文章摘要
沈晓君,蔡文玮,荀雪琴,王光辉,张倩.上海市老西门街道社区60岁以上老年人跌倒的现状及危险因素分析[J].中国临床保健杂志,2020,23(6):770-773.
上海市老西门街道社区60岁以上老年人跌倒的现状及危险因素分析
Prevalence and risk factors of falls in elderly over 60 years old in Laoximen Street community in Shanghai
投稿时间:2020-06-08  
DOI:10.3969/J.issn.1672-6790.2020.06.011
中文关键词: 意外跌倒  危险因素  横断面研究  调查和问卷  老年人
英文关键词: Accidental falls  Risk factor  Cross-sectional studies  Surveys and questionnaires  Aged〖FL
基金项目:
作者单位E-mail
沈晓君 上海市黄浦区老西门街道社区卫生服务中心全科,上海 200010 13564084838@139.com 
蔡文玮 上海交通大学医学院附属第九人民医院老年病科 13564084838@139.com 
荀雪琴 上海市黄浦区老西门街道社区卫生服务中心全科,上海 200010 13564084838@139.com 
王光辉 上海交通大学医学院附属第九人民医院老年病科 13564084838@139.com 
张倩 上海交通大学医学院附属第九人民医院老年病科 13564084838@139.com 
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中文摘要:
      目的 了解60岁以上老年人跌倒发生现状,并分析引起老年人跌倒的各项危险因素。方法 选取满足条件的老西门街道社区≥60岁的老年人,通过采取调查问卷的形式,记录老年人的一般资料,日常起居,用药及疾病史,了解1年内的跌倒情况,跌倒后骨折情况,并对受试者进行体育活动等级量表(PARS-3)、日常生活活动能力ADL量表、修订版跌到效能量表(MFES)调查,采用χ2检验、两独立样本Wilcoxon秩和检验,logistic回归分析对数据进行统计。结果 老西门街道社区60岁以上老年人一年内跌倒率为40.4%,其中女性,患有冠心病、睡眠障碍、骨质疏松、白内障、骨关节炎,用药种类≥3种,年龄≥80岁,未安装卫生间扶手,楼道照明不足和使用镇静安眠类药物者发生跌倒的概率较高。结论 女性、增龄、睡眠障碍、骨质疏松、使用镇静安眠类药物是老年人跌倒的独立危险因素。
英文摘要:
      Objective To understand the current situation of falls in elderly people over 60 years old in Laoximen Street community,and analyze the risk factors of falls in elderly people.Methods The elderly aged≥60 years in Laoximen Street community who met the conditions were selected and the questionnaire was adopted.The general information,daily life,medication and disease history of the elderly were recorded,and the fall situation and fracture after fall were known within 1 year.Subjects were investigated on Physical Activity Rating Scale (PARS-3),activity of daily living(ADL),Modified Fall Efficacy Scale (MFES).Chi-square test,Wilcoxon rank sum test of two independent samples,and logistic regression analysis were used for data statistics.Results The fall rate of elderly people over 60 years old in Laoximen community was 40.4% within one year.Women,coronary heart disease,sleep disorder,osteoporosis,cataract,osteoarthritis,3 types of medication,aged≥ 80 years old,no toilet handrails installed,insufficient lighting of corridor and use of sedatives and sedatives had a higher incidence of falls.Conclusion Female,aging,sleep disorder,osteoporosis,and use of sedative and hypnotic drugs are independent risk factors for falls in the elderly,we should pay attention to these risk factors in the prevention of disease and health education in the community.
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