The Contingency of Frailty Level with the Perception of Risks of Falls in Various Living and Public Environments of Older Adults
Notice bibliographique
Résumé
Aim: This study investigated the association between frailty levels as determined by the Edmonton Frail Scale and the prevalence of perception of the risk of adverse falls in the domestic and outdoor environment among those older adults who fell so hard that they required hospital treatment (H.) and those older adults who had never encountered such a problem related to falls (C.). Predisposing and triggering factors for falls can be controlled, which is of interest from a public health perspective and, therefore, studied here. Methods: A quantitative cross-sectional study was conducted on a sample of 400 pensioners over 65 years of age from Zagreb region (1.2 million inhabitants, and more than 20% are aged 65+), which involved dividing the population into two subgroups: those who had fallen so hard that they had required hospital treatment (here marked “from Hospital”, or H.) and those who had never encountered such a problem related to falls and are registered as a pensioners in the region (here marked “from Community” or C.). The Edmonton Frail Scale and an additional questionnaire were used to assess the impact of frailty on perceptions of the risk of adverse falls in specific areas of their living environment. Data were collected by nurses using a structured questionnaire face-to-face, and a Chi-square test was used to analyze the dependency, while the z + 4 test evaluated the differences in percentage of those who are aware of a fall risk in case of moderate frailty or severe frailty among these two subgroups. Results: A statistically significant dependency was found between the degree of frailty and the prevalence of the perception of fall risk at least in one of the subgroups H. or C., especially in their homes, moving around their home, climbing up and down stairs, and in the kitchen. Comparing the prevalence of perception of the risk between C. and H., the difference in recognition of risk hazard has been significant for climbing up and down stairs. Among the major problems of non-adapted buildings are slippery floors (for C.), poorly installed or no fence at all (for H.), and inadequate or poor lighting (for H.). The perception of external obstacles (sidewalks, distance from institutions, public lighting) also increases with the deterioration of the functional state. Conclusions: The results confirm the importance of individualized adaptation of residential and public spaces in accordance with the degree of frailty. It is necessary to warn older adults about the risks of falling, both those who have not yet had this experience, as well as those who have suffered the consequences that have led to hospitalization, to reduce the frequency and consequences of falls.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».