Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life

International Journal of Environmental Research and Public Health

CarlA. Latkin¹  LongHoang Nguyen²  RogerC.M. Ho²  Giang Thu Vu³  TienQuoc Nguyen⁴  CyrusS.H. Ho⁵  HaiMinh Vu⁶  GiangHai Ha⁷  Cuong Tat Nguyen⁷  KietTuan Huy Pham⁸  Bach Xuan Tran⁸  TungHoang Tran⁹ 

[1] Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA;Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam;Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam;Department of Environment Health-Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam;Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore;Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam;Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietNam;Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 10000, Vietnam;Institute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 100000, Vietnam;

关键词: fear of falling;    health-related quality of life;    EQ-5D-5L;    older people;    Vietnam;   

DOI  :  10.3390/ijerph17072493

来源: DOAJ

【 摘 要 】

Fear of falling (FOF) diminishes older people’s independence in daily activities, as well as causes serious health and economic consequences. This study examined the prevalence of FOF in older patients hospitalized due to fall-injuries, its effect on health-related quality of life (HRQOL), and its associated factors. We conducted a cross-sectional study in seven hospitals in Thai Binh, Vietnam. FOF was assessed using a single close-ended question. HRQOL was evaluated by the EQ-5D-5L instrument. Multilevel logistic regression and Tobit regression models were utilized. The prevalence of FOF in 405 older patients admitted to hospitals after fall injuries was 88.2%, with a mean EQ-5D index and EQ-VAS of 0.34 (SD = 0.38) and 61.6 (SD = 15.2), respectively. Factors associated with FOF included living alone (OR = 0.13, 95%CI = 0.04; 0.50.,), history of eye diseases (OR = 4.12; 95%CI = 1.91; 8.89), and experiencing psychological distress (OR= 3.56, 95% CI = 1.05; 12.00). After adjusting for confounders, the EQ-5D index in the FOF group reduced by 0.15 points (Coef. = −0.15; 95%CI= −0.24; −0.05) compared to that of non-FOF group. Our study shows that FOF had an independent negative relationship with HRQOL of patients. Improving knowledge about fall prevention in patients and caregivers could reduce the burden of falls in older people.

【 授权许可】

Unknown