A survey on KBP levels on fall prevention and their influencing factors in elderly patients with type 2 diabetes combined with cognitive frailty
Zhang Mengxin
Si Wen
Liu Qiao
Gao Ajuan
Cui Yaoyao
Chen Yiqing
Chang Shasha
Liu Jingjing
Abstract：Objective To investigate the current status of knowledge,beliefs,and practices(KBP)of fall prevention among eld-erly patients with type 2 diabetes mellitus(T2DM)combined with cognitive frailty,and to analyze the factors influencing their KBP to inform clinical prevention and intervention strategies.Methods A total of 108 elderly T2DM patients with cognitive frailty who attended a hospital in Xi'an from March 2021 to March 2024 were surveyed using a general information question-naire,a fall prevention KBP questionnaire,and the Falls Efficacy Scale-International(FES-I).Multiple linear regression analy-sis was performed to identify factors associated with KBP levels among these participants.Results The mean total score on the fall prevention KBP questionnaire was 75.99±4.67,with subscale scores for fall prevention knowledge,beliefs,and be-haviors of 28.77±3.26,20.34±2.74,and 26.88±3.06,respectively.The mean FES-I total score was 40.16±2.66.Pear-son correlation analysis revealed that the subscale and total scores of KBP were positively correlated with the subscale and total scores of FES-I(P<0.05).Univariate analysis showed no significant differences in KBP scores by gender or marital status(P>0.05),but significant differences by age,educational level,monthly family income,living situation,fall history,and re-ceipt of fall prevention health education(P<0.05).Multiple linear regression analysis identified age,educational level,monthly family income,fall history,receipt of fall prevention health education,and FES-I score as significant predictors of KBP levels(P<0.05),accounting for 58.74%of the variance.Conclusion Elderly T2DM patients with cognitive frailty ex-hibit moderate levels of KBP on fall prevention,which are influenced by age,education,monthly family income,fall history,receipt of health education,and selfefficacy for falls.Clinical staff should target these factors in tailored interventions to boost KBP levels on fall prevention in this population.
Keywords：Type 2 diabetes mellitusCognitive frailtyElderlyFallsKnowledge beliefs practicesMultiple linear regression
Publication Date：2025-04-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 24-29 )