i

Dear community of the Chilean Journal of Nursing, we inform you that we continue to receive articles for publication this 2024,
with a continuous publication system on Nursing and Health Sciences topics;
and an average publication time of nine weeks from article submission to publication. (GUIDELINES FOR THE AUTOR)

 

Fear of falling and perception of social support in older adults with previous falls

Authors

Download

Abstract

Introduction: Falls are one of the most common and serious problems faced by older adults. The fear of falling represents another significant health problem for older adults. Perceived social support provides physical, cognitive, emotional, behavioral, and social benefits. Objective: To examine the relationship between fear of falling and perceived social support in community-based older adults with a history of falls. Methodology: This was a descriptive, correlational, cross-sectional study conducted at the community center for older adults in the Comprehensive Family Development (DIF) program in the municipality of Torreón, Coahuila, Mexico. The sample consisted of 129 participants, and the sampling was non-probability and convenience. The instruments administered to participants were the Sociodemographic Data Sheet (CDS), the International Falls Efficacy Scale (FES-I), and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: 66.7% (f=86) were men, with an average age of 71.72 years (SD= 7.24). 42.6% (f. 55) presented a high fear of falling, 34.9% (f. 45) presented a moderate fear of falling, and only 22.5% (f. 29) reported having a low fear of falling again. Conclusions: These findings highlight the need to implement comprehensive geriatric care strategies that consider both biomedical and social aspects, with a preventive approach and the promotion of autonomy.

Keywords:

Aged , Social Support , Accidental Falls , Fear , Rural Population

References

Salari N, Darvishi N, Ahmadipanah M, Shohaimi S, Mohammadi M. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. J Orthop Surg Res 2022;17(1):334. http://dx.doi.org/10.1186/s13018-022-03222-1

Vaishya R, Vaish A. Falls in Older Adults are Serious. Indian J Orthop. 2020;54(1):69–74. http://dx.doi.org/10.1007/s43465-019-00037-x

Bradley SM. Falls in older adults: Falls in older adults. Mt Sinai J Med. 2011;78(4):590–595. http://dx.doi.org/10.1002/msj.20280

Organization WH, Ageing WHO, Unit LC: WHO global report on falls prevention in older age: World Health Organization; 2008.

Li Y, Hou L, Zhao H, Xie R, Yi Y, Ding X. Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis. Front Med 2022;9:1019094. http://dx.doi.org/10.3389/fmed.2022.1019094

Beck Jepsen D, Robinson K, Ogliari G, Montero-Odasso M, Kamkar N, Ryg J, et al. Predicting falls in older adults: an umbrella review of instruments assessing gait, balance, and functional mobility. BMC Geriatr. 2022;22(1):615. http://dx.doi.org/10.1186/s12877-022-03271-5

WHO. Falls. World Health Organization; 2021. https://www.who.int/news-room/fact-sheets/detail/falls

Tinetti ME, Williams CS. Falls, injuries due to falls, and the risk of admission to a nursing home. N Engl J Med 1997;337(18):1279–1284. http://dx.doi.org/10.1056/NEJM199710303371806

Ganz DA, Latham NK. Prevention of falls in community-dwelling older adults. N Engl J Med 2020;382(8):734–743. http://dx.doi.org/10.1056/NEJMcp1903252

Bahat Öztürk G, Kılıç C, Bozkurt ME, Karan MA. Prevalence and associates of fear of falling among community-dwelling older adults. J Nutr Health Aging 2021;25(4):433–439. http://dx.doi.org/10.1007/s12603-020-1535-9

Sakurai R, Fujiwara Y, Yasunaga M, Suzuki H, Sakuma N, Imanaka K, et al. Older adults with Fear of Falling show deficits in motor imagery of gait. J Nutr Health Aging 2017;21(6):721–726. http://dx.doi.org/10.1007/s12603-016-0811-1

Tinetti ME, Powell L. Fear of falling and low self-efficacy: a case of dependence in elderly persons. J Gerontol. 1993;48:35–38. https://doi.org/10.1093/geronj/48.special_issue.35

Vo THM, Nakamura K, Seino K, Nguyen HTL, Van Vo T. Fear of falling and cognitive impairment in elderly with different social support levels: findings from a community survey in Central Vietnam. BMC Geriatr 2020;20(1):141. http://dx.doi.org/10.1186/s12877-020-01533-8

de Souza LF, Canever JB, Moreira B de S, Danielewicz AL, de Avelar NCP. Association between fear of falling and frailty in community-dwelling older adults: A systematic review. Clin Interv Aging 2022;17:129–140. http://dx.doi.org/10.2147/CIA.S328423

MacKay S, Ebert P, Harbidge C, Hogan DB. Fear of falling in older adults: A scoping review of recent literature. Can Geriatr J 2021;24(4):379–394. http://dx.doi.org/10.5770/cgj.24.521

Todd K, Czech DR, Biber DD. The effect of perceived level of social support on the fear of falling: Prepared for activities, adaptation, and aging. Act Adapt Aging 2021;45(3):190–201. http://dx.doi.org/10.1080/01924788.2020.1746052

Sarason BR, Shearin EN, Pierce GR, Sarason IG. Interrelations of social support measures: Theoretical and practical implications. Journal of Personality and Social Psychology, 1987;52(4), 813–832. https://doi.org/10.1037/0022-3514.52.4.813

Soares CR, Okuno MFP. Assessment of social support in relation to the risk of falls among elderly. Rev Enferm UFPI 2024;13(1):e5078. http://dx.doi.org/10.26694/reufpi.v13i1.5078

Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52(1):30–41. http://dx.doi.org/10.1207/s15327752jpa5201_2

Okoye EC, Onwuakagba IU, Akile CC, Okonkwo UP, Akosile CO, Mgbeojedo UG, et al. Social support, general self-efficacy, fear of falling, and physical activity among older adults in a middle-income country. Gerontol Geriatr Med 2022;8:23337214221097750. http://dx.doi.org/10.1177/23337214221097750

Gray J, Grove SK. Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence. 8th ed. St. Louis, Missouri: Elsevier; 2017.

Mahoney FI, Barthel DW. Functional evaluation: The Barthel index. Md State Med J. 1965;14:61–65.

Duarte Ayala RE, Velasco Rojano ÁE. Validación psicométrica del índice de Barthel en adultos mayores mexicanos. Horiz Sanit. 2021;21(1). http://dx.doi.org/10.19136/hs.a21n1.4519

Delbaere K, Close JCT, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing 2010;39(2):210–216. http://dx.doi.org/10.1093/ageing/afp225

Figueiredo D, Neves M. Falls Efficacy Scale-International: Exploring psychometric properties with adult day care users. Arch Gerontol Geriatr 2018;79:145–150. http://dx.doi.org/10.1016/j.archger.2018.09.001

Ramírez-García E, García de la Torre GS, Rodríguez Reyes EJ, Moreno-Tamayo K, Espinel-Bermudez MC, Sánchez-García S. Factors associated with recovered functionality after hip fracture in non-institutionalized older adults: A case-control study nested in a cohort. Clin Interv Aging 2021;16:1515–1525. http://dx.doi.org/10.2147/CIA.S320341

Mariscal BE, Mariscal BE, Mena-Madrazo JA, Montiel AP. Fear of falling and related factors in patients living in a long-term care facility in Mexico city. J Am Med Dir Assoc 2015;16(3):B27. http://dx.doi.org/10.1016/j.jamda.2015.01.059

Pérez-Villalobos C, Briede-Westermeyer JC, Schilling-Norman MJ, Contreras-Espinoza S. Multidimensional scale of perceived social support: evidence of validity and reliability in a Chilean adaptation for older adults. BMC Geriatr 2021;21(1):461. http://dx.doi.org/10.1186/s12877-021-02404-6

Diario Oficial de la Federación. DECRETO por el que se reforman, adicionan y derogan diversas disposiciones del Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. 2014. https://www.dof.gob.mx/nota_detalle.php?codigo=5339162&fecha=02/04/2014

Malini FM, Lourenço RA, Lopes CS. Prevalence of fear of falling in older adults, and its associations with clinical, functional and psychosocial factors: the Frailty in Brazilian Older People-Rio de Janeiro study: Fear of falling: FIBRA-RJ study. Geriatr Gerontol Int 2016;16(3):336–344. http://dx.doi.org/10.1111/ggi.12477

Hoang OTT, Jullamate P, Piphatvanitcha N, Rosenberg E. Factors related to fear of falling among community-dwelling older adults. J Clin Nurs 2017;26(1–2):68–76. http://dx.doi.org/10.1111/jocn.13337

Wu K-Y, Chen D-R, Chan C-C, Yeh Y-P, Chen H-H. Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults. BMC Geriatr 2023;23(1):421. http://dx.doi.org/10.1186/s12877-023-04144-1

Fernández AS, Cáceres RD, Manrique-Anaya Y. Percepción del apoyo social en adultos mayores pertenecientes a las instituciones denominadas Centros de Vida. Divers.: Perspect. Psicol 2020;16(1): 55-64. http://dx.doi.org/10.15332/22563067.5541

Li Y, Hou L, Zhao H, Xie R, Yi Y, Ding X. Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis. Front Med 2022;9:1019094. http://dx.doi.org/10.3389/fmed.2022.1019094

World report on vision Who.int. World Health Organization; 2019. https://www.who.int/publications/i/item/9789241516570

International Diabetes Federation. Diabetes Atlas. Bélgica: IDF. 2023. https://www.diabetesatlas.org

Tsai Y-J, Sun W-J, Yang Y-C, Wei M-Y. Association of fear of falling and low physical activity with fall risk among older Taiwanese community-dwellers Research Square. 2024. http://dx.doi.org/10.21203/rs.3.rs-4393873/v1

Valencia Rico CL, Curcio CL. Fear of falling and environmental factors: A scoping review. Ann Geriatr Med Res 2022;26(2):83–93. http://dx.doi.org/10.4235/agmr.22.0016