老年人活动和害怕跌倒与跌倒自我效能的相关性研究

发布时间：2018-10-20 07:44

【摘要】：目的探讨社区老年人活动和害怕跌倒与跌倒自我效能的相关性,为有效进行健康干预提供参考依据。方法采用国际版跌倒效能感量表(FES-I)和修订版老年人活动和害怕跌倒量表(m SAFFE),对400例社区老年人进行问卷调查。结果社区老年人跌倒效能感量表得(38.00±9.07)分,室内活动维度得(22.20±6.49)分、室外活动维度得(15.80±5.01)分;修订版老年人活动和害怕跌倒量表得(34.77±9.75)分,运动能力维度得(10.20±3.01)分、日常活动能力(ADLS)和工具性日常活动能力(IADLS)维度得(18.53±5.63)分以及社会活动能力维度得(6.03±1.85)分。社区老年人活动和害怕跌倒与跌倒自我效能相关系数为(r=0.589,P0.05),各维度相关系数r分布0.525~0.795(P0.05),呈中度相关。多元回归分析显示跌倒自我效能得分的影响因素为运动能力、ADLS和IADLS、社会活动能力、年龄、跌倒史及慢性病。结论活动和害怕跌倒是社区老年人跌倒自我效能的显著变量,医护人员应关注社区老年人在进行某些活动时为避免跌倒而出现自我效能或自信心降低。社区应建立老年人健康档案,关注社区有跌倒史的老年人,并提供针对性干预措施。
[Abstract]:Objective to explore the correlation between activity, fear of falling and fall self-efficacy of elderly people in community, and to provide reference for effective health intervention. Methods International fall efficacy scale (FES-I) and revised elderly activity and fear fall scale (m SAFFE),) were used to investigate 400 elderly people in the community. Results the scores of fall efficacy scale, indoor activity dimension and outdoor activity scale were (38.00 卤9.07), (22.20 卤6.49), (15.80 卤5.01), (34.77 卤9.75) and (10.20 卤3.01), respectively. The scores of daily activity ability (ADLS) and instrumental daily activity ability (IADLS) were (18.53 卤5.63) and that of social activity were (6.03 卤1.85). The correlation coefficient of activity, fear of fall and fall self-efficacy was (r = 0.589), and the correlation coefficient (r) of each dimension was 0.525 ~ 0.795 (P0.05), which was moderately correlated. Multiple regression analysis showed that the influencing factors of fall self-efficacy were motor ability, social activity ability of ADLS and IADLS, age, history of fall and chronic diseases. Conclusion activity and fear of falling are significant variables of fall self-efficacy of elderly people in community. Medical staff should pay attention to the decrease of self-efficacy or self-confidence in order to avoid falling down in some activities. The community should establish health records of the elderly, pay attention to the elderly who have fallen down in the community, and provide targeted intervention measures.
【作者单位】：辽宁医学院护理学院;济宁医学院附属医院;
【分类号】：R161.7

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