Page 173 - Ebook-Book JCMS 2025

Relationship among Health Literacy, Self-efficacy and Re-
falling Preventive Behavior in Older Adults Undergoing Hip
Surgery
Saichai Ninpetch, Phichpraorn Youngcharoen, Suchira Chaiviboontham*
Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital
*Corresponding Author E-mail: suchira.cha@mahidol.edu
Background: Abstract
Falls significantly impact older adults’ quality of life, especially those who have undergone
hip fracture surgery. These individuals are at a high risk of recurrent falls, especially during
the early recovery phase, which is characterized by limited mobility. This study focused
on patients undergoing hip surgery for 2 weeks. The study aim was to identify factors
associated withfall preventive behaviors. Understanding these factors is crucial for
developing effective strategies to reduce re-falling, injuries, and fractures in older adults.
Methods: Results: This study examined relationships among health literacy on fall prevention, self-efficacy
in fall prevention, and re-falling preventive behaviors in 76 older adults undergoing hip
surgery for 2 weeks. The health literacy framework proposed by Paasche-Orlow and Wolf.
Participants were selected for used as a conceptual framework purposive sampling based
on the following inclusion criteria: a) aged 60 years or older b) having sustained a hip
fracture due to a fall c) being able to communicate and understand the Thai language d)
having no cognitive impairments. Data collection tools included a demographic and health
status questionnaire, a health literacy-related fall questionnaire, the Activities-Specific
Balance Confidence, and the fall preventive behaviors questionnaire. Data were analyzed
using descriptive statistics and Spearman’s rank correlation.
The results showed that the mean score of re-falling preventive behaviors was higher
than the mid-point. Health literacy had a positive correlation with both self-efficacy
(r=.305, p<.05) and re-falling preventive behaviors (r=.342, p<.05) However, there was no
significant correlation between self-efficacy and fall prevention behaviors.
Conclusion: The findings highlight the importance of promoting health literacy for fall prevention to
enhance re-falling preventive behaviors in older adults after hip surgery. These results
can contribute to the development of effective fall prevention programs aimed at reducing
recurrent falls and associated injuries in this vulnerable population.
Harmony in health: Innovation for Sustainable Medicine
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