Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Health-related Quality of Life of Fallers vs. Non-fallers in Community-dwelling Elderly People

지역사회거주 노인에서 낙상유경험자와 무경험자간의 삶의 질 비교

  • Received : 2012.11.02
  • Accepted : 2012.12.20
  • Published : 2012.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of the study was to compare levels of health-related quality of life (HRQOL) between fallers and non-fallers among community-dwelling elderly people. Methods: A cross-sectional comparative study was conducted with the secondary analysis of 2,067 elderly people registered in S-Gu Visiting Health Care Program in Seoul, South Korea. Participants were 206 fallers and 206 non-fallers who were age- and sex-matched with fallers. HRQOL was measured by SF-8 including physical component summary (physical HRQOL) and mental component summary (mental HRQOL). Results: There were more people in the faller group having more than or equal to three chronic diseases (p<.001), living in multiplex houses (p=.004), and being dependent by the activities of daily living (ADL) (p=.001) and instrumental ADL (IADL) levels (p<.001) than those in the non-faller group. Fallers had higher levels of depression than non-fallers (p<.001). Moreover, fallers had significantly lower levels of both physical HRQOL (p<.001) and mental HRQOL (p=.001), after adjusting for number of chronic diseases, ADL, IADL, depression, healthcare insurance, and living environment. Conclusion: Among the community-dwelling elderly people, falllers had lower levels of HRQOL than non-fallers, and such a difference remained even after the adjustment for covariates. Factors that underlie the different susceptibility to HRQOL need to be explored.

Keywords

References

  1. Alcalde Tirado, P. (2010). Fear of falling. Revista Espanola de Geriatria y Gerontologia, 45(1), 38-44. https://doi.org/10.1016/j.regg.2009.10.006
  2. Bowling, A. (2009). Perception of active ageing in Britain: Divergences between minority ethnic and whole population samples. Age Ageing, 38(6), 703-710. http://dx.doi.org/10.1093/ageing/afp175
  3. Bruyere, O., Wuidart, M. A., Di Palma, E., Gourlay, M., Ethgen, O., Richy, F., et al. (2005). Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Archives of Physical Medicine and Rehabilitation, 86(2), 303-307. https://doi.org/10.1016/j.apmr.2004.05.019
  4. Campbell, A. J., Borrie, M. J., & Spears, G. F. (1989). Risk factor for falls in a community-based prospective study of people 70 years and older. Journal of Gerontology, 44(5), M112-117. https://doi.org/10.1093/geronj/44.5.M112
  5. Centers for Disease Control and Prevention. (2006). Fatalities and injuries from falls among older adults-United States, 1993-2003 and 2001-2005. Morbidity and Mortality Weekly Report, 55, 1222-1224.
  6. Chang, N., Chi, L., Yang, N., & Chou, P. (2010). The impact of falls and fear of falling on health-related quality of life in Taiwanese elderly. Journal of Community Health Nursing, 27(2), 84-95. http://dx.doi.org/10.1080/07370011003704958
  7. Chang, C. M., & Kang, H. S. (2004). Physical function and psychological status in the elderly those who experienced a fall or not. The Korean Journal of Rehabilitation Nursing, 7(1), 48-57.
  8. Cumming, R. G., Salkeld, G., Thomas, M., & Szonyi, G. (2000). Prospective study of the impact of fear of falling on activities of daily living. SF-36 scores, and nursing home admission. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 55(5), M299-305. https://doi.org/10.1093/gerona/55.5.M299
  9. Graafmans, W. C., Ooms, M. E., Hofstee, H. M. A., Bezemer, P. D., Bouter, L. M., & Lips, P. (1996). Falls in the elderly: A prospective study of risk factors and risk profiles. American Journal of Epidemiology, 143(11), 1129-1136. https://doi.org/10.1093/oxfordjournals.aje.a008690
  10. Huang, T. T., & Liang, S. H. (2005). A randomized clinical trial of the effectiveness of a discharge planning intervention on hospitalized elders with hip fracture due to falling. Journal of Clinical Nursing, 14(10), 1193-1201. https://doi.org/10.1111/j.1365-2702.2005.01260.x
  11. Jorstad, E. C., Hauer, K., Becker, C., & Lamb, S. E. (2005). Measuring the psychological outcomes of falling: A systemic review. Journal of the American Geriatrics Society, 53(3), 501-510. https://doi.org/10.1111/j.1532-5415.2005.53172.x
  12. Kannus, P., Sievanen, H., Palvanen, M., Jarvinen, T., & Parkkari, J. (2005). Prevention of falls and consequent injuries in elderly people. Lancet, 366(9500), 1885-1893. https://doi.org/10.1016/S0140-6736(05)67604-0
  13. Kim, B. H., Kim, Y. S., & Jeon, H. W. (2007). A study of the subjectivity of quality of life of the elderly women. Journal of Korean Academy of Adult Nursing, 19(5), 775-786.
  14. Kim, E. Y., Shin, E. Y., & Kim, Y. M. (2004). Caregiver burden and health-related quality of life among stroke caregivers. Journal of Korean Public Health, 18(1), 5-13.
  15. Kim, J. M. (2009). An analysis of falls in the elderly: A PRECEDE model approach. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  16. Kim, S. N. (2012). Effects of a multifactorial fall prevention program on physical psychological function and home environmental hazards in community dwelling low-income elderly. The Korean Gerontological Society, 32(2), 377-395.
  17. Lach, H. W. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nursing, 22(1), 45-52. https://doi.org/10.1111/j.0737-1209.2005.22107.x
  18. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20(1), 12-22.
  19. Legters, K. (2002). Fear of falling. Physical Therapy, 82(3), 264-272.
  20. Nevitt, M. C., Cummings, S. R., & Hudes, E. S. (1991). Risk factors for injurious falls: A prospective study. The Journal of Gerontology, 46(5), M164-170. https://doi.org/10.1093/geronj/46.5.M164
  21. O'Loughlin, J. L., Robitaille, Y., Boivin, J. F., & Suissa, S. (1993). Incidence of and risk factors for falls and injurious falls among the community -dwelling elderly. American Journal of Epidemiology, 137(3), 342-354. https://doi.org/10.1093/oxfordjournals.aje.a116681
  22. Ozcan, A., Donat, H., Gelecek, N., Ozdirenc, M., & Karadibak, D. (2005). The relationship between risk factors for falling and the quality of life in older adults. BioMed Central Public Health, 5, 90. https://doi.org/10.1186/1471-2458-5-90
  23. Roe, B., Howell, F., Riniotis, K., Beech, R., Crome, P., & Ong, B. N. (2008). Older people's experience of falls: Understanding, interpretation and autonomy. Journal of Advanced Nursing, 63(6), 586-596. http://dx.doi.org/10.1111/j.1365-2648. 2008.04735.x
  24. Seo, N. S., Chung, Y. H., & Kim, J. S. (2005). Factors related to quality of life among rural elderly. Journal of Korean Academy of Adult Nursing, 17(3), 379-388.
  25. Sohn, S. (2009). Factors related to the health related quality of life in elderly women. Korean Journal of Women Health Nursing, 15(2), 99-107. https://doi.org/10.4069/kjwhn.2009.15.2.99
  26. Statistics Korea. (2011). Population projections. Retrieved November 27, 2012, from http://kosis.kr/wnsearch/totalSearch.jsp
  27. Sun, W. J., Chi, L. Y., Jen, I. A., Ou-Yang, W. C., Chou, F. H. C., & Chou, T. M., et al., (2007). Health-related quality of life survey of a general population living in a community in southern Taiwan. Primary Care and Community Psychiatry, 12(3-4), 137-144.
  28. Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine, 319(26), 1701-1707. https://doi.org/10.1056/NEJM198812293192604
  29. Tinetti, M. E., Doucette, J., Claus, E., & Marottoli, R. (1995). Risk factors for serious injury during falls by older persons in the community. Journal of the American Geriatrics Society, 43(11), 1214-1221. https://doi.org/10.1111/j.1532-5415.1995.tb07396.x
  30. Vellas, B. J., Wayne, S. J., Romer, L. J., Baumgarner, R. N., Garry, P. J. (1997). Fear of falling and restriction of mobility in elderly fallers. Age Ageing, 26(3), 189-193. https://doi.org/10.1093/ageing/26.3.189
  31. Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health statues measure: A manual for users of the SF-8 health survey. Lincoln, RI: Quality Metric Incorporate.
  32. Won, C. W., Yang, K. Y., Rho, Y. G., Kim, S. Y., Lee, E. J., Yoon, J. L., et al. (2002). The development of Korean activities of daily living and Korean instrumental activities of daily living scale. Journal of Korean Geriatric Society, 6(2), 107-120.
  33. Yoo, Y. G. (2010). Falls and functional levels associated with falls in older people living in the community. Journal of Korean Gerontological Nursing, 12(1), 40-50.

Cited by

  1. Health-related quality of life of community-dwelling stroke survivors: a comparison of fallers and non-fallers vol.27, pp.10, 2015, https://doi.org/10.1589/jpts.27.3045