Connection between competence, usability, environment and risk of falls in elderly adults

Rev Lat Am Enfermagem. 2015 Nov-Dec;23(6):1139-48. doi: 10.1590/0104-1169.0331.2659.
[Article in English, Portuguese, Spanish]

Abstract

Objective: To determine connections between competence, usability, environment and risk of falls in elderly adults.

Method: Correlational descriptive study, 123 elderly adults, both male and female, aged 70 years and older were included. Data was collected via the Tinetti Scale, CESD-7 Scale, Montreal Cognitive Assessment, Usability Questionnaire on Housing and Housing Enabler; and sociodemographic and health background certificate data. For data analysis, descriptive and inferential statistics were used, multivariate linear and logistic regression models were adjusted.

Results: 42.0% of the elderly adults had presented with falls, with a higher prevalence in women, and in the group of 70-75 years. The physical environment of the house, gait, and usability were set as risk factors for falls. A negative relationship between usability and depressive symptoms, cognitive health, balance, gait, the social and physical environment was found, p <0.05; and a strong positive correlation between walking and balance, p <0.05.

Conclusion: This study helps to better understand the phenomenon of falling, to find a connection between usability with the risk of falls, and other variables.

MeSH terms

  • Accidental Falls*
  • Aged
  • Cognition
  • Environment*
  • Female
  • Gait
  • Humans
  • Logistic Models
  • Male
  • Postural Balance
  • Risk Factors
  • Social Environment
  • Surveys and Questionnaires
  • Walking*