title: [Pain, fear of falling and functional performance in nursing home residents - a cross-sectional study].
abstract: Pain and fear of falling (FOF) are modifiable factors that might play an important role in functional performance of nursing homes residents (NHR). Both factors are characterised by deficits in research and provision of long-term care services. The purpose of this study was to examine the functional performance of NHR with and without pain or FOF. Quantitative data were collected on NHR in Berlin and Brandenburg using a cross-sectional design. The cognitive status was assessed using the Minimental state test. Existing pain and FOF were assessed as a question part of interview. Functional performance was examined using the Barthel Index (BI) the Timed «up & go»-Test. Multiple linear regression analyses were performed to investigate the research question and the influence of additional explanatory variables (age, sex, relevant somatic morbidity).  217 NHR without considerable cognitive impairment (MMST >= 20) participated. 65 % of the NHR suffered from pain and 48 % had FOF. There was a statistically significant association between Pain or FOF und lower functional mobility. With respect to NHR able to walk, there was statistically significant association between Pain or FOF und lower performance in activities of daily living. Possibilities for interventions which might have positive effects on functional performance of NHR are an improved pain treatment and interventions to reduce FOF.
authors.affiliation: Charité-Universitätsmedizin Berlin, Institut für Medizinische Soziologie. Sonja.Kalinowski@charite.de
authors.forename: S
authors.initials: S
authors.lastname: Kalinowski
authors.forename: R
authors.initials: R
authors.lastname: Kuhnert
authors.forename: I
authors.initials: I
authors.lastname: Wulff
authors.forename: M
authors.initials: M
authors.lastname: Kölzsch
authors.forename: R
authors.initials: R
authors.lastname: Kreutz
authors.forename: D
authors.initials: D
authors.lastname: Dräger
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000203:Activities of Daily Living / Q000145:classification*; D000368:Aged; D000369:Aged, 80 and over; D059350:Chronic Pain / Q000453:epidemiology* / Q000451:nursing*; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005239:Fear; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D005858:Germany; D006306:Health Surveys; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D013223:Statistics as Topic