跌倒老人健康相關生活品質及心理害怕

This study aimed at examining the factors associated with the four domains of the WHOQOL-BREF (a brief version of the World Health Organization Quality of Life) as well as the fear of falling in elderly people aged 65 and over. During a 6-month recruitment period, there were 874 elderly fallers visiting emergency rooms in the three hospitals: Taipei City Hospital (Zhongxiao Branch and Zhongxin Branch), Mackay Memorial Hospital (Hsinchu Branch), and China Medical University Hospital. Of these people, 410 were interviewed by telephone to collect essential information. Results of the linear regression model analysis show that three WHOQOL-B REF domains-Physical Capacity, Psychological Well-being, and Social Relationships, were associated with the number of chronic conditions and limitation of basic and instrumental activities of daily living (ADLs). On the other hand, environmental domain was associated with cognitive impairment, fall patterns, use of walking device, and limitation of basic and instrumental ADLs. Furthermore, fear of falling was associated with limitation of basic ADLs. The results are conducive to the understanding of psychological state and the design in the contents and direction of intervention for elderly fallers.