| Titre : | Self-Awareness of Falls Risk Among Elderly Patients: Characterizing Awareness Deficits and Exploring Associated Factors (2015) |
| Auteurs : | Tijana Mihaljcic ; Terry P. Haines ; Jennie L. Ponsford |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/12, 2015) |
| Article en page(s) : | pp. 2145–2152 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation |
| Mots-clés: | Accidental falls ; Chutes accidentelles ; Awareness ; Conscience immédiate |
| Résumé : |
Objective To characterize self-awareness in older adults undergoing inpatient rehabilitation and explore factors associated with reduced awareness of falls risk. Design Prospective, cross-sectional design. Setting Older adult inpatient rehabilitation setting. Participants Rehabilitation inpatients (N=91; mean age, 77.97+8.04y) and their treating physiotherapist. Interventions None. Main Outcome Measures Three aspects of self-awareness (intellectual, emergent, anticipatory) were measured using the Self-Awareness of Falls Risk Measure. Demographic, medical, and cognitive (Mini-Mental State Examination) information were collected. Current ability was measured using the FIM and timed Up and Go test. Results Of the patients in the sample, 31% to 63% underestimated falls risk and 3% to 10% overestimated falls risk depending on the aspect of awareness measured. Different aspects of reduced self-awareness were correlated with being a man, higher educational attainment, neurologic history, lower cognitive ability, and lower functional ability. Regression analysis indicated that sex (β=−.33, P=.004), education (β=−.30, P=.006), and neurologic history (β=−.22, P=.038) were independently associated with overall self-awareness. Conclusions The results suggest that a proportion of older adults undergoing inpatient rehabilitation underestimate personal falls risk. Further research is required to investigate the contributors to and effects of reduced self-awareness of falls risk. Greater understanding of these factors will facilitate the development of strategies to increase awareness of falls risk and increase engagement in falls prevention. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931501093X |
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