Effects of a health improvement programme on quality of life in elderly people after falls

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• 作者：Agnieszka Leszczyńska^a ; Barbara Daniszewska^b ; Magdalena Pruszyńska^a ; Agnieszka Przedborska^a ; Michał Hadała^c ; ^{michalhadala@wp.pl" class="auth_mail" title="E-mail the corresponding author} ; Jan W. Raczkowski^a
• 关键词：Falls ; Elderly ; Quality of life
• 刊名：Polish Annals of Medicine
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：23
• 期：2
• 页码：129-134
• 全文大小：460 K

文摘

Falls of elderly people illustrate a telling health problem related to both physical injury and its psychical effects. They also bring about significant medical and economic consequences.

Aim

The aim of this study is to assess the predisposition to falling as well as the subjective evaluation of quality of life in the elderly after implementation of the fall prevention programme.

Material and methods

The observational study and statistical methods encompassed people aged 65 or older who reported falls during ordinary daily activity. A group of selected patients took part in a three-stage (three-month) rehabilitation programme designed by the authors. The research tools consisted in modified scales: the Katz ADL scale, the Lawton IADL scale, the Tinetti test for balance and gait evaluation, and the EuroQol 5D questionnaire for subjective evaluation of quality of life. The study included test performer before implementing the programme as well as after its completion.

Results and discussion

Slipping at home was the most frequent cause of falling, as it constituted almost 50% of the analyzed cases. During the programme no falls were observed. Patients who completed the programme showed improvements in all the analyzed aspects, especially in activities of daily living and the level of pain.

Conclusions

Both considerable functional and physical improvement as well as lower levels of pain was observed in the participants of the programme. A systematically conducted health improvement exercise programme minimizes susceptibility to falls and has a beneficial effect on improvement of quality of life in elderly people.