成都市社区老年人跌倒发生现况及影响因素研究

发布时间：2018-01-24 01:06

本文关键词： 社区老年人跌倒发生率影响因素　出处：《现代预防医学》2017年23期 　论文类型：期刊论文

【摘要】：目的了解成都市社区老年人跌倒的发生情况,探讨老年人跌倒的主要影响因素,为预防老年人跌倒提供依据。方法采用多阶段随机抽样的方法抽取成都市某区7个小区的586名60岁以上老年人为研究对象,以面对面询问的方式调查老年人在过去12个月跌倒的发生情况。结果被调查老年人在过去一年中共有91人发生跌倒,跌倒人次数为131人次,跌倒发生率为15.53%。其中,早上6点至中午12点跌倒发生次数最多(45.05%),发生地点主要是室外的公共场所(42.85%),跌倒的原因主要是滑倒(30.77%)和绊倒(24.18%),造成骨折、脱臼和严重拉伤的老年人占18.68%。多因素分析结果显示,老年人独居和能够维持动态平衡是跌倒发生的保护因素,而患有脚步疾病是跌到发生的危险因素。结论成都市社区老年人跌倒的发生率处于较低水平,应该通过建立公共场所的防跌倒设施、预防老年人脚部疾病的发生、适当运动维持老年人动态平衡能力等综合性措施来预防老年人跌倒的发生。
[Abstract]:Objective to investigate the incidence of fall in the elderly in Chengdu community and to explore the main influencing factors of the fall. Methods 586 elderly people over 60 years old in 7 districts in Chengdu were selected by multi-stage random sampling to provide the basis for the prevention of falls. The incidence of falls in the past 12 months was investigated by face-to-face inquiry. Results 91 people fell down in the past year, with 131 falls. The incidence of falls was 15.53. Among them, the number of falls from 6 am to 12:00 was 45.05%, mainly in outdoor public places (42.85). The main causes of the fall were sliding 30.77) and tripping 24.18%, resulting in fracture, dislocation and severe strain in the elderly accounted for 18.68. Multiple factor analysis showed that. The elderly living alone and maintaining dynamic balance are the protective factors of falls, while the risk factors of falling to the occurrence of foot disease. Conclusion the incidence of falls in Chengdu community is at a low level. Comprehensive measures should be taken to prevent the elderly from falling through establishing the fall prevention facilities in public places, preventing the occurrence of foot diseases of the elderly, and maintaining the dynamic balance ability of the elderly by proper exercise.
【作者单位】：四川大学华西公共卫生学院(华西第四医院);四川大学华西第四医院老年科;
【基金】：基金项目:China Medical Board(No.14-198)
【分类号】：R161.7
【正文快照】： 跌倒是老年人常见的伤害事件,具有发生率高、后果严重等特点,是目前导致老年人伤残、失能和死亡的主要原因[1]。调查显示,我国部分地区老年人跌倒的发生率达到30%左右[2],而且随着年龄增长,跌倒的发生率逐步上升[3-4]。2013年全国疾病监测系统死因监测结果显示,65岁及以上老年

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