Accesibilidad arquitectónica y percepción de caídas del anciano en el peridomicilio: método mixto

Santos, Jéssica de Castro; Arreguy-Sena, Cristina; Pinto, Paulo Ferreira; Lopes, Rafael Oliveira Pitta; Vilela, Talyta do Carmo; Brandão, Marcos Antônio Gomes

Jéssica de Castro Santos

project administration

formal analysis

conceptualization

data curation

funding acquisition

investigation

methodology

resources

software

supervision

validation

visualization

writing – original draft

writing – review & editing

Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Rio de Janeiro, Rio de Janeiro, Brasil.

http://orcid.org/0000-0002-8336-156X

Cristina Arreguy-Sena

project administration

formal analysis

conceptualization

data curation

writing – original draft

writing – review & editing

investigation

methodology

resources

software

supervision

validation

visualization

Universidade Federal de Juiz de Fora (UFJF). Faculdade de Enfermagem. Juiz de Fora, Minas Gerais, Brasil.

http://orcid.org/0000-0002-5928-0495

Paulo Ferreira Pinto

formal analysis

writing – review & editing

investigation

methodology

resources

software

validation

visualization

Universidade Federal de Juiz de Fora (UFJF). Faculdade de Educação Física e Desportos. Juiz de Fora, Minas Gerais, Brasil.

http://orcid.org/0000-0001-7321-3160

Rafael Oliveira Pitta Lopes

formal analysis

writing – review & editing

resources

validation

Universidade Federal do Rio de Janeiro (UFRJ). Centro Multidisciplinar UFRJ- Macaé. Rio de Janeiro, Rio de Janeiro, Brasil.

http://orcid.org/0000-0002-9178-8280

Talyta do Carmo Vilela

investigation

resources

visualization

Universidade Federal de Juiz de Fora (UFJF). Faculdade de Enfermagem. Juiz de Fora, Minas Gerais, Brasil.

http://orcid.org/0000-0002-7921-2924

Marcos Antônio Gomes Brandão

project administration

formal analysis

funding acquisition

conceptualization

data curation

writing – original draft

writing – review & editing

methodology

resources

software

supervision

validation

visualization

Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Rio de Janeiro, Rio de Janeiro, Brasil.

http://orcid.org/0000-0002-8368-8343

Corresponding author:
Jessica de Castro Santos E-mail: jessicacastroenf@gmail.com

Authorship contribution:

Project administration: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão. Formal analysis: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto, Rafael Oliveira Pitta Lopes. Funding acquisition: Jéssica de Castro Santos, Marcos Antônio Gomes Brandão Conceptualization: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão. Data curation: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão. Writing - original draft: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão. Writing - review &editing: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto, Rafael Oliveira Pitta Lopes. Investigation: Jéssica de Castro Santos, Cristina Arreguy-Sena, Paulo Ferreira Pinto, Talyta do Carmo Vilela. Methodology: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto. Resources: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto, Rafael Oliveira Pitta Lopes, Talyta do Carmo Vilela. Software: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto. Supervision: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão Validation: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto, Rafael Oliveira Pitta Lopes. Visualization: Jéssica de Castro Santos, Cristina Arreguy-Sena, Marcos Antônio Gomes Brandão, Paulo Ferreira Pinto, Talyta do Carmo Vilela.

The authors declare that there is no conflict of interest.

Associate editor:

Luccas Melo de Souza

Editor-in-chief:

João Lucas Campos de Oliveira

	CATEGORY 1 - Peridomicile: fallscenario	CATEGORY 2 - Aging and vulnerability: risk of fall in peridomicile
Factors/Origin
Technological	Cognitive and informative: The street has no structure, sometimes a hole, anything, can throw me to the ground. E165 Behavioral and attitudinal: She had a fracture, he was using a walker and still cannot walk properly. She's doing physical therapy, he put a plaque. She is in a lot of pain and is walking with great difficulty. E189 Evaluative or affective: Evaluative or affective: If you break a femur, the pelvis and have to walk on crutches. E196	Cognitive and informative: After a while, I had an x-ray because of osteopenia, then the doctor said that there is an injury due to the previous fall. E189 Behavioral and attitudinal: You have to be careful with the rush so as not to cause an accident. E178
Religious	Cognitive and informative: Because of holes, uneven sidewalks. E140 Behavioral and attitudinal: I go to church and I'm afraid of falling. Bricks slip. E167 Objective and imagetic: I'm afraid of those slopes on the street E167	Cognitive and informative: She did all her activities, ran all the churches in Juiz de Fora. She went to everything! I think she just didn't go (died), because of her faith, otherwise it would be worse. E177
Family and social	Behavioral and attitudinal: One day I was going to my daughter's and there was a bump on the sidewalk. E138.	Behavioral and attitudinal: I was walking down the street, I lost my balance and fell... E189 Cognitive and informative: Dizziness, hole, slip, a stone you slide. E181 Evaluative and affective: On the street, it's very dangerous! I'm already 90 years old, it's not a day, right?! E111
Culture, values, beliefs	Behavioral and attitudinal: We can slip, we can stumble. E149 Cognitive and informative: I fell again (recurring fall) and it was where I had already broken. E111 There are people who are not careful and throw their garbage anywhere. It obstructs the sidewalks. E188 Evaluative and affective: I think stumbling is dangerous... E119 Objective and imagetic: We stumble over a hole in the street. E154	Behavioral and attitudinal: It is very hard for me to go out on the street, because I hardly ever leave the house E114. I've fell on the street! I went up a little step for nothing, lost control and fell E148. Cognitive and informative: I'm worried about things; I don't pay attention and I might fall E155 Evaluative and affective: It's hard to fall. E165 Objective and imagetic: We look like children when we fall.E165
Politicaland legal	Behavioral and attitudinal: I might stumble or slip on a stone... E126. Cognitive and informative: I am afraid of falling in the street. 65189 On the street, it is dangerous E142. Evaluative and affective: Our city is very badly paved; there are some very bad sidewalks, steps a little high. When I get on or off the bus, it's very awkward. I can fell. E182 Especially with a few holes we found along the way, which are many! E128 Objective and imagetic:These stones and these holes there are many on the streets. E180	Behavioral and attitudinal: I'm afraid of falling in the street. E189. Cognitive and informative: I think stumbling is dangerous E119.
Economic factors	Behavioral and attitudinal: Because of holes and uneven sidewalks. E140I fell because I got off the bus and didn't look at the ground. E180. Those pathways, if you're not careful, you fall. E119 Cognitive and informative:On the street, it's the place where you fall the most. E127 The hole in the street is dangerous. E126 Evaluative and affective: These sidewalks have a lot of holes. E154 Objective and imagetic:The terrain here is clay, when it rains, it gets very slippery, I slipped and sat (hit) my back on the ground... E130	Behavioral and attitudinal: The sidewalk was too high, I lifted my foot to climb up, but it didn't work, so I fell. E166 Cognitive and informative: Sometimes I run to catch the bus, it's crazy! I know I shouldn't do this! After I stop to think. E182 Objective and imagetic: I think it was from that fall. Today I have a little back problem, I think that's why. E189.
Origins	Own origin linked to the environmental infrastructure of streets and sidewalks: Stumbling or slipping on a stone in the street and sidewalks E126. Those walk things, if you're not careful, you really fall. E119 But the street is very dangerous. E189 Store carpet is dangerous E165.There are these stones and these holes, that's what there are most on the streets E186. I'm afraid of these ramps on the street E167.I was coming down the hill and it had a slope E181. Own origin linked to the hygiene of public way: Or stepping on banana peel, on jabuticaba peel or on some food that the peel is slippery. There are people not careful and throw their garbage anywhere. E188	Own origin linked to the elderly person's behavior on public ways: Sometimes I run to catch the bus, it's crazy! I know I shouldn't do this! After I stop to thinkE189. I can fall, but I do everything not to fall E180. I came with the cane and went up there, we can see little. Instead of placing the cane on the step, I placed it on the front step E148. Origin from third parties and own linked to balance and morbidity of the elderly: It happens like this: Dizziness, hole, slip, a little stone that you slide. E181 Own origin linked to vision/balance: Leaving a light environment and moving to a dark one causes a drop in vision. I think I might fall E168.I fell. I went down 17 steps rolling E154.

Variable ofinterest	Activity measured for the situation in the peridomicile				X²
	Non-faller people		Faller people
	N	%	N	%
Carpet	23	46	27	54	0.429
Absenceofsafety bar	9	40.9	13	59.1	0.220
Poorlighting	46	50.5	45	59.5	0.823
Slipperyfloor	25	43.9	32	56.1	0.157
Steps/unevenfloor/holes	70	55.1	54	44.9	0.040
Stairs	47	52.2	43	47.8	0.580
Absenceofhandrails	24	57.1	18	42.9	0.370
Manyenvironmentalobjects	4	26.7	11	73.3	0.040
Path withobstacles	13	50	13	50	0.884
Placeto shop	49	52.7	44	47.3	0.670
slopes	42	48.3	45	51.7	0.373
Absence of support for locomotion	21	51.2	20	48.8	0.991

[1] Corresponding author:
Jessica de Castro Santos E-mail: jessicacastroenf@gmail.com

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Accesibilidad arquitectónica y percepción de caídas del anciano en el peridomicilio: método mixto

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