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Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life

Author

Listed:
  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Co-first author, these authors contributed equally to this work.)

  • Giang Thu Vu

    (Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Co-first author, these authors contributed equally to this work.)

  • Giang Hai Ha

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietNam
    Faculty of Pharmacy, Duy Tan University, Danang 550000, Vietnam)

  • Cuong Tat Nguyen

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietNam
    Faculty of Medicine, Duy Tan University, Danang 550000, Vietnam)

  • Hai Minh Vu

    (Department of Trauma and Orthopaedic, Thai Binh Medical University Hospital, Thai Binh 410000, Vietnam)

  • Tien Quoc Nguyen

    (Department of Environment Health-Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh 410000, Vietnam)

  • Tung Hoang Tran

    (Institute of Orthopaedic and Trauma Surgery, Vietnam—Germany Hospital, Hanoi 100000, Vietnam)

  • Kiet Tuan Huy Pham

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 10000, Vietnam)

  • Carl A. Latkin

    (Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 10000, Vietnam
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Roger C.M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
    Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore)

  • Cyrus S.H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

Abstract

Fear of falling (FOF) diminishes older people’s independence in daily activities, as well as causes serious health and economic consequences. This study examined the prevalence of FOF in older patients hospitalized due to fall-injuries, its effect on health-related quality of life (HRQOL), and its associated factors. We conducted a cross-sectional study in seven hospitals in Thai Binh, Vietnam. FOF was assessed using a single close-ended question. HRQOL was evaluated by the EQ-5D-5L instrument. Multilevel logistic regression and Tobit regression models were utilized. The prevalence of FOF in 405 older patients admitted to hospitals after fall injuries was 88.2%, with a mean EQ-5D index and EQ-VAS of 0.34 (SD = 0.38) and 61.6 (SD = 15.2), respectively. Factors associated with FOF included living alone (OR = 0.13, 95%CI = 0.04; 0.50.,), history of eye diseases (OR = 4.12; 95%CI = 1.91; 8.89), and experiencing psychological distress (OR= 3.56, 95% CI = 1.05; 12.00). After adjusting for confounders, the EQ-5D index in the FOF group reduced by 0.15 points (Coef. = −0.15; 95%CI= −0.24; −0.05) compared to that of non-FOF group. Our study shows that FOF had an independent negative relationship with HRQOL of patients. Improving knowledge about fall prevention in patients and caregivers could reduce the burden of falls in older people.

Suggested Citation

  • Long Hoang Nguyen & Giang Thu Vu & Giang Hai Ha & Cuong Tat Nguyen & Hai Minh Vu & Tien Quoc Nguyen & Tung Hoang Tran & Kiet Tuan Huy Pham & Carl A. Latkin & Bach Xuan Tran & Roger C.M. Ho & Cyrus S.H, 2020. "Fear of Falling among Older Patients Admitted to Hospital after Falls in Vietnam: Prevalence, Associated Factors and Correlation with Impaired Health-Related Quality of Life," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2493-:d:341880
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    References listed on IDEAS

    as
    1. Sau Huu Nguyen & Long Hoang Nguyen & Giang Thu Vu & Cuong Tat Nguyen & Thu Hoai Thi Le & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger C. M. Ho, 2019. "Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(3), pages 1-10, January.
    2. Hai Minh Vu & Long Hoang Nguyen & Tung Hoang Tran & Kiet Tuan Huy Pham & Hai Thanh Phan & Hieu Ngoc Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S.H. Ho & Roger C.M. Ho, 2019. "Effects of Chronic Comorbidities on the Health-Related Quality of Life among Older Patients after Falls in Vietnamese Hospitals," IJERPH, MDPI, vol. 16(19), pages 1-9, September.
    3. Oanh Tran Thi Hoang & Pornchai Jullamate & Naiyana Piphatvanitcha & Edwin Rosenberg, 2017. "Factors related to fear of falling among community‐dwelling older adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 68-76, January.
    4. Long Hoang Nguyen & Hai Minh Vu & Giang Thu Vu & Tung Hoang Tran & Kiet Tuan Huy Pham & Binh Thanh Nguyen & Hai Thanh Phan & Hieu Ngoc Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger, 2019. "Prevalence and Factors Associated with Psychological Distress among Older Adults Admitted to Hospitals After Fall Injuries in Vietnam," IJERPH, MDPI, vol. 16(22), pages 1-9, November.
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    Cited by:

    1. Raimunda Montejano-Lozoya & Isabel Miguel-Montoya & Vicente Gea-Caballero & María Isabel Mármol-López & Antonio Ruíz-Hontangas & Rafael Ortí-Lucas, 2020. "Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    2. Cristina Gagliardi & Giovanni Lamura, 2021. "Special Issue on “Advances in Socio-Economic Research on Ageing”," IJERPH, MDPI, vol. 18(12), pages 1-6, June.

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