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[社区居住老年人跌倒情况:弗拉芒地区患病率、情况及后果的一项试点研究]

[Falls among community-dwelling elderly: a pilot study of prevalence, circumstances and consequences in Flanders].

作者信息

Milisen Koen, Detroch Els, Bellens Kim, Braes Tom, Dierickx Katrien, Smeulders Willy, Teughels Stefan, Dejaeger Eddy, Boonen Steven, Pelemans Walter

机构信息

Centrum voor Ziekenhuis- en Verplegingswetenschap, Katholieke Universiteit Leuven, Universitaire Ziekenhuizen Leuven.

出版信息

Tijdschr Gerontol Geriatr. 2004 Feb;35(1):15-20.

Abstract

This pilot study was designed to examine prevalence, circumstances and consequences of falls among 131 community-dwelling elderly (mean age = 76.7 y.; SD = 5.4; response = 29.8%). Based on a retrospective analysis, 39.7% of our study population had experienced one (65.4%) or more (34.6%) falls in the preceding year. Falls appeared to occur predominantly while getting up from the bed, chair or bath (18%), cycling (14%), walking on an uneven surface (14%) and during household work (14%). Fall-related injuries were reported in 67.3% of the fallers, fractures in 17.4%. Additionally, a majority of fallers (63.5%) experienced a mild to serious form of anxiety, 48.1% consulted a general practitioner after the fall and 34.6% was hospitalised. In line with data reported in the literature, falls are a common problem in Flanders and are associated with a negative impact on the physical and psychosocial well being of the elderly population. We conclude that there is an urgent need to develop and implement preventive measures as well as multidisciplinary strategies to identify, assess and target high-risk persons for falling.

摘要

这项试点研究旨在调查131名社区居家老年人(平均年龄=76.7岁;标准差=5.4;应答率=29.8%)跌倒的发生率、情况及后果。基于回顾性分析,我们研究人群中的39.7%在过去一年中经历过一次跌倒(65.4%)或多次跌倒(34.6%)。跌倒似乎主要发生在从床上、椅子上或浴室起身时(18%)、骑自行车时(14%)、在不平整地面行走时(14%)以及做家务时(14%)。67.3%的跌倒者报告有与跌倒相关的损伤,17.4%有骨折。此外,大多数跌倒者(63.5%)经历了轻度至重度焦虑,48.1%的跌倒者在跌倒后咨询了全科医生,34.6%的跌倒者住院治疗。与文献报道的数据一致,跌倒是佛兰德地区的一个常见问题,并且对老年人群的身体和心理社会健康有负面影响。我们得出结论,迫切需要制定和实施预防措施以及多学科策略,以识别、评估和针对跌倒高危人群。

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