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Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients

Year 2023, Volume: 6 Issue: 1, 1 - 12, 30.04.2023
https://doi.org/10.47141/geriatrik.1218729

Abstract

Aim: This study aims to investigate the relationship between falls, fall prevention behaviors, and health literacy in hospitalized older adults.

Materials and Methods: A descriptive, cross-sectional design was used. Study data were collected from patients aged ≥65 who were hospitalized in the hospital’s internal medicine and surgery clinic between December 2021-June 2022. The data was collected using a Socio-demographic and Clinical Characteristics Form, the Health Literacy Scale (HLS), and the Fall Behavioral Scale for Older People (FaB). Multiple linear regression analysis was used to determine the contribution of factors associated with older patients’ falling behaviors.

Results: The mean age of 204 older patients participating in the study was 75.38±8.95, and 57.8% were female. The older people’s mean fall behaviors and health literacy scores were determined as 3.06±0.44 and 41.35+19.35, respectively. It was determined that the predictors of the cognitive adaptation subdimension of the falls behavioral scale for older people were understanding and applying and being single, the predictor of the protective mobility was fear of falling, the predictors of the pace were status of mobilization and fear of falling. In addition, the predictor of the practical strategies was fear of falling, the predictors of the displacing activities sub-dimension were the understanding sub-dimension of the HLS, presence of chronic disease, mobilization status, and fear of falling and the predictor of the changes in level was the mobilization status.

Conclusion: Practices aimed at increasing the health literacy of older people, reducing the regression in their cognitive status, and improving it may increase fall prevention behaviors.

Supporting Institution

The Scientific and Technological Research Council of Turkey (2209-A Research Project Support Programme for Undergraduate Students, No: ).

Project Number

1919B012100598

References

  • Florence CS, Bergen G, Atherly A. et al. The medical costs of fatal falls and fall injuries among older adults. Journal of the American Geriatrics Society. 2018;66(4): 693-697.
  • Abell JG, Lassale C, Batty GD, et al. Risk factors for hospital admission after a fall: A prospective cohort study of community-dwelling older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2021; 76(4): 666-675.
  • Hester AL, Tsai P-F, Rettiganti M, Mitchell A. Predicting injurious falls in the hospital setting: implications for practice. Am J Nurs 2016; 116: 24–31.
  • Anderson LK, Lane K. Characteristics of falls and recurrent falls in residents of an aging in place community: A case-control study. Applied Nursin Research. 2020; 51:n151190.
  • Callis N. Falls prevention: Identification of predictive fall risk factors. Applied Nursing Research. 2016; 29:53–58.
  • Cimilli Ozturk T, Ak R, Unal Akoglu E, et al. Factors associated with multiple falls among elderly patients admitted to emergency department. International Journal of Gerontology. 2017; 11(2): 85–89.
  • Tinetti ME, Kumar C. The patient who falls: “It’s always a trade-off. JAMA - Journal of the American Medical Association. JAMA, 2010; 303: 258–66.
  • WHO. WHO Global Report on Falls Prevention in Older Age. Community Health. 2007.
  • Campanini I, Mastrangelo S, Bargellini A, et al. Feasibility and predictive performance of the Hendrich Fall Risk Model II in a rehabilitation department: A prospective study. BMC Health Services Research. 2018; 18(1): 1–8.
  • Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. 2015;(9).
  • Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000; 15(3): 259–67.
  • Malloy-Weir LJ, Charles C, Gafni A, et al. A review of health literacy: Definitions, interpretations, and implications for policy initiatives. Journal of Public Health Policy. 2016; 37: 334–52.
  • Carollo S. Low health literacy in older women: The influence of patient–clinician relationships. Geriatric Nursing. 2015; 36(2): 38–42.
  • Bozkurt H, Demirci H. Health literacy among older persons in Turkey. The aging male : the official journal of the International Society for the Study of the Aging Male,2019; 22(4): 272–7.
  • Zheng M, Jin H, Shi N, et al. The relationship between health literacy and quality of life: A systematic review and meta-analysis 11 Medical and Health Sciences 1117 Public Health and Health Services Prof Holger Schunemann. Health and Quality of Life Outcomes. 2018; 16(1): 1–10.
  • Svendsen MT, Bak CK, Sørensen K, et al. Associations of health literacy with socio-economic position, health risk behavior, and health status: A large national population-based survey among Danish adults. BMC Public Health. 2020; 20(1): 1–12.
  • Yılmazel G, Çetinkaya F. Sağlık okuryazarlığının toplum sağlığı açısından önemi The importance of health literacy for community health. TAF Preventive Medicine Bulletin. 2016; 15: 69-75.
  • Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European journal of public health. 2015; 25(6): 1053–1058.
  • Sørensen K, Van Den Broucke S, Pelikan JM, et al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013; 13(1): 1–10.
  • Aras Z, Bayık Temel A. Evaluation of validity and reliability of the Turkish version of health literacy scale. Florence Nightingale Hemşirelik Dergisi. 2017;25(2): 85.
  • Uymaz P, Nahcıvan N. Yaşlılar İçin Düşme Davranışları Ölçeği ’nin Geçerlik ve Güvenirliği. Florence Nightingale Hemşirelik Dergisi. 2013;21(1): 22–32.
  • Cohen L, Manion L, Morrison K. Research methods in education. 2007. London: Routledge-Falmer.
  • Geboers B, Uiters E, Reijneveld SA, et al. Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - The Doetinchem Cohort Study. BMC Geriatrics. 2018;18(1): 1–7.
  • Jaffee EG, Arora VM, Matthiesen MI, et al. Postdischarge falls and readmissions: associations with ınsufficient vision and low health literacy among hospitalized seniors. Journal of Health Communication, 2016; 21(2): 135–140.
  • Chesser AK, Woods NK, Reyes J, et al. Health literacy and older adults: fall prevention and health literacy in a midwestern state. Journal of Aging Research And Healthcare. 2018; 2(2): 23–32.
  • Eronen J, Paakkari L, Portegijs E, et al. Assessment of health literacy among older Finns. Aging Clinical and Experimental Research. 2019; 31(4): 549–56.
  • Geboers B, de Winter AF, Spoorenberg SLW, et al. The association between health literacy and selfmanagement abilities in adults aged 75 and older, and its moderators. Quality of Life Research. 2016; 25(11): 2869–2877.
  • Mõttus R, Johnson W, Murray C, et al. Towards understanding the links between health literacy and physical health. Health Psychology. 2014; 33(2):164–173.
  • Senderovich H, Bayeva N, Montagnese B, et al. Managing fall prevention through exercise in older adults afflicted by cognitive and strength ımpairment. Dementia and Geriatric Cognitive Disorders. 2022;50(6): 507–518.
  • Wallace LG, Bradway CK, Cacchione PZ. The relationship between sensory loss and health literacy in older adults: A systematic review. Geriatric Nursing. 2022; 47: 1–12.
  • Serper M, Patzer RE., Curtis LM, Smith SG, O’Conor R, Baker DW, Wolf MS. Health literacy, cognitive ability, and functional health status among older adults. Health services research. 2014; 49(4): 1249-1267.
  • Brodowski H, Strutz N, Mueller-Werdan U, et al. Categorizing fear of falling using the survey of activities and fear of falling in the elderly questionnaire in a cohort of hospitalized older adults: A crosssectional design. International Journal of Nursing Studies. 2022; 126: 104-152.
  • Boltz M, Resnick B, Capezuti E, et al. Activity restriction vs. self-direction: Hospitalised older adults’ response to fear of falling. International Journal of Older People Nursing. 2014; 9: 44–53.
  • Turhan Damar H, Bilik O, Karayurt O, et al. Factors related to older patients’ fear of falling during the first mobilization after total knee replacement and total hip replacement. Geriatric Nursing. 2018; 19–24.
  • Boğa NM, Özdelikara A, Ağaçdiken S. Determination of falling behaviour among geriatric patients in nursing home. Gümüşhane University Journal of Health Sciences. 2015; 4(3): 360–71.
  • Walters R, Leslie SJ, Polson R, et al. Establishing the efficacy of interventions to improve health literacy and health behaviours: A systematic review. BMC Public Health. 2020; 20(1): 1–17.
  • Lim ML, van Schooten KS, Radford KA, et al. Development and initial validation of the falls health literacy scale. Maturitas. 2022; 159: 40–45.
  • Panagioti M, Skevington SM, Hann M, et al. Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice. Quality of Life Research. 2018; 27:1257–1268.

Hastanede yatan yaşlı hastaların düşmeyi önleme davranışları ile sağlık okuryazarlığı arasındaki ilişkinin incelenmesi

Year 2023, Volume: 6 Issue: 1, 1 - 12, 30.04.2023
https://doi.org/10.47141/geriatrik.1218729

Abstract

Amaç: Bu çalışmanın amacı, hastanede yatan yaşlılarda düşme ve düşme davranışları ile sağlık okuryazarlığı arasındaki ilişkiyi belirlemektir.

Gereç ve Yöntemler: Bu çalışmada tanımlayıcı, kesitsel bir desen kullanılmıştır. Çalışma verileri bir hastanenin dahiliye ve cerrahi kliniğinde yatan 65 yaş üstü hastalardan Aralık 2021-Haziran 2022 tarihleri arasında toplanmıştır. Veriler, Sosyodemografik ve Klinik Özellikler Formu, Sağlık Okuryazarlığı Ölçeği (SOY) ve Yaşlılar İçin Düşme Davranışları Ölçeği (FAB) kullanılarak toplanmıştır. Yaşlı hastaların düşme davranışları ile ilişkili faktörlerin katkısını belirlemek için multipl lineer regresyon analizi kullanılmıştır.

Bulgular: Araştırmaya katılan 204 yaşlı hastanın yaş ortalaması 75,38±8,95 ve %57,8’i kadındı. Yaşlıların düşme davranışları ve sağlık okur yazarlığı puan ortalamaları sırasıyla 3,06±0,44, 41,35+19,35 olarak belirlendi. Yaşlıların düşme davranışları bilişsel uyum alt boyutunun yordayıcılarının SOY anlama ve uygulama alt boyutu ve bekar olmak, güvenli hareket alt boyutunun yordayıcısının düşme korkusu, acelecilik alt boyutunun yordayıcılarının mobilizasyon durumu ve düşme korkusu olduğu belirlendi. Ayrıca düşme davranışları pratiklik alt boyutunun yordayıcısı: düşme korkusu, aktivite planında değişiklik alt boyutunun yordayıcıları: SOY anlama alt boyutu, kronik hastalığı varlığı, mobilizasyon durumu ve düşme korkusu, seviye değişiklikleri alt boyutunun yordayıcısının mobilizasyon durumu olduğu belirlendi.

Sonuç: Yaşlıların sağlık okur yazarlığını arttırmaya ve bilişsel durumlarında gerilemeyi azaltma ve geliştirmeye yönelik uygulamalar düşme önleme davranışlarını arttırabilir.

Project Number

1919B012100598

References

  • Florence CS, Bergen G, Atherly A. et al. The medical costs of fatal falls and fall injuries among older adults. Journal of the American Geriatrics Society. 2018;66(4): 693-697.
  • Abell JG, Lassale C, Batty GD, et al. Risk factors for hospital admission after a fall: A prospective cohort study of community-dwelling older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2021; 76(4): 666-675.
  • Hester AL, Tsai P-F, Rettiganti M, Mitchell A. Predicting injurious falls in the hospital setting: implications for practice. Am J Nurs 2016; 116: 24–31.
  • Anderson LK, Lane K. Characteristics of falls and recurrent falls in residents of an aging in place community: A case-control study. Applied Nursin Research. 2020; 51:n151190.
  • Callis N. Falls prevention: Identification of predictive fall risk factors. Applied Nursing Research. 2016; 29:53–58.
  • Cimilli Ozturk T, Ak R, Unal Akoglu E, et al. Factors associated with multiple falls among elderly patients admitted to emergency department. International Journal of Gerontology. 2017; 11(2): 85–89.
  • Tinetti ME, Kumar C. The patient who falls: “It’s always a trade-off. JAMA - Journal of the American Medical Association. JAMA, 2010; 303: 258–66.
  • WHO. WHO Global Report on Falls Prevention in Older Age. Community Health. 2007.
  • Campanini I, Mastrangelo S, Bargellini A, et al. Feasibility and predictive performance of the Hendrich Fall Risk Model II in a rehabilitation department: A prospective study. BMC Health Services Research. 2018; 18(1): 1–8.
  • Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews. 2015;(9).
  • Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000; 15(3): 259–67.
  • Malloy-Weir LJ, Charles C, Gafni A, et al. A review of health literacy: Definitions, interpretations, and implications for policy initiatives. Journal of Public Health Policy. 2016; 37: 334–52.
  • Carollo S. Low health literacy in older women: The influence of patient–clinician relationships. Geriatric Nursing. 2015; 36(2): 38–42.
  • Bozkurt H, Demirci H. Health literacy among older persons in Turkey. The aging male : the official journal of the International Society for the Study of the Aging Male,2019; 22(4): 272–7.
  • Zheng M, Jin H, Shi N, et al. The relationship between health literacy and quality of life: A systematic review and meta-analysis 11 Medical and Health Sciences 1117 Public Health and Health Services Prof Holger Schunemann. Health and Quality of Life Outcomes. 2018; 16(1): 1–10.
  • Svendsen MT, Bak CK, Sørensen K, et al. Associations of health literacy with socio-economic position, health risk behavior, and health status: A large national population-based survey among Danish adults. BMC Public Health. 2020; 20(1): 1–12.
  • Yılmazel G, Çetinkaya F. Sağlık okuryazarlığının toplum sağlığı açısından önemi The importance of health literacy for community health. TAF Preventive Medicine Bulletin. 2016; 15: 69-75.
  • Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European journal of public health. 2015; 25(6): 1053–1058.
  • Sørensen K, Van Den Broucke S, Pelikan JM, et al. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013; 13(1): 1–10.
  • Aras Z, Bayık Temel A. Evaluation of validity and reliability of the Turkish version of health literacy scale. Florence Nightingale Hemşirelik Dergisi. 2017;25(2): 85.
  • Uymaz P, Nahcıvan N. Yaşlılar İçin Düşme Davranışları Ölçeği ’nin Geçerlik ve Güvenirliği. Florence Nightingale Hemşirelik Dergisi. 2013;21(1): 22–32.
  • Cohen L, Manion L, Morrison K. Research methods in education. 2007. London: Routledge-Falmer.
  • Geboers B, Uiters E, Reijneveld SA, et al. Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - The Doetinchem Cohort Study. BMC Geriatrics. 2018;18(1): 1–7.
  • Jaffee EG, Arora VM, Matthiesen MI, et al. Postdischarge falls and readmissions: associations with ınsufficient vision and low health literacy among hospitalized seniors. Journal of Health Communication, 2016; 21(2): 135–140.
  • Chesser AK, Woods NK, Reyes J, et al. Health literacy and older adults: fall prevention and health literacy in a midwestern state. Journal of Aging Research And Healthcare. 2018; 2(2): 23–32.
  • Eronen J, Paakkari L, Portegijs E, et al. Assessment of health literacy among older Finns. Aging Clinical and Experimental Research. 2019; 31(4): 549–56.
  • Geboers B, de Winter AF, Spoorenberg SLW, et al. The association between health literacy and selfmanagement abilities in adults aged 75 and older, and its moderators. Quality of Life Research. 2016; 25(11): 2869–2877.
  • Mõttus R, Johnson W, Murray C, et al. Towards understanding the links between health literacy and physical health. Health Psychology. 2014; 33(2):164–173.
  • Senderovich H, Bayeva N, Montagnese B, et al. Managing fall prevention through exercise in older adults afflicted by cognitive and strength ımpairment. Dementia and Geriatric Cognitive Disorders. 2022;50(6): 507–518.
  • Wallace LG, Bradway CK, Cacchione PZ. The relationship between sensory loss and health literacy in older adults: A systematic review. Geriatric Nursing. 2022; 47: 1–12.
  • Serper M, Patzer RE., Curtis LM, Smith SG, O’Conor R, Baker DW, Wolf MS. Health literacy, cognitive ability, and functional health status among older adults. Health services research. 2014; 49(4): 1249-1267.
  • Brodowski H, Strutz N, Mueller-Werdan U, et al. Categorizing fear of falling using the survey of activities and fear of falling in the elderly questionnaire in a cohort of hospitalized older adults: A crosssectional design. International Journal of Nursing Studies. 2022; 126: 104-152.
  • Boltz M, Resnick B, Capezuti E, et al. Activity restriction vs. self-direction: Hospitalised older adults’ response to fear of falling. International Journal of Older People Nursing. 2014; 9: 44–53.
  • Turhan Damar H, Bilik O, Karayurt O, et al. Factors related to older patients’ fear of falling during the first mobilization after total knee replacement and total hip replacement. Geriatric Nursing. 2018; 19–24.
  • Boğa NM, Özdelikara A, Ağaçdiken S. Determination of falling behaviour among geriatric patients in nursing home. Gümüşhane University Journal of Health Sciences. 2015; 4(3): 360–71.
  • Walters R, Leslie SJ, Polson R, et al. Establishing the efficacy of interventions to improve health literacy and health behaviours: A systematic review. BMC Public Health. 2020; 20(1): 1–17.
  • Lim ML, van Schooten KS, Radford KA, et al. Development and initial validation of the falls health literacy scale. Maturitas. 2022; 159: 40–45.
  • Panagioti M, Skevington SM, Hann M, et al. Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice. Quality of Life Research. 2018; 27:1257–1268.
There are 38 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Hale Turhan Damar 0000-0002-1218-5319

Burcu Ciritoğlu 0000-0002-6290-7893

Gül Aslan This is me 0000-0002-2359-1750

Merdiye Öztürk This is me 0000-0002-6799-6936

Project Number 1919B012100598
Early Pub Date April 30, 2023
Publication Date April 30, 2023
Submission Date December 24, 2022
Acceptance Date March 23, 2023
Published in Issue Year 2023 Volume: 6 Issue: 1

Cite

APA Turhan Damar, H., Ciritoğlu, B., Aslan, G., Öztürk, M. (2023). Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients. Geriatrik Bilimler Dergisi, 6(1), 1-12. https://doi.org/10.47141/geriatrik.1218729
AMA Turhan Damar H, Ciritoğlu B, Aslan G, Öztürk M. Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients. JoGS. April 2023;6(1):1-12. doi:10.47141/geriatrik.1218729
Chicago Turhan Damar, Hale, Burcu Ciritoğlu, Gül Aslan, and Merdiye Öztürk. “Investigating the Relationship Between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients”. Geriatrik Bilimler Dergisi 6, no. 1 (April 2023): 1-12. https://doi.org/10.47141/geriatrik.1218729.
EndNote Turhan Damar H, Ciritoğlu B, Aslan G, Öztürk M (April 1, 2023) Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients. Geriatrik Bilimler Dergisi 6 1 1–12.
IEEE H. Turhan Damar, B. Ciritoğlu, G. Aslan, and M. Öztürk, “Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients”, JoGS, vol. 6, no. 1, pp. 1–12, 2023, doi: 10.47141/geriatrik.1218729.
ISNAD Turhan Damar, Hale et al. “Investigating the Relationship Between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients”. Geriatrik Bilimler Dergisi 6/1 (April 2023), 1-12. https://doi.org/10.47141/geriatrik.1218729.
JAMA Turhan Damar H, Ciritoğlu B, Aslan G, Öztürk M. Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients. JoGS. 2023;6:1–12.
MLA Turhan Damar, Hale et al. “Investigating the Relationship Between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients”. Geriatrik Bilimler Dergisi, vol. 6, no. 1, 2023, pp. 1-12, doi:10.47141/geriatrik.1218729.
Vancouver Turhan Damar H, Ciritoğlu B, Aslan G, Öztürk M. Investigating the Relationship between Fall Prevention Behaviors and Health Literacy in Hospitalized Older Patients. JoGS. 2023;6(1):1-12.

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