<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2393-6606</journal-id>
<journal-title><![CDATA[Enfermería: Cuidados Humanizados]]></journal-title>
<abbrev-journal-title><![CDATA[Enfermería (Montevideo)]]></abbrev-journal-title>
<issn>2393-6606</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias de la Salud - Universidad Católica del Uruguay.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2393-66062025000101202</article-id>
<article-id pub-id-type="doi">10.22235/ech.v14i1.4333</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Fear and Risk of Falling in Older Hypertensive Individuals Undergoing Medication Treatment]]></article-title>
<article-title xml:lang="es"><![CDATA[Miedo y riesgo de caída en personas mayores hipertensas en tratamiento farmacológico]]></article-title>
<article-title xml:lang="pt"><![CDATA[Medo e risco de queda em idosos hipertensos em tratamento medicamentoso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Apolicena Dantas]]></surname>
<given-names><![CDATA[Aelem Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes Pires]]></surname>
<given-names><![CDATA[Maria Luiza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Lima Santos]]></surname>
<given-names><![CDATA[Aliny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[França Garcia]]></surname>
<given-names><![CDATA[Lucas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrade do Nascimento Júnior]]></surname>
<given-names><![CDATA[José Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Covre da Silva]]></surname>
<given-names><![CDATA[Grazieli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quadros da Silva]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vicentini de Oliveira]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Centro Universitário Cesumar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>14</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2393-66062025000101202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2393-66062025000101202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2393-66062025000101202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Introduction: Falls are a major concern among hypertensive older adults, as they can lead to severe injuries and reduced quality of life. Understanding the impact of antihypertensive medication use on fall risk and fear of falling is essential for improving patient care and fall prevention strategies. Objective: To investigate the associations between antihypertensive medication use and the risk and fear of falling in hypertensive older adults. Methods: A quantitative and cross-sectional study was conducted with 70 hypertensive older adults from a medical specialty center in the municipality of Sapezal, Brazil. The Timed Up and Go test and the Falls Efficacy Scale were applied. Data were analyzed using the Chi-square test, binary logistic regression, and the Hosmer-Lemeshow test. A significance level of p &lt; 0.05 was considered. Results: Older adults using two or more antihypertensive medications have significantly higher chances of fall risk (48.167 times) and fear of falling (15.007 times) compared to those using only one medication. Additionally, those taking medications for one to four years and over four years have 6.679 and 13.444 times greater chances of experiencing fear of falling with recurrent falls compared to those using them for less than one year. Conclusion: There is an association between the quantity and duration of medication use with a higher risk and fear of falling in hypertensive older adults.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Introducción: Las caídas son una preocupación importante entre los adultos mayores hipertensos, ya que pueden provocar lesiones graves y una reducción en la calidad de vida. Comprender el impacto del uso de medicamentos antihipertensivos en el riesgo de caída y el miedo a caer es fundamental para mejorar la atención al paciente y las estrategias de prevención de caídas. Objetivo: Investigar las asociaciones entre el uso de medicamentos antihipertensivos y el riesgo y miedo a caer en adultos mayores hipertensos. Métodos: Estudio cuantitativo y transversal, realizado con 70 personas mayores hipertensas de un centro de especialidades médicas del municipio de Sapezal, Brasil. Se aplicaron la prueba Timed Up and Go y la Escala de Eficacia de Caídas. Los datos se analizaron mediante la prueba de chi-cuadrado, regresión logística binaria y la prueba de Hosmer-Lemeshow. Se consideró un nivel de significancia de p &lt; 0.05. Resultados: Las personas mayores que utilizan dos o más medicamentos antihipertensivos tienen significativamente mayores probabilidades de riesgo de caída (48,167 veces) y miedo de caer (15,007 veces) en comparación con aquellas que utilizan solo un medicamento. Además, aquellas que usan medicamentos durante uno a cuatro años y más de cuatro años tienen 6,679 y 13,444 veces más probabilidades de experimentar miedo de caer con caídas recurrentes, en comparación con aquellas que los usan por menos de un año. Conclusión: Existe una asociación entre la cantidad y la duración del uso de medicamentos con un mayor riesgo y miedo de caer en personas mayores hipertensas]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Introdução: As quedas são uma preocupação importante entre os idosos hipertensos, pois podem causar lesões graves e reduzir a qualidade de vida. Compreender o impacto do uso de medicamentos anti-hipertensivos no risco de queda e no medo de cair é fundamental para melhorar o cuidado ao paciente e as estratégias de prevenção de quedas. Objetivo: Analisar os fatores associados ao risco e medo de cair em idosos hipertensos em tratamento medicamentoso. Métodos: Estudo quantitativo e transversal, realizado com 70 idosos hipertensos de um centro de especialidades médicas do município de Sapezal, Brasil. Foram aplicados o teste Timed Up and Go e a Escala de Eficácia de Quedas. Os dados foram analisados pelo teste qui-quadrado, regressão logística binária e teste de Hosmer-Lemeshow. Um nível de significância de p &lt; 0,05 foi considerado. Resultados: Idosos que utilizam dois ou mais medicamentos anti-hipertensivos apresentam chances significativamente maiores de risco de queda (48,167 vezes) e medo de cair (15,007 vezes) em comparação com aqueles que utilizam apenas um medicamento. Além disso, aqueles que fazem uso de medicamentos por um a quatro anos e por mais de quatro anos têm 6,679 e 13,444 vezes mais chances de experimentar medo de cair com quedas recorrentes, em comparação com aqueles que os utilizam por menos de um ano. Conclusão: Há uma associação entre a quantidade e a duração do uso de medicamentos com maior risco e medo de cair em idosos hipertensos]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[aging]]></kwd>
<kwd lng="en"><![CDATA[antihypertensive therapy]]></kwd>
<kwd lng="en"><![CDATA[falls]]></kwd>
<kwd lng="en"><![CDATA[fear of falling]]></kwd>
<kwd lng="en"><![CDATA[fall risk]]></kwd>
<kwd lng="es"><![CDATA[envejecimiento]]></kwd>
<kwd lng="es"><![CDATA[terapia antihipertensiva]]></kwd>
<kwd lng="es"><![CDATA[caídas]]></kwd>
<kwd lng="es"><![CDATA[miedo a caer]]></kwd>
<kwd lng="es"><![CDATA[riesgo de caídas]]></kwd>
<kwd lng="pt"><![CDATA[envelhecimento]]></kwd>
<kwd lng="pt"><![CDATA[terapia anti-hipertensiva]]></kwd>
<kwd lng="pt"><![CDATA[quedas]]></kwd>
<kwd lng="pt"><![CDATA[medo de cair]]></kwd>
<kwd lng="pt"><![CDATA[risco de quedas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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