Fear of falling and associated factors in older adults with heart failure.

Autor: Unes, Mevlut, Tasar, Pinar Tosun, Karasahin, Omer, Birdal, Oguzhan, Sevinc, Can, Sahin, Sevnaz
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Zdroj: Psychogeriatrics; Mar2024, Vol. 24 Issue 2, p204-211, 8p
Abstrakt: Background: This study aimed to evaluate the prevalence of fear of falling and associated factors in older adults with heart failure. Methods: A prospective, cross‐sectional study. The study included 100 geriatric patients who were hospitalised and treated in the cardiology department of our hospital with ventricular ejection fraction (LVEF) lower than 50% for at least 1 year. A series of geriatric assessments were performed by face‐to‐face interview on the day of admission. Electrocardiography (ECG) and transthoracic echocardiography (TTE) were also performed on the day of admission. Results: The median age of the patients was 72 years, and 72.0% were men. Falls Efficacy Scale scores indicated a fear of falling in 46 (46.0%) of the patients. Charlson Comorbidity Index (CCI) was significantly higher in patients with fear of falling (P < 0.001). Severe depression, severe clinical insomnia, daytime sleepiness, and malnutrition were significantly more frequent among patients with fear of falling. Fear of falling was associated with significantly lower LVEF (P = 0.001). The presence of severe depression increased the risk of fear of falling by 13.97 times (95% CI: 3.064–63.707; P = 0.001), and the presence of daytime sleepiness increased the risk by 3.49 times (95% CI: 1.012–12.037; P = 0.048). A one‐unit increase in CCI increased the risk of fear of falling by 1.56 times (95% CI: 1.093–2.238; P = 0.014). Conclusions: Heart failure patients with concomitant depression, sleep disorders, and high comorbidities have greater fear of falling. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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