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Factors Associated With Fall Risk Perception Among Community-Dwelling Older Patients With Stroke: A Cross-Sectional

Jiang Nan1,2, Nana Hu1, Shiya Cui1

  • 1Research Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.

Public Health Nursing (Boston, Mass.)
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Summary

Fall risk perception in older stroke patients needs improvement. Factors like fear of falling and social support influence this perception, highlighting the need for targeted community interventions.

Keywords:
communityfall risk perceptioninfluencing factorsolder patientsstroke

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Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Community-dwelling older adults post-stroke face significant fall risks.
  • Accurate fall risk perception is crucial for effective fall prevention strategies.

Purpose of the Study:

  • To assess fall risk perception levels in community-dwelling older stroke patients.
  • To identify factors influencing fall risk perception in this population.

Main Methods:

  • Cross-sectional study design with convenience sampling.
  • Utilized questionnaires to collect data on demographics, fall history, fear of falling, fall efficacy, aging attitudes, social support, self-management, and physical activity.
  • Employed descriptive statistics, correlation analyses, t-tests, ANOVA, and multiple linear regression.

Main Results:

  • The average fall risk perception score was 42.16 ± 11.59.
  • Significant associations were found between fall risk perception and fall history, fear of falling, fall efficacy, aging attitudes, social support, and self-management behaviors for fall prevention.

Conclusions:

  • Fall risk perception among community-dwelling older stroke patients is suboptimal and requires enhancement.
  • Community health professionals should design tailored interventions to improve fall risk perception and promote fall prevention.