Construction of Fall Prevention Exercise Training Scheme for Elderly Discharged Patients Using Self-Efficacy Theory...

Area of Science:

• Gerontology
• Rehabilitation Medicine
• Public Health

Background:

• Older adults discharged from hospitals face challenges in recovery, fall prevention, and maintaining quality of life.
• Self-efficacy and structured exercise programs are crucial for successful rehabilitation in elderly populations.

Purpose of the Study:

• To evaluate the effectiveness of a combined self-efficacy intervention and the Otago Exercise Program (OEP) in older discharged patients.
• To assess improvements in exercise capacity, fall risk, and quality of life post-intervention.

Main Methods:

• A randomized controlled trial involving 60 elderly patients (≥65 years) divided into an experimental group (self-efficacy + OEP) and a control group (OEP only).
• Intervention lasted 12 weeks, with sessions 3 times per week.
• Outcomes measured included self-efficacy, balance (Berg Balance Scale), mobility (Timed Up and Go test), physical function (PSMS), and daily activities (IADL, ADL).

Main Results:

• The experimental group showed significantly higher self-efficacy scores compared to the control group post-intervention.
• Significant improvements were observed in balance, mobility, physical function, and daily living activities in the experimental group.
• Fall risk scores and quality of life indicators (EAQ) were notably better in patients receiving the combined intervention.

Conclusions:

• A combined self-efficacy intervention and OEP is a valuable approach for improving the recovery and well-being of older discharged patients.
• This comprehensive strategy enhances physical function, reduces fall risk, and improves overall quality of life, supporting independent living.
• The findings offer practical guidance for healthcare providers to optimize post-discharge care for the elderly.