Purpose
This study aimed to investigate the impact of physical performance and fear of falling on fall risk in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis. Methods: This study included 132 patients who regularly received hemodialysis treatment at outpatient clinics in B City from January to April 2022. Data were collected on demographic and clinical characteristics, physical performance (the Short Physical Performance Battery [SPPB]), fear of falling (the Korean Falls Efficacy Scale-International [KFES-I]), and fall risk (the Morse Fall Scale [MFS]). The collected data were analyzed using hierarchical multiple regression in the SPSS/WIN 25.0 program. Results: Thirty-eight patients (28.8%) had experienced accidental falls in the past year, with an average of 1.68 falls per patient. The average SPPB score was 7.89±3.55 (range, 0 to 12), the KFES-I score was 23.18±9.36 (range, 16 to 64), and the MFS score was 45.68±19.52 (range, 0 to 125). Fall risk showed a significant negative correlation with physical function (r=-.72, p<.001) and a significant positive correlation with fear of falling (r=.65, p<.001). Factors affecting the patients' fall risk included the level of serum intact parathyroid hormone (β=.15, p=.004), fear of falling (β=.24, p=.010), number of falls (β=.34, p<.001), and physical performance (β=-.41, p<.001). The regression model was statistically significant (F=22.71, p<.001), with an explanatory power of 64.9%. Conclusion: To prevent accidental falls in ESRD patients undergoing hemodialysis treatment, it is necessary to develop and apply interventions that can enhance physical performance and reduce the fear of falling.

Citations

• Fear of Falling among Elderly Individuals with Various Medical Conditions
  T.K. Konovalchik
  Clinical Psychology and Special Education.2025; 13(4): 76.     CrossRef

PURPOSE
This study aimed to verify the validity and reliability of the Korean version of the Basic Physical Capability Scale (BPCS-K).
METHODS
The BPCS was translated into Korean using forward and back translations. Data were collected from January 16 to May 10, 2019. The study participants comprised 285 older adults, with 147 recruited from an acute care setting, and 138, who had dementia, were from long-term care facilities. Data analysis included KR-20, intraclass correlation coefficient, independent t-test, Kruskal-Wallis H test, hierarchical multiple regression, and Rasch analysis (item difficulty, infit/outfit, separation index, reliability index, and differential item function analysis), and were conducted using SPSS/WIN 25.0 and R programs. The criterion-related validity was examined using the Barthel Index.
RESULTS
The KR-20 reliability coefficient was .93 and the intraclass correlation coefficient for 2-week test-retest reliability was .97. The BPCS-K scores were significantly different compared to the known groups. Moreover, controlling for age, gender, and cognitive status, the Barthel Index score was significantly associated with the BPCS-K scores. Rasch analysis supported good construct validity.
CONCLUSION
The findings suggest that the 16-item BPCS-K is an appropriate instrument to measure basic physical capability in Korean older adults. The BPCS-K can establish individualized physical activity goals for the elderly in a variety of clinical settings and can also serve to measure changes of physical function in physical activity interventions for older adults.

Citations

• Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
  Hye Sook Shin, Eunlim Chi, Hae-Ra Han
  Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef