Abstract
Background. With the increase in the elderly population, the prevalence of diabetes and its complications such as diabetic foot ulcers is increasing. Fear of falling is regarded as a psychological factor that can disrupt the quality of life of the elderly. This study was conducted to examine the relationship between fear of falling and quality of life in the elderly with diabetic foot ulcers who were referred to hospitals and infectious disease clinics of Babol in 2024.
Methods. This descriptive-analytical study was conducted on 280 older adults with diabetic foot ulcers using convenience sampling. Data collection instruments included a demographic questionnaire, Abbreviated Mental Test (AMT), Geriatric Fear of Falling Measure (GFFM), and Diabetes Quality of Life (DQOL) questionnaire. Data analysis was performed using descriptive analytical tests in SPSS software version 26.
Results. Based on the study results, the mean score of fear of falling was reported to be 56.31±9.8 (above average). Quality of life was average in 70% of cases, favorable in 15%, and unfavorable in 15%. Based on the results of the multiple linear regression test, there was a statistically significant negative relationship between fear of falling and quality of life (P<0.001, B = -0.436).
Conclusion. Fear of falling has a significantly negative relationship with the quality of life of older adults with diabetic foot ulcers and can be a contributing factor to reduced quality of life.
Practical Implications. The geriatric health team can design and implement targeted educational programs encompassing fall prevention skills, awareness of risk factors, and environmental modifications to improve the quality of life in this population.