背景與目的：對跌倒的關注程度被發現可用於測量老人跌倒相關之心理反應，然其應用在台灣仍
相當缺乏。因此本研究目的為探討社區老人在日常活動中，面對可能發生跌倒意外的關注程度，
以及影響關注程度的因子。方法：研究收取234位社區老人。受試者先完成結構式問卷，含社會
人口學資料、巴氏量表、健康相關生活品質量表、近一年內跌倒史、害怕跌倒等級與活動相關
之跌倒關注程度量表。隨後接受平衡活動能力測驗，含功能性伸取測試、單腳站立時間、站立姿
勢性搖擺、計時起走測試與最大下肢肌力表現。統計分析使用線性複迴歸，從問卷資料、平衡
與活動能力表現中找出影響跌倒關注程度量表得分的因子。結果：受試者平均年齡為74.3歲，巴
氏量表平均得分99.9，屬基礎日常活動近乎完全獨立的老人。複迴歸結果顯示本研究中問卷資料
與平衡活動能力表現共可解釋44%受試者在跌倒關注程度上的變異（R2=0.44）。其中僅害怕跌倒
（β=0.18-0.31）、健康相關生活品質中的生理健康分數（β=-0.14）、功能性伸取（β=-0.27）、單腳站立時間（β=-0.15）與站立姿勢性搖擺（β=0.22）五者的迴歸係數達顯著水準。結論：在日常活動高度獨立的社區老人中，跌倒關注的程度主要受害怕跌倒等級的影響；此外亦與實際平衡功能的表現有關。（物理治療 2009;34(5):288-296）

Background and Purpose: Although the level of concerns of falling during daily activities has been found to be useful in measuring the fall- related psychological responses, its application in Taiwan remains scarce. The purpose of present study was to investigate factors influencing the level of activity-related concern of falling among community older adults. Methods: Two hundred thirty-four community older adults participated in this cross-sectional study. Subjects first nswered structured questionnaires regarding basic sociodemographics, Barthel index, healthrelated quality of life, fall history in the past year, degree of fear of falling and level of activityrelated concern of falling. Subjects then underwent balance and mobility tests, including functional reach test, timed one leg stance, stance postural sway, Timed 'Up & Go' and maximum strength of the lower limb. Multiple linear regression analysis was used to determine the contribution of these potential influencing factors for the level of activity-related concern of falling. Results: Mean age of subjects was 74.3 years old. Mean Barthel index score was 99.9; indicating subjects were highly independent in basic activities of daily living. Regression showed that 44% of variance in the level of concern of falling could be explained by the contents of questionnaire and the performances in balance and mobility tests (R2=0.44). Nevertheless, only the fear of falling (β=0.18-0.31), physical component score of health-related quality of life (β=-0.14),
functional reach distance (β=-0.27), timed one leg stance (β=-0.15) and stance postural sway (β=0.22) contributed significantly to the level of concern of falling. Conclusion: Level of fall concern in highly independent community older adults was mainly influenced by the degree of
fear of falling and balance performances. (FJPT 2009;34(5):288-296)