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Auteur Tijana Mihaljcic
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Self-Awareness of Falls Risk Among Elderly Patients: Characterizing Awareness Deficits and Exploring Associated Factors / Tijana Mihaljcic in Archives of Physical Medicine and Rehabilitation, 2015/12 (2015)
Titre : Self-Awareness of Falls Risk Among Elderly Patients: Characterizing Awareness Deficits and Exploring Associated Factors Type de document : Article Auteurs : Tijana Mihaljcic ; Terry P. Haines ; Jennie L. Ponsford Article en page(s) : pp. 21452152 Langues : Anglais (eng) 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.
Prospective, cross-sectional design.
Older adult inpatient rehabilitation setting.
Rehabilitation inpatients (N=91; mean age, 77.97+8.04y) and their treating physiotherapist.
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.
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.
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.
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in Archives of Physical Medicine and Rehabilitation > 2015/12 (2015) . - pp. 21452152[article]