Risk Behavior for Falls in the Elderly: Experiences of Community Health Workers
DOI:
https://doi.org/10.5294/aqui.2020.20.2.3Keywords:
Aged, elderly, accidental falls, risk factors, primary health care, health promotionAbstract
Comportamiento de riesgo para caídas en adultos mayores: experiencias de los agentes comunitarios en salud
Comportamento de risco e fatores para quedas em idosos: experiências de Agentes Comunitários em Saúde
Objective: To identify the risk behaviors of the elderly at home, described by community health workers, and related factors.
Materials and methods: Qualitative research, in the dialectical perspective, carried out through a focus group with community health workers from a family health strategy unit in a municipality of the State of São Paulo, Brazil. Thematic content analysis was used for the study.
Results: The revealed risk behaviors are related to extrinsic factors (architecture, furniture, and equipment), socioeconomic factors (low income, level of education, deficit of social and a family support), and psychological factors (feeling of vulnerability, dependence and not self-acknowledging in a dangerous condition).
Conclusions: Falls are the result of a complex interaction between the factors and, the behaviors studied so that adequate identification of these can subsidize individual and collective intervention actions, as well as care management and planning processes aimed at the health of the elderly person.
To reference this article / Para citar este artículo / Para citar este artigo
Fonseca RFMR, Matumoto S, Xavier JJS, Faller WF. Risk behavior for falls in the elderly: experiences of community health workers. Aquichan. 2020;20(2):e2023. DOI: https://doi.org/10.5294/aqui.2020.20.2.3
Recibido: 06/06/2019
Aceptado: 20/02/2020
Publicado: 30/06/2020
Downloads
References
Rhyn B, Barwick A. health practitioners’ perceptions of falls and fall prevention in older people: A metasynthesis. Qualitative Health Research. 2018;29(1):69-79. DOI: https://doi.org/10.1177/1049732318805753
Frith KH, Hunter AN., Coffey SS, Khan Z. A Longitudinal Fall Prevention Study for Older Adults. The journal for nurse practitioners. 2019;15:295-300. DOI: https://doi.org/10.1016/j.nurpra.2018.10.012
Santos JC, Arreguy-Sena C, Pinto PF, Pereira EP, Alves MS, Loures FB. Social representation of elderly people on falls: Structural analysis and in the light of Neuman. Rev Bras Enferm. 2018;71(suppl. 2):851-9. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0258
Duru P, Özlem Ö, Ünsal A, Balci-Alparslan G. The frequency of falling elderly and evaluation of the behavioral factors related to preventing the falls. Journal of Duzce University Health Sciences. 2016;6(1):34-40. Disponible en: https://www.researchgate.net/publication/295907997_The_Frequency_of_Falling_Elderly_and_Evaluation_of_the_Behavioral_Factors_Related_to_Preventing_the_Falls
Bilik O, Damar HT, Karayurt O. Fall behaviors and risk factors among elderly patients with hip fractures. Acta Paul. Enferm. 2017 Ago; 30( 4 ): 420-427. DOI: http://dx.doi.org/10.1590/1982-0194201700062
Clemson L. Fall Risk Behavior. Encyclopedia of Behavioral Medicine. New York: Springer Science; 2013. DOI: https://doi.org/10.1007/978-1-4419-1005-9_879
Butler AA, Lord SR, Taylor JL, Fitzpatrick RC. Ability versus hazard: risk-taking and falls in older people. The Journals of Gerontology. 2015 may. 70(5 serie A): 628-634. DOI: https://doi.org/10.1093/gerona/glu201
Silva DM, Silva MAC, Oliveira DS, Alves M. Cotidiano de agentes comunitários de saúde com idosos segundo o referencial de Certeau. Cogitare enferm. 2017 Out/dez; 22(4): 1-9. DOI: https://doi.org/10.5380/ce.v22i4.50436
Holanda A. Questões sobre pesquisa qualitativa e pesquisa fenomenológica. Análise Psicológica 2006;24(3):363-372. Disponible en: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0870-82312006000300010&lng=pt&nrm=iso.
Bruyne P, Herman J, Schoutthete M. Dinamica da pesquisa em ciência sociais: os pólos da prática metodológica. 5 ed. Rio de Janeiro: Francisco Alves Editora, 1991.
Minayo MCS, Costa AP. Fundamentos teóricos das técnicas de investigação qualitativa. Revista Lusófona de Educação 2018;40(40):139-153. Disponible en: https://revistas.ulusofona.pt/index.php/rleducacao/article/view/6439
Assis AS, Castro-Silva CRC. Agente comunitário de saúde e o idoso: visita domiciliar e práticas de cuidado. Physis: Revista de Saúde Coletiva 2018;28(3), e280308. DOI: http://dx.doi.org/10.1590/s0103-73312018280308
Kinalski DDF, Pala CC, Padoin SMM, Neves ET, Kleinubing RE, Cortes LF. Focus group on qualitative research: Experience report. Rev Bras Enferm. 2017;70(2):424-9. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0091
Minayo MCS. O Desafio do Conhecimento: Pesquisa Qualitativa em Saúde. 14. São Paulo: Hucitec; 2014.
Santos KS, Ribeiro MC, Queiroga DEU, Silva IAP, Ferreira SMS. O uso de triangulação múltipla como estratégia de validação em um estudo qualitativo. Ciência & Saúde Coletiva [online] 2020;25(2):655-664. DOI: https://doi.org/10.1590/1413-81232020252.12302018
Fonseca RFMR. Prevenção de quedas nos idosos: adesão na atenção primária [dissertação]. Ribeirão Preto: Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto; 2018. DOI: https://doi.org/10.11606/D.22.2018.tde-30052018-105526
Silva WFLT, et al. Fall determinants and associated factors in older people. International Journal of Sports Science 2016;6(4):146-152. Available from: http://article.sapub.org/10.5923.j.sports.20160604.03.html
Labrador DC, Miranda GLH, Corral LEF, Bazart NO. Factores de riesgo asociados a caídas en el anciano del Policlínico Universitario Hermanos Cruz. Rev. Ciencias Médicas de Pinar del Río. 2016 ene.-feb. 20(1):40-46. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942016000100011&lng=es
Menz HB, Auhl M, Munteanu SE. Effects of indoor footwear on balance and gait patterns in community-dwelling older women. Gerontology 2017;63:129-136. DOI: https://doi.org/10.1159/000448892
Pitchai P, Dedhia HB, Bhandari N, Krishnan D, D’Souza NR, Bellara JM. Prevalence, risk factors, circumstances for falls and level of functional independence among geriatric population: A descriptive study. Indian J Public Health. 2019;63:21-6. DOI: https://doi.org/10.4103/ijph.IJPH_332_17
Vicentive FB, Ferreira JBB, Vinhati DS. Entre a gestão e o cuidado da saúde do idoso: enfoque no evento quedas. Medicina Ribeirão Preto Online. 2016;49(5):411-420. DOI: https://doi.org/10.11606/issn.2176-7262.v49i5p411-420
Leite NS, Kanikadan OS. Estudo bibliográfico sobre prevenção de quedas em idosos no universo da atenção básica. South American Journal of Basic Education Technical and Technological. 2016;3(2):167-182. Disponible en: https://periodicos.ufac.br/revista/index.php/SAJEBTT/article/view/611/0
Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and Management of Fall Risk in Primary Care Settings. The Medical Clinics of North America. 2015;99(2):281-293. DOI: https://doi.org/10.1016/j.mcna.2014.11.004
Loganathan A, Ng CJ, Low WY. Views and experiences of Malaysian older persons about falls and their prevention-A qualitative study. BMC Geriatr. 2016 may. 16:97. DOI: https://doi.org/10.1186/s12877-016-0274-6
Organização Mundial da Saúde. Relatório Mundial de Envelhecimento e Saúde – Resumo [serial online]. 2015. Disponible en: http://sbgg.org.br/wp-content/uploads/2015/10/OMS-ENVELHECIMENTO-2015-port.pdf
Pereira MCA, Santos LFS, Moura TNB, Pereira LCA, Landim MBP. Contribuições Da Socialização E Das Políticas Públicas Para A Promoção Do Envelhecimento Saudável: Uma Revisão De Literatura. Rev Bras Promoç Saúde Fortaleza. 2016 ene.-mzo.; 29(1):124-131. Disponible en: https://periodicos.unifor.br/RBPS/article/view/4422
Durbin L, Kharrazi RJ, Graber R, Mielenz TJ. Social support and older adult falls. Inj. Epidemiol. 2016;3(1):4. DOI: https://doi.org/10.1186/s40621-016-0070-y
Finnegan S, Bruce J, Seers K. What enables older people to continue with their falls prevention exercises? A qualitative systematic review. BMJ Open. 2019; 9:e026074. DOI: http://dx.doi.org/10.1136/bmjopen-2018-026074
Haines TP, Lee DA, O’Connell B, Mcdermott F, Hoffmann T. Why do hospitalized older adults take risks that may lead to falls? Health Expectations. International Journal of Public Participation in Health Care and Health Policy. 2015;18(2): 233-249. DOI: http://dx.doi.org/10.1111/hex.12026
Morsch P, Myskiw M, Myskiw JC. A problematização da queda e a identificação dos fatores de risco na narrativa de idosos. Ciênc. Saúde Coletiva. 2016 nov. 21(11):3565-3574. DOI: http://dx.doi.org/10.1590/1413-812320152111.06782016
Pohl P, Sandlund M, Ahlgren C, Bergvall-Karenborn B, Lundin-Olsson L, Wikman AM. Fall risk awareness and safety precautions taken by older community-dwelling women and men: A qualitative study using focus group discussions. PLoS One. 2015 mzo.; 10(3):e0119630. DOI: https://doi.org/10.1371/journal.pone.0119630
Hill AM, Francis-Coad J, Haines TP, Waldron N, Etherton-Beer C, Flicker L, et al. “My independent streak may get in the way”: How older adults respond to falls prevention education in hospital. BMJ Open. 2016;6(7):e012363. DOI: http://dx.doi.org/10.1136/bmjopen-2016-012363
Gardiner S, Glogowska M, Stoddart C, DPhil SP, Lasserson D, Jackson D. Older people’s experiences of falling and perceived risk of falls in the community: A narrative synthesis of qualitative research. International Journal of Older People Nursing 2017;12(4):12151. DOI: http://dx.doi.org/10.1111/opn.12151
Gomes FA, Camacho ACLF. O idoso e a mobilidade urbana: uma abordagem reflexiva para a enfermagem. Rev de Enferm UFPE online 2017;11(12):5066-73. DOI: https://doi.org/10.5205/1981-8963-v11i12a23068p5066-5073-2017
Ribeiro GRMS, Graça BC, Nascimento VF, Hattori TY, Gleriano JS, Terças-Trettel ACP. Atividades gerenciais do enfermeiro no monitoramento das visitas domiciliares do agente comunitário de saúde. Arq. Cienc. Saúde UNIPAR 2018; 22(3):179-185. DOI: https://doi.org/10.25110/arqsaude.v22i3.2018.6559
Miranda DP, Santos TD, Espírito Santo FH, Chibante CLP, Barreto EA. Quedas em idosos em ambiente domiciliar: uma revisão integrativa. Revista Enfermagem Atual 2017; Edição Especial:120-129. Disponible en: https://revistaenfermagematual.com.br/index.php/revista/article/download/560/531
Barreto ACO, Rebouças CBA, Aguiar MIF, Barbosa RB, Rocha SR, Cordeiro LM, Melo KM, Freitas RWJF. Percepção da equipe multiprofissional da Atenção Primária sobre educação em saúde. Rev. Bras. Enferm. 2019;72(Suppl. 1): 266-273. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0702
Pinto CJM, Assis VG, Pecci RN. Educação nas unidades de atenção básica: dificuldades e facilidades. Rev Enferm UFPE online 2019;13(5):1429-36. Disponible en: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/237759
Downloads
Published
How to Cite
Issue
Section
License
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.
