Qualitative study on the experience of fall alertness in elderly patients with rheumatoid arthritis
10.3761/j.issn.0254-1769.2025.07.011
- VernacularTitle:老年类风湿关节炎患者对跌倒警觉体验的质性研究
- Author:
Liping WU
1
;
Lina XIAO
;
Hanqing LAI
;
Qian HUANG
;
Xuan GUO
;
Xun ZHOU
Author Information
1. 550005 贵阳市 贵州中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Aged;
Rheumatoid Arthritis;
Fall Alertness;
Psychological Experience;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(7):836-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the experience of fall alertness in elderly patients with rheumatoid arthritis and to provide references for the development of targeted nursing intervention strategies.Methods 13 elderly patients with rheumatoid arthritis,who were admitted to the Department of Rheumatology and Immunology of a tertiary hospital in Guizhou Province from February to April 2024,were selected through purposive sampling.Phenomenological qualitative research methods were used,with semi-structured in-depth interviews.Data were analyzed using Colaizzi's seven-step method,and themes were extracted.Results 3 main themes and 9 sub-themes were identified:the process of fall risk perception(reshaping fall risk cognition,establishing emotional coping mechanism,enhancing fall alertness effect),behavioral responses to fall alertness(creating a safe living environment,regularizing daily routine plan),and needs for fall prevention support(need for fall prevention knowledge,home rehabilitation care needs,intelligent device usage needs,psychosocial support needs).Conclusion Clinical medical staff should pay attention to the transformation process of fall risk perception in elderly rheumatoid arthritis patients,accurately identify patients'fall support needs in practice,and guide patients to adopt appropriate fall alert response behaviors through innovative fall demand support interaction paths and the construction of social support network systems,in order to improve patients'fall alertness and reduce their fall risk.
