中国老年人的跌倒状况和风险因素:一个横截面研究
Peiting Wen1, Lili Sun1, Lijuan Cheng1
1Department of Nursing, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Journal of clinical nursing
|December 18, 2023
概括
在老年人中,跌倒是很常见的. 关键的危险因素包括年龄,行走辅助器和多种疾病. 识别这些可以帮助预防伤害,改善老年人的生活质量.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 布对老年人口构成重大健康风险.
- 了解跌倒发生率和风险因素对于有效的预防策略至关重要.
研究的目的:
- 分析中国杭州一所大学医院老年门诊患者中跌倒的发生率和危险因素.
- 确定与老年人跌倒相关的关键人口和临床因素.
主要方法:
- 一组1626名老年门诊患者 (60岁以上) 用社会人口统计学问卷和临床量表进行了评估.
- 使用统计分析,包括千二测试和二进制物流回归来确定跌倒风险因素.
- 该研究遵循STROBE透明报告检查清单.
主要成果:
- 跌倒的发生率在60-79岁年龄组为8.4%,在≥80岁年龄组为13.4%.
- 跌倒的重要风险因素包括:年龄较大,使用行走辅助设备,Stay Independent Brochure Questionnaire (SIB) 得分较高 (≥4),生活安排,定时上下测试 (TUGT) 结果,以及患有三种或以上的疾病.
- 具体的重要因素包括年龄 (p=.007),步行辅助 (p<.001),SIB得分 (OR=7.751,p<.001),生活安排 (p=.004),TUGT (p=.007),以及多种疾病 (OR=2.496,p=.003).
结论:
- 老年人患跌倒的发病率很高,受年龄,疾病负担,功能状态 (SIB,TUGT) 和生活状况等因素的影响.
- 针对已识别的风险因素的个性化干预措施对于减少跌倒发生率和提高中国老年人的生活质量至关重要.
- 识别跌倒风险有助于护士和护理人员进行早期干预,减少伤害并促进健康的衰老.
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