Effect of the Living Environment on falls among the Elderly in Urmia
DOI:
https://doi.org/10.3889/oamjms.2018.434Keywords:
Living environment, Falls, Home safety, Elderly peopleAbstract
BACKGROUND: The living environment has an impact on the health of the elderly, and the safety of the house is one of the concerns of the elderly. Disregarding the safety concerns increases the falling.
AIM: This research was conducted with the aim of influencing the living environment on falls among elderly people in Urmia city.
METHODS: This is a cross-sectional (descriptive-analytic) study which 200 elderly people were selected by random cluster sampling. Data were collected by using a two-part questionnaire including demographic information, and home safety assessment checklist. Data were analysed by using chi-square test and logistic regression in SPSS v. 21 software.
RESULTS: The incidence of falling in the elderly was 30%. There was a significant statistical association with age, sex, marital status and history of chronic disease. Results of logistic regression showed non-safe stairs (OR = 1.1, p = 0.002), unsafe toilet/bath (OR = 1.3, p = 0.001), unsafe bedrooms (OR = 1.7, p = 0.05) unsafe living room (OR = 1.4, p = 0.02) increase the falls in the elderly, as well as male gender (OR = 1.14, p < 0.001) and living with other people (OR = 0.19, p = 0.002) reduce the falls in the elderly.
CONCLUSION: By identifying the risk factors of the physical space of the home, we can plan for implementing necessary interventions according to the risk factor or risk factors to prevent and reduce the falls in the elderly community.
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References
Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and non-fatal falls among older adults. Injury prevention. 2006; 12(5):290-5. https://doi.org/10.1136/ip.2005.011015 PMid:17018668 PMCid:PMC2563445
Mazloomymahmoodabad S, Masoudy G, Fallahzadeh H, Jalili Z. Education based on precede-proceed on quality of life in elderly. Global journal of health science. 2014; 6(6):178. https://doi.org/10.5539/gjhs.v6n6p178 PMid:25363108 PMCid:PMC4825517
Pfortmueller C, Lindner G, Exadaktylos A. Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Med. 2014; 105(4):275-81. PMid:24867188
Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nursing. 2003; 20(5):399-411. https://doi.org/10.1046/j.1525-1446.2003.20508.x PMid:12930464
Salminen MJ, Vahlberg TJ, Salonoja MT, Aarnio PT, Kivelä SL. Effect of a Riskâ€Based Multifactorial Fall Prevention Program on the Incidence of Falls. Journal of the American Geriatrics Society. 2009; 57(4):612-9. https://doi.org/10.1111/j.1532-5415.2009.02176.x PMid:19392952
Hornyak V, Brach JS, Wert DM, Hile E, Studenski S, VanSwearingen JM. What is the relation between fear of falling and physical activity in older adults? Archives of physical medicine and rehabilitation. 2013; 94(12):2529-34. https://doi.org/10.1016/j.apmr.2013.06.013 PMid:23816923 PMCid:PMC4878685
Nitz JC, Josephson DL. Enhancing functional balance and mobility among older people living in long-term care facilities. Geriatric Nursing. 2011; 32(2):106-13. https://doi.org/10.1016/j.gerinurse.2010.11.004 PMid:21237533
Walther L, Rogowski M, Schaaf H, Hörmann K, Löhler J. Falls and dizziness in the elderly. Elsevier. 2010; 64(6):354-357. https://doi.org/10.1016/S0030-6657(10)70586-2
Orces CH. Prevalence and determinants of fall-related injuries among older adults in Ecuador. Current gerontology and geriatrics research. 2014; 1(8):863473-7. https://doi.org/10.1155/2014/863473
Dionyssiotis Y. Analyzing the problem of falls among older people. International journal of general medicine. 2012; 5(3):805–813. https://doi.org/10.2147/IJGM.S32651 PMid:23055770 PMCid:PMC3468115
McCullagh MC. Home Modification: How to help patients make their homes safer and more accessible as their abilities change. AJN The American Journal of Nursing. 2006; 106(10). 54-63. https://doi.org/10.1097/00000446-200610000-00033 PMid:17016095
van Haastregt JC, Diederiks JP, van Rossum E, de Witte LP, Voorhoeve PM, Crebolder HF. Effects of a programme of multifactorial home visits on falls and mobility impairments in elderly people at risk: randomised controlled trial. Bmj. 2000; 321(7267):994-8. https://doi.org/10.1136/bmj.321.7267.994 PMid:11039967 PMCid:PMC27508
Sekiguchi T. Toward a dynamic perspective of person-environment fit. Osaka keidai ronshu. 2004; 55(1):177-90.
Chang N-T, Chi L-Y, Yang N-P, Chou P. The impact of falls and fear of falling on health-related quality of life in Taiwanese elderly. Journal of community health nursing. 2010; 27(2):84-95. https://doi.org/10.1080/07370011003704958 PMid:20437289
van Bemmel T, Vandenbroucke JP, Westendorp RG, Gussekloo J. In an observational study elderly patients had an increased risk of falling due to home hazards. Journal of clinical epidemiology. 2005; 58(1):63-7. https://doi.org/10.1016/j.jclinepi.2004.06.007 PMid:15649672
Thiamwong L, Thamarpirat J, Maneesriwongul W, Jitapunkul S. Thai falls risk assessment test (Thai-FRAT) developed for community-dwelling Thai elderly. Medical journal of the Medical Association of Thailand. 2008; 91(12):1823.
Gill TM, Williams CS, Tinetti ME. Environmental hazards and the risk of nonsyncopal falls in the homes of community-living older persons. Medical care. 2000:1174-83. https://doi.org/10.1097/00005650-200012000-00004 PMid:11186296
Halil M, Ulger Z, Cankurtaran M, Shorbagi A, Yavuz BB, Dede D, et al. Falls and the elderly: Is there any difference in the developing world?: A cross-sectional study from Turkey. Archives of gerontology and geriatrics. 2006; 43(3):351-9. https://doi.org/10.1016/j.archger.2005.12.005 PMid:16522334
Chu L-W, Chiu AY, Chi I. Falls and subsequent health service utilization in community-dwelling Chinese older adults. Archives of gerontology and geriatrics. 2008; 46(2):125-35. https://doi.org/10.1016/j.archger.2007.03.005 PMid:17467081
Stalenhoef P, Diederiks J, Knottnerus J, Kester A, Crebolder H. A risk model for the prediction of recurrent falls in community-dwelling elderly: a prospective cohort study. Journal of clinical epidemiology. 2002; 55(11):1088-94. https://doi.org/10.1016/S0895-4356(02)00502-4
Jalali MM, Gerami H, Heidarzadeh A, Soleimani R. Balance performance in older adults and its relationship with falling. Aging clinical and experimental research. 2015; 27(3):287-96. https://doi.org/10.1007/s40520-014-0273-4 PMid:25286899
Hartholt KA, Stevens JA, Polinder S, van der Cammen TJ, Patka P. Increase in fall-related hospitalizations in the United States, 2001–2008. Journal of Trauma and Acute Care Surgery. 2011; 71(1):255-8. https://doi.org/10.1097/TA.0b013e31821c36e7 PMid:21818033
Crow RS, Lohman MC, Pidgeon D, Bruce ML, Bartels SJ, Batsis JA. Frailty Versus Stopping Elderly Accidents, Deaths and Injuries Initiative Fall Risk Score: Ability to Predict Future Falls. Journal of the American Geriatrics Society. 2018. https://doi.org/10.1111/jgs.15275 PMCid:PMC5849536
Morris M, Osborne D, Hill K, Kendig H, Lundgren-Lindquist B, Browning C, et al. Predisposing factors for occasional and multiple falls in older Australians who live at home. Australian journal of physiotherapy. 2004; 50(3):153-9. https://doi.org/10.1016/S0004-9514(14)60153-7
Lehtola S, Koistinen P, Luukinen H. Falls and injurious falls late in home-dwelling life. Archives of gerontology and geriatrics. 2006; 42(2):217-24. https://doi.org/10.1016/j.archger.2005.07.002 PMid:16125808
Corsinovi L, Bo M, Aimonino NR, Marinello R, Gariglio F, Marchetto C, et al. Predictors of falls and hospitalization outcomes in elderly patients admitted to an acute geriatric unit. Archives of gerontology and geriatrics. 2009; 49(1):142-5. https://doi.org/10.1016/j.archger.2008.06.004 PMid:18674824
Bergland A, Jarnlo G-B, Laake K. Predictors of falls in the elderly by location. Aging clinical and experimental research. 2003; 15(1):43-50. https://doi.org/10.1007/BF03324479 PMid:12841418
Zhang Y, Chen W. Research overview and progress of the elderly falls. Chin J Gerontol. 2008; 9:929-31.
Coimbra AMV, Ricci NA, Coimbra IB, Costallat LTL. Falls in the elderly of the family health program. Archives of gerontology and geriatrics. 2010; 51(3):317-22. https://doi.org/10.1016/j.archger.2010.01.010 PMid:20153535
Iranfar M. Physical Hazards of Residences and Elderly Fall. Safety Promotion and Injury Prevention. 2018; 5(4):237-42.
Ali Zazouli M, Yazdany Cherati J, Ahmadnezhad A. Assessment of Safety Status of Residential Housing in Rural Families of Ramian Township (Golestan Provicine, Iran) in 2011. Journal of Mazandaran University of Medical Sciences (JMUMS). 2013; 23(2):163-75.
Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT. Incidence and characteristics of falls leading to hip fracture in Iranian population. Bone. 2006; 39(2):408-13. https://doi.org/10.1016/j.bone.2006.01.144 PMid:16510325
Stevens M, Holman CAJ, Bennett N. Preventing falls in older people: impact of an intervention to reduce environmental hazards in the home. Journal of the American Geriatrics Society. 2001; 49(11):1442-7. https://doi.org/10.1046/j.1532-5415.2001.4911235.x PMid:11890581
Sophonratanapokin B, Sawangdee Y, Soonthorndhada K. Effect of the living environment on falls among the elderly in Thailand. Southeast Asian journal of tropical medicine and public health. 2012; 43(6):1537. PMid:23413718
Camilloni L, Farchi S, Rossi PG, Chini F, Di Giorgio M, Molino N, et al. A case–control study on risk factors of domestic accidents in an elderly population. International journal of injury control and safety promotion. 2011; 18(4):269-76. https://doi.org/10.1080/17457300.2011.562615 PMid:21557126
Sadasivam RS, Luger TM, Coley HL, Taylor BB, Padir T, Ritchie CS, et al. Robot-assisted home hazard assessment for fall prevention: A feasibility study. Journal of telemedicine and telecare. 2014; 20(1):3-10. https://doi.org/10.1177/1357633X13517350 PMid:24352900
Elliott S, Painter J, Hudson S. Living alone and fall risk factors in community-dwelling middle age and older adults. Journal of community health. 2009; 34(4):301-8. https://doi.org/10.1007/s10900-009-9152-x PMid:19333744
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Copyright (c) 2018 Seyed Saeed Mazloomy Mahmoodabad, Moradali Zareipour, Mohsen Askarishahi, Alireza Beigomi
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