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Analysis of Self-Neglect in Older Patients With a High Risk of Falls Treated in the Outpatient Department.

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Titel: Analysis of Self-Neglect in Older Patients With a High Risk of Falls Treated in the Outpatient Department.
Autoren: Zhang L; Hunan Provincial People's Hospital, Affiliated Hospital of Hunan Normal University, Changsha, P. R. China., Liu M; Hunan Provincial People's Hospital, Affiliated Hospital of Hunan Normal University, Changsha, P. R. China., Zhang J; Hunan Provincial People's Hospital, Affiliated Hospital of Hunan Normal University, Changsha, P. R. China., Chen Z; Hunan Institute For Tuberculosis Control (Hunan Chest Hospital), Changsha, P. R. China., Wang Y; Hunan Provincial People's Hospital, Affiliated Hospital of Hunan Normal University, Changsha, P. R. China., Gong F; Hunan Institute For Tuberculosis Control (Hunan Chest Hospital), Changsha, P. R. China.
Quelle: Scandinavian journal of caring sciences [Scand J Caring Sci] 2025 Dec; Vol. 39 (4), pp. e70114.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: Taylor & Francis Country of Publication: Sweden NLM ID: 8804206 Publication Model: Print Cited Medium: Internet ISSN: 1471-6712 (Electronic) Linking ISSN: 02839318 NLM ISO Abbreviation: Scand J Caring Sci Subsets: MEDLINE
Imprint Name(s): Publication: Stockolm, Sweden : Taylor & Francis
Original Publication: Stockholm, Sweden : Almquist & Wiksell Periodical Co., [1987?-
MeSH-Schlagworte: Accidental Falls*/prevention & control , Accidental Falls*/statistics & numerical data , Outpatients*/psychology , Self Care*, Humans ; Aged ; Female ; Male ; Aged, 80 and over ; Activities of Daily Living ; Surveys and Questionnaires ; Risk Factors
Abstract: Background: Self-neglect of older people can increase their risk of falls, fractures, etc., and has become a major global public health problem.
Purpose: To investigate the current situation and factors influencing self-neglect in older patients at high risk of falls in the outpatient department, and to provide a reference for interventions to address self-neglect in older patients at high risk of falls.
Methods: A questionnaire survey was conducted on 313 older patients with a high risk of falls in outpatient clinics by using a general information questionnaire, the Older People Self-neglect Assessment Scale, the Geriatric Depression Scale, the Daily Living Ability Scale and the Revised Fall Efficacy Scale.
Results: 20.12% of older patients at high risk of falls in the outpatient department had self-neglect. Male patients accounted for 53.0%; female patients accounted for 47.0%. The average total score for self-neglect was 6 (range: 3-11). The results of a multi-factor analysis showed that the mode of living, hearing, eating habits, participation in social activities, activities of daily living score, and revised fall efficacy scale were the main factors influencing self-neglect in older patients with a high risk of falls (p < 0.05).
Conclusions: The self-neglect of older patients admitted to our outpatient clinics was relatively low. Medical workers and their families should pay more attention to the older patients with a high risk of falling who live alone, have poor hearing, consume a poor diet, have lower participation in social activities, have lower activities of daily living and lower fall efficiency, and should take targeted measures to reduce the self-neglect of these individuals to prevent the occurrence of falls in future.
(© 2025 Nordic College of Caring Science.)
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Grant Information: 2024JJ9314 Natural Science Foundation of Hunan Province; B2024100 Hunan Traditional Chinese Medicine Research Project
Contributed Indexing: Keywords: falls; older people; outpatient; self‐neglect
Entry Date(s): Date Created: 20251008 Date Completed: 20251008 Latest Revision: 20251008
Update Code: 20251008
DOI: 10.1111/scs.70114
PMID: 41058215
Datenbank: MEDLINE
Beschreibung
Abstract:Background: Self-neglect of older people can increase their risk of falls, fractures, etc., and has become a major global public health problem.<br />Purpose: To investigate the current situation and factors influencing self-neglect in older patients at high risk of falls in the outpatient department, and to provide a reference for interventions to address self-neglect in older patients at high risk of falls.<br />Methods: A questionnaire survey was conducted on 313 older patients with a high risk of falls in outpatient clinics by using a general information questionnaire, the Older People Self-neglect Assessment Scale, the Geriatric Depression Scale, the Daily Living Ability Scale and the Revised Fall Efficacy Scale.<br />Results: 20.12% of older patients at high risk of falls in the outpatient department had self-neglect. Male patients accounted for 53.0%; female patients accounted for 47.0%. The average total score for self-neglect was 6 (range: 3-11). The results of a multi-factor analysis showed that the mode of living, hearing, eating habits, participation in social activities, activities of daily living score, and revised fall efficacy scale were the main factors influencing self-neglect in older patients with a high risk of falls (p &lt; 0.05).<br />Conclusions: The self-neglect of older patients admitted to our outpatient clinics was relatively low. Medical workers and their families should pay more attention to the older patients with a high risk of falling who live alone, have poor hearing, consume a poor diet, have lower participation in social activities, have lower activities of daily living and lower fall efficiency, and should take targeted measures to reduce the self-neglect of these individuals to prevent the occurrence of falls in future.<br /> (© 2025 Nordic College of Caring Science.)
ISSN:1471-6712
DOI:10.1111/scs.70114