Cognitive reserve and social cohesion in influence on fall-related self-awareness among the elderly in community
10.3969/j.issn.1671-8283.2025.09.002
- VernacularTitle:认知储备与社区融合度对社区老年人跌倒警觉度的影响研究
- Author:
Jiajun WEI
1
;
Jia ZHANG
;
Mengting OUYANG
;
Nifang XIE
;
Zhangjie SHI
;
Xin SUN
Author Information
1. 长沙医学院护理学院,湖南 长沙 410219
- Publication Type:Journal Article
- Keywords:
the elderly;
fall-related self-awareness;
cognitive reserve;
social cohesion;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(9):8-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the level of fall-related self-awareness among the elderly in community and to explore the influence of cognitive reserve and social cohesion on fall-related self-awareness,thereby providing a reference for developing targeted interventions.Methods Toally 500 old people in communities were recruited by convenience sampling in Hengyang between August and September 2024.Data were collected with the general information questionnaire,neighbourhood cohesion scale,self-awareness of falls in elderly scale,and cognitive reserve index questionnaire.Hierarchical multiple linear regression analysis was employed to explore the effects of cognitive reserve and social cohesion on fall-related self-awareness while controlling for demographic variables.Results A total of 467 valid questionnaires were returned.The score of fall-related self-awareness was 54.60±6.64(moderate level).Social cohesion scores was 29.84±5.52(moderate level),and cognitive reserve score was 93.27±10.83(moderate level).The cognitive reserve and social cohesion were both positively correlated with fall-related self-awareness(all P<0.01).Community integration accounted for 9.10%of its total variability,and cognitive reserve accounted for 5.70%of the total variability of fall vigilance,while controlling for variables such as body mass index(BMI),sleep quality,sedentary habits,fear of falling and financial resources.Conclusion The elderly in communities exhibit a low level of fall-related self-awareness.More attention to risk of falling is required along with developing targeted and individualised training programs aiming at improvement of cognitive reserve and social cohesion,thereby reducing the incidence of falls.
