Examining the relationship between patients who have undergone brain surgery and their fear of falling and pain, cognitive status, functional mobility, anxiety, and depression

Abstract
Background/Aim: Patients who have undergone brain surgery are at risk of falling. Fear of falling causes an increase in the risk of falling and a decrease in movement and daily life activities. However, no previous research has investigated the fear of falling experienced by patients who have undergone brain surgery or the factors that affect it. This study aims to examine the relationship between fear of falling and pain, cognitive status, functional mobility, anxiety, depression, and socio-demographic and clinical characteristics in patients who have undergone brain surgery. Methods: This cross-sectional study included 115 patients who had undergone brain surgery. The data were collected via a Patient Information Form, the Fear of Falling Scale, the Visual Analogue Scale, the Mini-Mental State Examination, the Itaki Fall Risk Scale, the Hospital Anxiety and Depression Scale, the Glasgow Coma Scale and the Timed Up and Go Test. IBM SPSS 22.0 software was used for descriptive statistics, correlation, and stepwise multiple linear regression analyses. Results: Of the 115 patients, 73.1% were afraid of falling. Multiple linear regression analysis of the fear of falling in patients who had undergone brain surgery reveals that age (β=0.217, P=0.004), number of postoperative mobilizations (β=-0.141, P=0.031), a reported history of falling (β=0.155, P=0.032), the Timed Up and Go Test (β=0.372, PPConclusion: Age, number of mobilizations, falling experience, functional mobility, and anxiety level can affect the fear of falling in patients after brain surgery. To mitigate this fear, it is important to plan care with reference to these variables from the time of the brain surgery until the patient is discharged. In addition, there is a need for further studies on falling and the fear of falling after brain surgery. function ready(callback){ // in case the document is already rendered if (document.readyState!='loading') callback(); // modern browsers else if (document.addEventListener) document.addEventListener('DOMContentLoaded', callback); // IE <= 8 else document.attachEvent('onreadystatechange', function(){ if (document.readyState=='complete') callback(); }); } ready(function(){ var abstract = document.getElementById("abstract"); //declare your possible strings in vars let st = innerHTML; st = st.replace(//g,""); st = st.replace(/<\/p>/g,""); st = st.replace(//g,""); st = st.replace(/<\/strong>/g,""); st = st.replace(/ /g,""); let title = "Background/Aim:"; if(st.includes(title)){ st = st.replace(title, ""+title+" "); } else{ title = "Aim:"; st = st.replace(title, ""+title+""); } let titles = ["Methods:", "Conclusion:", "Results:"]; titles.forEach((title, ndx) => { //console.log(title); st = st.replace(title, " "+title+""); }); //console.log(st); innerHTML = ''+st+''; }); Downloads Download data is not yet available. References Denkinger MD, Lukas A, Nikolaus T, Hauer K. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. Am J Geriatr Psychiatry. 2015;23(1):72–86. doi: 10.1016/j.jagp.2014.03.002. DOI: https://doi.org/10.1016/j.jagp.2014.03.002 Turhan Damar H, Bilik O, Karayurt O, Ursavas FE. Factors related to older patients’ fear of falling during the first mobilization after total knee replacement and total hip replacement. Geriatr Nurs (Minneap). 2018;39(4):382-7. doi: 10.1016/j.gerinurse.2017.12.003 DOI: https://doi.org/10.1016/j.gerinurse.2017.12.003 Doré AL, Yvonne MG, Mercer VS, Shi XA, Renner JB, Joanne MJ, et al. Lower limb osteoarthritis and the risk of falls in a community-based longitudinal study of adults with and without osteoarthritis. Arthritis Care Res (Hoboken). 2015;67(5):633–9. doi:10.1002/acr.22499. DOI: https://doi.org/10.1002/acr.22499 Montero-Odasso M, Verghese J, Beauchet O, Hausdorff JM. Gait and cognition: A complementary approach to understanding brain function and the risk of falling. J Am Geriatr Soc. 2012;60(11):2127–36. doi:10.1111/j.1532-5415.2012.04209.x DOI: https://doi.org/10.1111/j.1532-5415.2012.04209.x Kushner DS, Amidei C. Rehabilitation of motor dysfunction in primary brain tumor patients. Neuro-Oncology Pract. 2015;2(4):185–91. doi:10.1093/nop/npv019 DOI: https://doi.org/10.1093/nop/npv019 Dicle A, Simsek AB, Vahaplar A. Investigation of symptoms severity, symptoms clustering and status of interference in the life of patients with primary brain tumors. Int J Basic Clin Stud. 2014;3(1):40–54. Çelik GO, Zıngal H. Beyin cerrahisi kliniğinde yatan hastaların düşme risklerinin ve alınan önlemlerin belirlenmesi. İzmir Katip Çelebi Üniversitesi Sağlık Bilim Fakültesi Derg. 2016;1(1):7–11. Uemura K, Shimada H, Makizako H, Doi T, Tsutsumimoto K, Lee S, et al. Effects of mild cognitive impairment on the development of fear of falling in older adults: A prospective cohort study. J Am Med Dir Assoc. 2015;16(12):1104.e9-1104.e13. doi: 10.1016/j.jamda.2015.09.014. DOI: https://doi.org/10.1016/j.jamda.2015.09.014 Uemura K, Shimada H, Makizako H, Doi T, Tsutsumimoto K, Yoshida D, et al. Effects of mild and global cognitive impairment on the prevalence of fear of falling in community-dwelling older adults. Maturitas. 2014;78:62–6. doi: 10.1016/j.maturitas.2014.02.018. DOI: https://doi.org/10.1016/j.maturitas.2014.02.018 Uemura K, Shimada H, Makizako H, Yoshida D, Doi T, Tsutsumimoto K, et al. A lower prevalence of self-reported fear of falling is associated with memory decline among older adults. Gerontology. 2012;58(5):413–8. doi: 10.1159/000336988 DOI:...