A latent profile analysis of self-awareness of falls among elderly patients with hip osteoarthritis_West China Medical Journal

Authors：

YANG Siyi , PU Zhehan , ZHANG Can , CHEN Jiali , NING Ning ,  LI Peifang

Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LI Peifang, Email: 18382076258@163.com

Keywords：

Hip osteoarthritis; older adults; self-awareness of falls; latent profile analysis; influencing factor analysis

DOI：

10.7507/1002-0179.202607165

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Objective To identify the potential categories of self-awareness of falls in elderly patients with hip osteoarthritis (HOA), and to analyze the characteristics and influencing factors of different categories. Methods A cross-sectional study was conducted on elderly patients with HOA who were hospitalized in the orthopedic ward of West China Hospital of Sichuan University between February and April 2026 by convenience sampling. The participants were investigated by general information questionnaire, Self-awareness of Falls in Elderly scale, Fall Risk Self-rating Scale for the Elderly, Barthel index scale for self-care ability assessment, Family Care Index Questionnaire, Generalized Anxiety Disorder-7 self-rating scale and Berg Balance Scale. The potential categories of self-awareness of falls were divided by potential profile analysis, and the influencing factors of self-awareness of falls were explored by single factor analysis and multinomial logistic regression analysis. Results A total of 301 elderly patients with HOA were included. The self-awareness of falls of elderly patients with HOA could be divided into three potential categories: “low alertness and low cognition” “medium alertness and high cognition” and “high alertness and high cognition”. Compared with “high alertness and high cognition”, patients with lower education level [odds ratio (OR)=0.199, 95% confidence interval (CI) (0.097, 0.411), P<0.001] and fewer chronic diseases [OR=0.654, 95%CI (0.453, 0.945), P=0.024] were more likely to belong to “medium alertness and high cognition”; patients with good self-care ability [OR=0.346, 95%CI (0.192, 0.623), P<0.001], good balance ability [OR=0.119, 95%CI (0.048, 0.293), P<0.001], fewer chronic diseases [OR=0.478, 95%CI (0.292, 0.781), P=0.003], and low degree of pain [OR=0.448, 95%CI (0.276, 0.728), P=0.001] were more likely to belong to “low alertness and low cognition”. Conclusions There is group heterogeneity in the self-awareness of falls of elderly patients with HOA. In clinical work, medical staff should formulate personalized intervention strategies for different types of patients according to their different characteristics.

Citation： YANG Siyi, PU Zhehan, ZHANG Can, CHEN Jiali, NING Ning, LI Peifang. A latent profile analysis of self-awareness of falls among elderly patients with hip osteoarthritis. West China Medical Journal, 2026, 41(9): 1440-1446. doi: 10.7507/1002-0179.202607165 Copy

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19.	何雯倩, 郭園麗, 王連珂, 等. 首發腦卒中患者護理依賴軌跡的潛在類別及影響因素分析[J]. 中華護理雜志, 2023, 58(7): 829-835.
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23.	李志宏, 趙志艷, 哈琳, 等. 心血管內科老年跌倒高危病人警覺度現狀及影響因素[J]. 護理研究, 2024, 38(20): 3730-3734.
24.	陳敏, 韓珊, 周靜, 等. 老年膝關節骨性關節炎患者跌倒警覺度現狀及其影響因素分析[J]. 老年醫學研究, 2025, 6(3): 9-14.

1. 車彪. 髖關節骨性關節炎的診斷和治療進展[J]. 中國臨床研究, 2011, 24(7): 635-636.
2. 周維. “髖四刀”療法干預髖關節骨性關節炎的療效觀察[D]. 武漢: 湖北中醫藥大學, 2016.
3. Picorelli AMA, Hatton AL, Gane EM, et al. Balance performance in older adults with hip osteoarthritis: a systematic review[J]. Gait Posture, 2018, 65: 89-99.
4. Zhang Y, Li X, Wang Y, et al. Association of knee and hip osteoarthritis with the risk of falls and fractures: a systematic review and meta-analysis[J]. Arthritis Res Ther, 2023, 25(1): 184.
5. 王永琴, 姚潔. 老年人跌倒警覺度的研究進展[J]. 職業與健康, 2025, 41(18): 2584-2587, 2592.
6. Shyu ML, Huang HC, Wu MJ, et al. Development and validation of the Self-awareness of Falls in Elderly scale among elderly inpatients[J]. Clin Nurs Res, 2018, 27(1): 105-120.
7. 馬威, 龐堅, 張潔帆, 等. 膝骨關節炎患者跌倒恐懼影響因素分析及列線圖模型構建[J]. 中國組織工程研究, 2023, 27(29): 4690-4695.
8. 崔夢影, 王穎, 蔡悅, 等. 住院老年患者跌倒警覺度現狀及影響因素研究[J]. 護理學雜志, 2023, 38(17): 10-13.
9. 王孟成. 潛變量建模與 Mplus 應用·進階篇[M]. 重慶: 重慶大學出版社, 2018: 13-15.
10. 李亞玲, 丁福. STEADI 老年人跌倒風險自評量表的漢化及信效度檢驗[J]. 護理學雜志, 2020, 35(3): 8-12.
11. 蘇清清, 蔣天裕, 皮紅英, 等. 中文版老年人跌倒風險自評量表的信效度評價[J]. 解放軍醫學院學報, 2018, 39(10): 885-888.
12. 張源源. 老年住院患者營養狀況及其影響因素分析[D]. 廣州: 南方醫科大學, 2017.
13. 顏文, 張雪梅, 陳茜. 養老機構老年人跌倒效能及其影響因素研究[J]. 中國全科醫學, 2019, 22(19): 2356-2360.
14. 吳夢蘭, 潘愛紅, 張瑩, 等. 老年多重慢病患者跌倒警覺度現狀及影響因素分析[J]. 安徽醫專學報, 2025, 24(2): 121-123, 130.
15. Spitzer RL, Kroenke K, Williams JBW, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7[J]. Arch Intern Med, 2006, 166(10): 1092-1097.
16. 何筱衍, 李春波, 錢潔, 等. 廣泛性焦慮量表在綜合性醫院的信度和效度研究[J]. 上海精神醫學, 2010, 22(4): 200-203.
17. 許紅璐, 黃東鋒, 王于領, 等. 髖部骨折術后出院患者 FIM 評價及影響因素分析[J]. 中國康復醫學雜志, 2006(10): 919-921.
18. 甕長水, 王軍, 王剛, 等. Berg 平衡量表在腦卒中患者中的內在信度和同時效度[J]. 中國康復醫學雜志, 2007(8): 688-690, 717.
19. 何雯倩, 郭園麗, 王連珂, 等. 首發腦卒中患者護理依賴軌跡的潛在類別及影響因素分析[J]. 中華護理雜志, 2023, 58(7): 829-835.
20. 鄧瀟, 李德威, 伍禎, 等. 農村老年高血壓患者跌倒警覺度現狀及影響因素研究[J]. 護理學雜志, 2024, 39(22): 103-106, 111.
21. 許肇然, 胡安安, 黃麗華. 國內外老年人互聯網使用行為研究述評[J]. 圖書情報工作, 2017, 61(20): 140-148.
22. Souza LFd, Batista REA, Camapanharo CRV, et al. Factors associated with risk, perception and knowledge of falls in elderly people[J]. Rev Gaucha Enferm, 2022, 43: e20200335.
23. 李志宏, 趙志艷, 哈琳, 等. 心血管內科老年跌倒高危病人警覺度現狀及影響因素[J]. 護理研究, 2024, 38(20): 3730-3734.
24. 陳敏, 韓珊, 周靜, 等. 老年膝關節骨性關節炎患者跌倒警覺度現狀及其影響因素分析[J]. 老年醫學研究, 2025, 6(3): 9-14.

West China Medical Journal

A latent profile analysis of self-awareness of falls among elderly patients with hip osteoarthritis

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