Risk factors of falling among hospitalized patients with neurological disease – post-fall analysis

Miertová, Michaela; Bóriková, Ivana; Tomagová, Martina; Madleňák, Jaroslav; Grendár, Marián; Barnau, Anna

doi:10.5114/ms.2021.104996

Cited by 3 publications

(2 citation statements)

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“…It is worth noting that elderly people with chronic diseases usually take several different types of medications, e.g in our study about 59% of the subjects had additional chronic diseases in addition to hypertension (multimorbidity phenomenon), and the average number of daily medications taken by a patient was 3.55 ±2.78. Correlation analysis did not show a significant relationship between the number of medications taken by patients and the level of adherence (p = 0.062), although other studies show that polypharmacy may worsen the adherence of elderly people with chronic diseases [29,30] and may contribute to adverse events such as falls [31].…”

Section: Discussionmentioning

confidence: 78%

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Willamowska¹,

Szwamel²

2023

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Introduction:Reduced accessibility to routine follow-up visits in GP surgeries during the COVID-19 pandemic as well as the failure to report to health care facilities for fear of infection may have disrupted doctor-patient cooperation and worsened adherence to therapeutic recommendations. Aim of the research:To examine the quality of life of patients with arterial hypertension and their assessment adherence to therapeutic recommendations during the COVID-19 pandemic. Material and methods: A total of 103 hypertensive patients of the Independent Public Healthcare Centre of the Ministry of Interior and Administration in Wroclaw were examined. The World Health Organization Quality of Life Instrument Short Form (WHOQOL-BREF) and the Adherence in Chronic Diseases Scale (ACDS) were used. Results:The mean score for perception of quality of life was 3.64 ±0.73. Quality of life was rated best in the psychological domain (M = 15.05, SD = 2.42) and worst in the physical domain (M = 13.25, SD = 2.67). 57.28% (59/103) of the respondents had medium adherence, 23.30% (24/103) had low adherence, and 19.42% (20/103) had high adherence. The level of adherence was significantly better among patients keeping a self-monitoring diary compared to those who did not keep such a diary (24.19 ±2.86 vs. 21.86 ±4.56, p = 0.007). Patient age (r = 0.323, p = 0.001) and systolic blood pressure value (r = -0.193, p = 0.05) significantly correlated with adherence level. The higher the level of adherence, the better the quality of life in the psychological (r = 0.197, p = 0.046) and social (r = 0.198, p = 0.045) domains. Conclusions: Adherence to the therapeutic plan and good patient-doctor cooperation are extremely important for the level of quality of life of hypertensive patients. StreszczenieWprowadzenie: Ograniczenie dostępności do rutynowych wizyt kontrolnych w gabinetach lekarskich w czasie pandemii COVID-19, jak również niezgłaszanie się pacjentów z nadciśnieniem tętniczym do placówek ochrony zdrowia w obawie przed zakażeniem mogło zaburzyć współpracę lekarza z pacjentem i pogorszyć przestrzeganie zaleceń terapeutycznych. Cel pracy: Zbadanie jakości życia pacjentów z nadciśnieniem tętniczym oraz ocena przestrzegania przez nich zaleceń terapeutycznych podczas pandemii COVID-19.

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Section: Discussionmentioning

confidence: 78%

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Willamowska¹,

Szwamel²

2023

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“…Degenerative changes, concomitant diseases, and a history of falls among older adults over 65 years of age appreciably contribute to overall reduction of individual activity and self-reliance, as well as an increase in the fear of falling [ 31 , 32 , 33 ]. Along with the rising number of seniors requiring appropriate assistance and specialist care, overall significance of the injuries sustained through falls is on the rise, as they may well result in disability and appreciably erode one’s overall quality of life [ 31 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Validation of FES-I and Short FES-I Scales in the Polish Setting as the Research Tools of Choice to Identify the Fear of Falling in Older Adults

Žák

Makara‐Studzińska

Mesterhazy

et al. 2022

IJERPH

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Fear of falling is associated with a clear hazard to individual self-reliance, reduced physical activity, as well as a sense of shame and loss of self-confidence. The present study aimed to complete the applicable translation and validation protocol for the Falls Efficacy Scale—International (FES-I) tool, following its prior adaptation to ensure full compatibility with the Polish setting. The FES-I questionnaire, along with its abridged version, was translated in line with the recommended standards of the MAPI Institute, taking into account both the cultural fabric and pertinent language specifics of the country. The survey was attended by 740 individuals (N = 740; 463 women, 277 men), over 60 years old. All respondents were required to complete both the FES-I and FES-I (Short) questionnaires twice, following an intervening period, and subsequently had their responses statistically assessed. The FES-I questionnaire, along with its abridged version, may be recommended as an effective assessment tool for addressing the fear of falling issue among the older adults, consequently allowing the teams of attending physicians, physiotherapists, psychologists, or psychiatrists to complete an unambiguous diagnosis, with a view to helping the patients overcome this particular type of anxiety.

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Experiences and perceptions of fear of falling in older adults: A systematic review and meta-synthesis of qualitative studies

Cui,

Zhong,

Gui

et al. 2025

Geriatric Nursing

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Risk factors of falling among hospitalized patients with neurological disease – post-fall analysis

Cited by 3 publications

References 0 publications

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Adherence to treatment and quality of life of patients with hypertension during the COVID-19 pandemic

Validation of FES-I and Short FES-I Scales in the Polish Setting as the Research Tools of Choice to Identify the Fear of Falling in Older Adults

Experiences and perceptions of fear of falling in older adults: A systematic review and meta-synthesis of qualitative studies

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