Iranian Journal of Orthopedic Surgery

Abstract Introduction: Falling is one of the most common and serious health problems in the elderly. As a result of aging, chronic diseases, including joint diseases, increase in the elderly. The aim of this study was to investigate the prevalence of falls and its relationship with joint diseases in the elderly in Urmia.
Methods: This study is a cross-sectional (descriptive-analytical) study in which 200 elderly people were selected by random cluster sampling. Necessary information was collected using a two-part questionnaire including demographic information, joint diseases of the elderly and a history of falls in the elderly in the past year. Data were analyzed using chi-square and logistic regression tests in SPSS v.21 software.
Results: The results of this study showed that the rate of falls in the elderly was 30%. Falling was statistically significantly associated with age, gender, marital status and joint disease. The results of logistic regression showed that the chance of falling of the elderly who had one of the joint and bone diseases such as osteoarthritis, osteoarthritis, osteoporosis, rheumatoid arthritis, gout ... was 6.2 times higher compared to healthy elderly (OR = 6.2 ).
 
Conclusion: The findings of this study showed that the incidence of falls in the elderly in Iran is relatively high and in accordance with the effective factors obtained in falls in the elderly, including joint diseases, appropriate and effective preventive interventions should be performed.

Abstract Abstract
Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease that reduces the quality of life in
patients. Stress is one of the important factors involved in the onset of the disease. The present study aimed
to evaluate the effect of stress inoculation training on the quality of life of patients with RA.
Methods: This randomized clinical trial had a control group and was performed on all patients with RA,
referred to the specialized RA center in 2016. In total, 30 pa􀆟ents were selected by random sampling and
were divided into two intervention and control groups using a random allocation method. In addition, the
data collection tool was the SF-36 ques􀆟onnaire. The subjects in the interven􀆟on group a􀆩ended 10 stress
inoculation training sessions, whereas the participants in the control group received no interventions. In the
end, the two groups filled the SF-36 tool as a pos􀆩est. Moreover, data analysis was performed using
independent t-test and covariance.
Results: In this study, the mean score of life quality significantly increased in the intervention group after the
intervention. Therefore, the quality of life score increased after the intervention, which showed the impact of
the interven􀆟on on the decrease of stress (P<0.001) and an increase in the quality of life and its components
(P<0.001).
Conclusion: According to the results of the study, stress inoculation training was introduced as an effective
approach to increase the quality of life of patients with RA.