TY  - JOUR
PY  - 2013//
TI  - Fear of falling in patients with hip fractures: prevalence and related psychological factors
JO  - Journal of the American Medical Directors Association
A1  - Visschedijk, Jan
A1  - van Balen, Romke
A1  - Hertogh, Cees
A1  - Achterberg, Wilco P.
SP  - 218
EP  - 220
VL  - 14
IS  - 3
N2  - OBJECTIVE: To determine the prevalence of fear of falling (FoF) in patients after a hip fracture, to investigate the relation with time after fracture, and to assess associations between FoF and other psychological factors. DESIGN: Cross-sectional study performed between September 2010 and March 2011 in elderly patients after a hip fracture. SETTING: Ten postacute geriatric rehabilitation wards in Dutch nursing homes. PARTICIPANTS: A total of 100 patients aged ≥65 years with a hip fracture admitted to a geriatric rehabilitation ward. MEASUREMENTS: FoF and related concepts such as falls-related self-efficacy, depression, and anxiety were measured by means of self-assessment instruments. RESULTS: Of all patients, 36% had a little FoF and 27% had quite a bit or very much FoF. Scores on the Falls Efficacy Scale-International were 30.6 in the first 4 weeks after hip fracture, 35.6 in the second 4 weeks, and 29.4 in the period ≥8 weeks after fracture. In these 3 periods, the prevalence rates of FoF were 62%, 68%, and 59%, respectively. Significant correlations were found between FoF and anxiety (P < .001), and self-efficacy (P < .001). CONCLUSION: In these patients with a hip fracture, FoF is common and is correlated with anxiety and falls-related self-efficacy. During rehabilitation, FoF is greatest in the second 4 weeks after hip fracture. More studies are needed to explore the determinants of FoF and develop interventions to reduce FoF and improve outcome after rehabilitation.<p />  <p>Language: en</p>
LA  - en
SN  - 1525-8610
UR  - http://dx.doi.org/10.1016/j.jamda.2012.10.013
ID  - ref1
ER  -