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Prevalence of fear of falling in older adults, and its associations with clinical, functional and psychosocial factors: the Frailty in Brazilian Older People-Rio de Janeiro study. Malini Flávia Moura,Lourenço Roberto Alves,Lopes Claudia S Geriatrics & gerontology international AIM:The present study estimated the prevalence of fear of falling in older adults, and its associations with clinical, functional and psychosocial factors. METHODS:Data from the Research Network Frailty in Brazilian Older People, specifically the Rio de Janeiro Study involving participants aged 65 years and older residing in the city of Rio de Janeiro, Brazil, were analyzed. Fear of falling was assessed by the Brazilian version of Falls Efficacy Scale-International. The following variables were assessed: history of falls, fracture after fall, number of comorbidities, number of medications, hospitalization in the previous year, use of walking support device, functional dependency in activities of daily living (including instrumental activities), hearing and visual impairments, hand grip strength, walking speed, self-rated health, depressive symptoms, cognitive impairment, living alone, social support, and activity level. Associations were evaluated by multiple logistic regression. RESULTS:Among the 742 participants, 51.9% had a fear of falling, which was more prevalent in women and older participants. Fear of falling was associated with a history of one to two falls (odds ratio [OR] 2.18; 95% confidence interval [CI] 1.42-3.36), three or more falls (OR 2.72, 95% CI 1.10-6.70), use of seven or more medications (OR 1.70, 95%CI 1.04-2.80), hearing impairment (OR 1.66, 95% CI 1.10-2.49), functional dependence in activities of daily living (OR 1.73, 95% CI 1.07-2.79), diminished gait speed (OR 1.64 95% CI 1.04-2.58), fair self-rated health (OR 1.89, 95% CI, 1.30-2.74), poor/very poor self-rated health (OR 4.92, 95% CI 1.49-16.27) and depressive symptoms (OR 1.68, 95% CI 1.07-2.63). CONCLUSIONS:The prevalence of fear of falling was high in this population, and was associated with history of falls, use of seven or more medications, hearing impairment, functional dependency in activities of daily living, diminished walking speed, fair and poor/very poor self-rated health and depressive symptoms. 10.1111/ggi.12477
The effects of preoperative aromatherapy massage on anxiety and sleep quality of colorectal surgery patients: A randomized controlled study. Ayik Cahide,Özden Dilek Complementary therapies in medicine AIMS:To examine the effects of aromatherapy massage on anxiety and sleep quality in patients undergoing colorectal surgery in the preoperative period. BACKGROUND:In recent years, there has been an increase in the number of studies conducted on aromatherapy massage. It is stated that studies conducted on aromatherapy massage for anxiety and sleep quality reveal contradictory results and that more research is required on the issue. DESIGN:A randomized controlled trial. METHODS:Eighty patients undergoing colorectal surgery were randomly assigned to experimental and control group. To the experimental group (n = 40), aromatherapy massage was applied in accordance with the "Back Massage Guide" using 5% lavender oil (Lavandula Hybrida) for ten minutes before surgery and the morning of surgery. The control group received standard nursing care in compliance with the hospital procedure. Data were obtained by the State Anxiety Inventory (SAI) and Richard-Campbell Sleep Questionnaire (RCSQ). Results were analyzed using the t-test, Chi-square test or Fisher's exact test. RESULTS:There was no baseline difference between the groups. A statistically significant difference was found between the experimental and control group in terms of the SAI and RCSQ mean scores recorded on the morning of surgery. It was determined that the SAI and RCSQ mean score of the experimental group after aromatherapy massage on the morning of surgery decreased when compared to that of the evening before surgery. CONCLUSIONS:It was found that aromatherapy massage with lavender oil increased the sleep quality and reduced the level of anxiety in patients with colorectal surgery in the preoperative period. 10.1016/j.ctim.2017.12.002
The effects of lavender oil on the anxiety and vital signs of benign prostatic hyperplasia patients in preoperative period. Genc Hasan,Saritas Serdar Explore (New York, N.Y.) BACKGROUND:This study was conducted to determine the effects of lavender oil on the levels of anxiety and vital signs in benign prostate hyperplasia patients (BPH) in their preoperative period. METHOD:This was a quasi-experimental study and a pretest-posttest design with a control group. The population of the study consisted of elderly male patients who were hospitalized at the urology clinic of a hospital in Turkey, eligible for inclusion, and who were scheduled to undergo BPH surgery. These patients had a prostate mass >30 g on which medical treatment and minimal surgical treatment had not been succesful but which could be cured through open prostatectomy surgery and transurethral resection of the prostate. The sample consisted of 110 patients selected by the convenience sampling method and determined based on power analysis. RESULTS:According to data analysis, both groups showed significantly reduced anxiety after the smelling lavender oil. However, the experimental group reported a significantly higher decrease in anxiety [mean change: -38.47 (SD 8.68) vs -2.78 (SD 3.27)] in comparison to the control group (p < 0.001). The posttest mean vital signs of the groups were compared and there was a statistically significant decrease in respiration and increase in oxygen saturation (p < 0.05). CONCLUSION:The findings showed that lavender oil inhalation reduced anxiety levels and had effects on the vital signs of BPH patients in their preoperative period. 10.1016/j.explore.2019.07.008
Effects of preoperative individualized audiovisual education on anxiety and comfort in patients undergoing laparoscopic cholecystectomy: randomised controlled study. Toğaç Hülya Kizil,Yılmaz Emel Patient education and counseling OBJECTIVE:The study aimed to determine the effects of preoperative individualized audiovisual education for laparoscopic cholecystectomy patients on postoperative anxiety and comfort (pain, nausea, and vomiting). METHOD:This study was a randomized clinical trial on 124 patients undergoing laparoscopic cholecystectomy. Patients were randomized into an intervention group (individualized audiovisual education) or a control group (standard education). The primary outcome was change in anxiety and comfort levels between the intervention and control groups at baseline and follow-up. Secondary outcomes were change between groups in Patient Learning Needs Scale scores and vital signs. RESULTS:Although the preoperative visual analog scale (VAS)-pain and VAS-nausea scores of the patients in both groups were similar, the postoperative VAS-pain and VAS-nausea levels of the intervention group were significantly lower than that of the control group (p < 0.05). The anxiety levels of the intervention group were also lower both before (42.79 ± 4.29) and after (39.08 ± 3.49) surgery than that of the control group (50.98 ± 5.45 and 44.41 ± 4.77, respectively). CONCLUSION:This study showed that preoperative individualized audiovisual education was effective in reducing anxiety and improving patient comfort. PRACTICE IMPLICATIONS:Preoperative individualized audiovisual education is crucial for clinical care and can be integrated into other patients because of its positive effects on postoperative recovery outcomes. 10.1016/j.pec.2020.08.026