دورية أكاديمية
أعرض في EDS

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review.

التفاصيل البيبلوغرافية
العنوان: Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review.
المؤلفون: Guerra S; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK. stefanny.guerra@kcl.ac.uk.; Bone and Joint Health, Blizard Institute, Queen Mary University of London, London, UK. stefanny.guerra@kcl.ac.uk., Ellmers T; Department of Brain Sciences, Faculty of Medicine, Imperial College London, London, UK., Turabi R; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK., Law M; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK., Chauhan A; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK., Milton-Cole R; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK., Godfrey E; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK., Sheehan KJ; Department of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.; Bone and Joint Health, Blizard Institute, Queen Mary University of London, London, UK.
المصدر: European geriatric medicine [Eur Geriatr Med] 2024 Apr; Vol. 15 (2), pp. 305-332. Date of Electronic Publication: 2024 Feb 28.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101533694 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1878-7649 (Print) Linking ISSN: 18787649 NLM ISO Abbreviation: Eur Geriatr Med
أسماء مطبوعة: Publication: 2018- : Cham : Springer International Publishing
Original Publication: Issy-les-Moulineaux, Paris : Elsevier Masson SAS
مواضيع طبية MeSH: Hip Fractures*/psychology , Accidental Falls*, Humans ; Aged ; Activities of Daily Living ; Female ; Aged, 80 and over ; Postural Balance ; Male
مستخلص: Purpose: To investigate factors contributing to concerns about falling and activity restriction in the community among older adults who had a hip fracture.
Methods: A mixed method systematic review with a convergent segregated approach. We searched Medline, Embase, PsycInfo, PEDRo, CINAHL and the Cochrane library. Results were synthesised narratively considering physical, psychological, environmental, care, and social factors and presented in tables. Critical appraisal was completed in duplicate.
Results: We included 19 studies (9 qualitative, 9 observational, 1 mixed methods) representing 1480 individuals and 23 factors related to concerns about falling and activity restriction. Physical factors included falls history, comorbidities, balance, strength, mobility and functionality. Psychological factors included anxiety and neuroticism scores, perceived confidence in/control over rehabilitation and abilities, and negative/positive affect about the orthopaedic trauma, pre-fracture abilities and future needs. Environmental factors included accessibility in the home, outdoors and with transport. Social and care factors related to the presence or absence of formal and informal networks, which reduced concerns and promoted activity by providing feedback, advice, encouragement, and practical support.
Conclusion: These findings highlight that to improve concerns about falling and activity restriction after hip fracture, it is important to: improve physical and functional abilities; boost self-confidence; promote positive affect; involve relatives and carers; increase access to clinicians, and; enhance accessibility of the home, outdoors and transport. Most factors were reported on by a small number of studies of varying quality and require replication in future research.
(© 2024. The Author(s).)
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معلومات مُعتمدة: MR/S032819/1 United Kingdom MRC_ Medical Research Council
فهرسة مساهمة: Keywords: Activity avoidance; Balance confidence; Fear avoidance; Fear of falling; Fragility fracture
تواريخ الأحداث: Date Created: 20240228 Date Completed: 20240807 Latest Revision: 20240807
رمز التحديث: 20240808
مُعرف محوري في PubMed: PMC10997732
DOI: 10.1007/s41999-024-00936-9
PMID: 38418713
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-7649
DOI:10.1007/s41999-024-00936-9