作的主要目的是调查生活质量和跌倒的风险。方法。从当地两家养老院招募了44名年龄在63 ~ 99岁之间的老人(女性30人，男性14人)，平均年龄:83.2±7.2岁。为了评估跌倒的风险，使用了FallScreen(生理概况评估，威尔士亲王医学研究所)的简短版本。为了评估QoL(生活质量)，使用波兰版SF-36问卷的标准版本。结果。研究表明，在研究前一年，近60%的参与者摔倒了;32% (n = 14)下跌1次，27% (n = 12)下跌2次及以上。超过80%的老年人报告有慢性疾病的发生和至少服用三种药物。结果部分展示了研究参与者生活质量自我评估的生理和心理维度的组成部分。调查对象的平均生活质量指数为94.3分，仅为满分的55.2%。结论。根据养老院居民的生理特征评估(PPA)量表，跌倒的主要危险因素包括对刺激的反应较慢;其平均值超过同龄健康个体参考值的3倍。

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来源期刊

Physiotherapy Quarterly Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Physiotherapy Quarterly ISSN 2544-4395 (formerly Fizjoterapia ISSN 1230-8323) is an international scientific peer-reviewed journal, published in both paper and electronic format by the University School of Physical Education in Wroclaw, Poland. The original version of the journal is its paper issue. The Editorial Office accepts original papers on various aspects of physiotherapy and rehabilitation for publication. Manuscripts in basic science and clinical physiotherapy science are published at the highest priority. Letters to the Editor, reports from scientific meetings and book reviews are also considered. Physiotherapy Quarterly publishes papers that show depth, rigor, originality and high-quality presentation. The scope of the journal: evidence-based rehabilitation; the mechanisms of function or dysfunction; modern therapy methods; best clinical practice; clinical reasoning and decision-making processes; assessment and clinical management of disorders; exploration of relevant clinical interventions; multi-modal approaches; psychosocial issues; expectations, experiences, and perspectives of physiotherapists. Quantitative, qualitative and mixed methods research articles are welcomed, together with systematic and high-quality narrative reviews.