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Updated: Jun 18, 2026

Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
Published on: August 18, 2023
Fear of falling, fall-related self-efficacy, anxiety and depression in individuals with chronic obstructive pulmonary
Karin Hellström1, Birgit Vahlberg, Charlotte Urell
1Department of Neuroscience, Section of Physiotherapy, Uppsala University, Uppsala, Sweden. karin.hellstrom@neuro.uu.se
Objective:
To examine the risk and frequency of falls, prevalence of fear of falling and activity avoidance, the magnitude of fall-related self-efficacy, and anxiety and depression in patients with chronic obstructive pulmonary disease.
Design And Settings:
A cross-sectional study in patients with a diagnosis of chronic obstructive pulmonary disease who visited a lung clinic at a university hospital in Sweden.
Subjects:
Successive inclusion from autumn 2005 to spring 2006 of 80 patients with a mean age of 65 years.
Intervention:
Nil.
Main Measures:
A questionnaire about fall history and consequences of fall, The Falls Efficacy Scale, Swedish version, and the Hospital Anxiety and Depression Scale were used.
Results:
Twenty patients (25%) reported at least one fall in the last year and 29% displayed fear of falling. Odds ratio for falling was 4-5 times higher in patients with severe chronic obstructive pulmonary disease. Older patients, women and patients with previous falls had a higher rate of fear of falling, and those with fear of falling had lower fall-related self-efficacy, increased level of anxiety and depression, more activity avoidance and use of assistive device.
Conclusion:
The increased risk of falls in patients with chronic obstructive pulmonary disease warrants attention in order to reduce serious and adverse health consequences of falls.
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