Psychological and Sensory Determinants of Fall Risk among Older Adults: A Cross-Sectional Analysis in Indonesian Long-Term Care Facilities

Lina Safarina; Dafariza Arkhabi; Novie E. Mauliku; Tria Firza Kumala

doi:10.56741/IISTR.jphs.001078

Authors

Lina Safarina
lina.Safarina@lecture.unjani.ac.id
Universitas Jenderal Achmad Yani https://orcid.org/0000-0002-4274-0651
Dafariza Arkhabi Universitas Jenderal Achmad Yani
Novie E. Mauliku Universitas Jenderal Achmad Yani https://orcid.org/0009-0001-6053-9249
Tria Firza Kumala Universitas Jenderal Achmad Yani https://orcid.org/0000-0001-5482-7554

Keywords:

Anxiety, Depression, Fear of Falling, Older Adults, Sensory Impairment

Abstract

Falls represent a significant health issue among the elderly worldwide, particularly those residing in long-term care institutions. Although physical and environmental causes have been widely examined, there is limited research within Indonesian settings that investigates how psychological and sensory factors contribute to fall risk in institutionalized older adults. This study explores the association between psychological and sensory factors with the risk of falls among elderly individuals living in Indonesian care facilities. A cross-sectional analytical study was carried out involving 100 individuals aged 60 years and older in various long-term care homes across Indonesia. Data were obtained through structured interviews using standardized tools. Bivariate analyses were then analyzed using multivariable logistic regression to determine independent predictors. Out of all participants, 46% were found to have a heightened risk of falling. Multivariate analysis showed that higher levels of fear of falling (OR = 1.15; 95% CI: 1.04–1.28; p = 0.006), anxiety (OR = 2.97; p = 0.005), depression (OR = 2.85; p = 0.008), poor sleep quality (OR = 3.81; p = 0.001), visual problems (OR = 2.14; p = 0.038), hearing challenges (OR = 2.50; p = 0.022), and advancing age (OR = 1.04; p = 0.049) were all significantly linked to fall risk. This study highlights that psychological and sensory health significantly impact fall vulnerability among elderly residents in care institutions. Incorporating these often-overlooked dimensions into routine fall risk assessments may enhance preventative care approaches.

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Author Biographies

Lina Safarina, Universitas Jenderal Achmad Yani

is a senior lecturer and Coordinator of Curriculum Development in the Bachelor of Nursing Program at Universitas Jenderal Achmad Yani, Indonesia. Her expertise includes nursing education, curriculum development, interprofessional education, and digital pedagogy. She has published scholarly works on educational technology, student-centered learning, and public health nursing, while actively contributing to curriculum innovation, faculty development, and research on technology-enhanced healthcare education. (email: lina.safarina@lecture.unjani.ac.id).

Dafariza Arkhabi, Universitas Jenderal Achmad Yani

is a faculty member in the Bachelor of Nursing Program at Universitas Jenderal Achmad Yani, Indonesia. Her academic interests focus on community health nursing, digital health promotion, nursing education, and healthcare innovation. She is actively involved in teaching, community engagement, and research related to health education, preventive care, and the integration of digital technologies to improve nursing practice and learning outcomes. (email: dafariza_09@gmail.com).

Novie E. Mauliku, Universitas Jenderal Achmad Yani

is a faculty member in the Bachelor of Nursing Program at Universitas Jenderal Achmad Yani, Indonesia. Her research interests include gerontological nursing, disaster preparedness, community health, and student engagement in clinical education. She actively participates in collaborative research, academic service-learning initiatives, and professional development programs aimed at improving nursing education, evidence-based practice, and healthcare service quality. (email: noviemauliku@gmail.com).

Tria Firza Kumala, Universitas Jenderal Achmad Yani

is a faculty member in the Bachelor of Nursing Program at Universitas Jenderal Achmad Yani, Indonesia. Her research focuses on gerontological nursing, disaster nursing, clinical education, and innovative teaching strategies in nursing. She has been involved in collaborative research projects, community service activities, and curriculum development initiatives that promote evidence-based practice, student engagement, and continuous improvement in nursing education. (email: tiafirza@yahoo.com).

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