老年人中跌倒的比例,模式和预测因素 - - 一项基于社区的西孟加拉农村观测研究
Dipankar Jana1, Monalisha Sahu1, Bobby Paul2
1Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
Journal of mid-life health
|November 29, 2023
概括
跌倒在50岁以上的成年人中很常见,家庭环境不佳和害怕跌倒是关键预测因素. 针对这些因素的干预措施可以帮助预防这种脆弱人群的跌倒和相关伤害.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 布是一个重大的公共卫生问题,其中很大一部分是可以预防的.
- 有限的流行病学数据存在于50岁及以上的个人中,特别是发展中国家的跌倒.
研究的目的:
- 在发展中国家的背景下调查50岁及以上成年人中跌倒的患病率,模式和预测因素.
- 确定与此人口群体中下降相关的关键风险因素,以告知有针对性的预防策略.
主要方法:
- 在2021年2月至7月期间,在印度西孟加拉邦进行了一项跨部门,基于社区的研究.
- 采用多阶段集群抽样,招募了50岁及以上的170名参与者.
- 关于摔倒,受伤,家庭环境和对跌倒的恐惧的数据采用结构化访谈计划收集,并使用SPSS版本16进行分析.
主要成果:
- 34.7%的参与者在过去12个月中至少有一次跌倒,20.6%的人报告反复跌倒.
- 大多数跌倒 (78%) 发生在家庭环境中,原因是地板上的滑动.
- 家庭环境不佳 (调整赔率 [AOR] = 3.59),对跌倒的恐惧 (AOR = 6.18) 和非正式教育 (AOR = 5.05) 是跌倒的重要预测因素.
结论:
- 在老年人中,大量的跌倒是可以通过对家庭环境的修改来预防的.
- 解决对跌倒的恐惧和提高教育成绩对于预防跌倒的策略至关重要.
- 建议在医疗保健机构早期检测和干预环境危险和心理因素.
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