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Functional Restriction for the Fear of Falling In Family Caregivers.

Shen J, Hu F, Liu F, Tong P - Medicine (Baltimore) (2015)

Bottom Line: The mean FES-I value of the family caregivers was significantly lower than that of the patients (85.39 versus 99.02, P < 0.001).The difference between patient and caregiver FES-I scores showed a significant positive correlation with the FRS (P < 0.001).Family caregivers were more concerned about falls than were patients.Furthermore, a greater difference in the fall-related reaction between caregivers and patients was associated with greater adverse effects on rehabilitation.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of TCM, Hangzhou (JS, FL, PT); Orthopedic Department, Tianjin Hospital, Tianjin, PR China (FH).

ABSTRACT
Hip fractures often result from falls, and most family caregivers fear another fall. This study aimed to assess this fear in family caregivers and analyze its influence on functional recovery.This study was retrospectively performed by interview at the clinic or through telephone contact. The Falls Efficacy Scale International (FES-I) was used to assess fall-related feelings of patients and their family caregivers.Of the 539 patients studied, hip fracture was caused by a fall in 467 (86.6%). The mean FES-I value of the family caregivers was significantly lower than that of the patients (85.39 versus 99.02, P < 0.001). The mean patient functional recovery score (FRS) was 68.41. A fracture caused by a fall and recurrent fall-related fractures both reduced caregiver FES-I scores. The difference between patient and caregiver FES-I scores showed a significant positive correlation with the FRS (P < 0.001).Family caregivers were more concerned about falls than were patients. Furthermore, a greater difference in the fall-related reaction between caregivers and patients was associated with greater adverse effects on rehabilitation.

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The follow-up flowchart. A, B, C and D were groups of family caregivers, E and F were groups of patients. Group A: family caregivers had FOF and walk restriction. Group B: family caregivers had no FOF but had walk restriction. Group C: family caregivers had FOF without walk restriction. Group D: family caregivers had no FOF and restriction. Group E: patients had FOF. Group F: patients had no FOF. FES-I = The Falls Efficacy Scale International; FOF = fear of falling; FRS = functional recovery score; VAS = visual analog scale for pain.
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Figure 1: The follow-up flowchart. A, B, C and D were groups of family caregivers, E and F were groups of patients. Group A: family caregivers had FOF and walk restriction. Group B: family caregivers had no FOF but had walk restriction. Group C: family caregivers had FOF without walk restriction. Group D: family caregivers had no FOF and restriction. Group E: patients had FOF. Group F: patients had no FOF. FES-I = The Falls Efficacy Scale International; FOF = fear of falling; FRS = functional recovery score; VAS = visual analog scale for pain.

Mentions: The medical records of hip fracture patients >60 years of age treated in our institute between January 2007 and December 2009 were reviewed. The exclusion criteria were as follows: failure to complete follow-up, death, nonoperative treatment, visual or auditory system disease, and refusal. If caregivers were not family members, they were excluded from the follow-up process. The follow-up flowchart is shown in Figure 1.


Functional Restriction for the Fear of Falling In Family Caregivers.

Shen J, Hu F, Liu F, Tong P - Medicine (Baltimore) (2015)

The follow-up flowchart. A, B, C and D were groups of family caregivers, E and F were groups of patients. Group A: family caregivers had FOF and walk restriction. Group B: family caregivers had no FOF but had walk restriction. Group C: family caregivers had FOF without walk restriction. Group D: family caregivers had no FOF and restriction. Group E: patients had FOF. Group F: patients had no FOF. FES-I = The Falls Efficacy Scale International; FOF = fear of falling; FRS = functional recovery score; VAS = visual analog scale for pain.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4504619&req=5

Figure 1: The follow-up flowchart. A, B, C and D were groups of family caregivers, E and F were groups of patients. Group A: family caregivers had FOF and walk restriction. Group B: family caregivers had no FOF but had walk restriction. Group C: family caregivers had FOF without walk restriction. Group D: family caregivers had no FOF and restriction. Group E: patients had FOF. Group F: patients had no FOF. FES-I = The Falls Efficacy Scale International; FOF = fear of falling; FRS = functional recovery score; VAS = visual analog scale for pain.
Mentions: The medical records of hip fracture patients >60 years of age treated in our institute between January 2007 and December 2009 were reviewed. The exclusion criteria were as follows: failure to complete follow-up, death, nonoperative treatment, visual or auditory system disease, and refusal. If caregivers were not family members, they were excluded from the follow-up process. The follow-up flowchart is shown in Figure 1.

Bottom Line: The mean FES-I value of the family caregivers was significantly lower than that of the patients (85.39 versus 99.02, P < 0.001).The difference between patient and caregiver FES-I scores showed a significant positive correlation with the FRS (P < 0.001).Family caregivers were more concerned about falls than were patients.Furthermore, a greater difference in the fall-related reaction between caregivers and patients was associated with greater adverse effects on rehabilitation.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Department, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of TCM, Hangzhou (JS, FL, PT); Orthopedic Department, Tianjin Hospital, Tianjin, PR China (FH).

ABSTRACT
Hip fractures often result from falls, and most family caregivers fear another fall. This study aimed to assess this fear in family caregivers and analyze its influence on functional recovery.This study was retrospectively performed by interview at the clinic or through telephone contact. The Falls Efficacy Scale International (FES-I) was used to assess fall-related feelings of patients and their family caregivers.Of the 539 patients studied, hip fracture was caused by a fall in 467 (86.6%). The mean FES-I value of the family caregivers was significantly lower than that of the patients (85.39 versus 99.02, P < 0.001). The mean patient functional recovery score (FRS) was 68.41. A fracture caused by a fall and recurrent fall-related fractures both reduced caregiver FES-I scores. The difference between patient and caregiver FES-I scores showed a significant positive correlation with the FRS (P < 0.001).Family caregivers were more concerned about falls than were patients. Furthermore, a greater difference in the fall-related reaction between caregivers and patients was associated with greater adverse effects on rehabilitation.

Show MeSH
Related in: MedlinePlus