Changning Center for Disease Control and Prevention, 39 Yun Wushan Road, Shanghai 200051, China.
Inj Prev. 2009 Aug;15(4):248-51. doi: 10.1136/ip.2008.020420.
To evaluate the effectiveness of an 18-month multifaceted intervention designed to reduce the incidence of falls in community-living older adults in China.
A population-based community trial evaluated by before-and-after cross-sectional surveys. Four residential communities were randomised to either a multifaceted intervention or a control condition. Baseline information was collected from a sample of older adults in each community. A 1-year annual fall rate was calculated after an 18-month comprehensive intervention.
After intervention, 7.19% of the intervention community sample reported falls, compared with 17.86% of the control community sample (p<0.000). The annual fall rate decreased by 10.52% in the intervention communities, whereas the difference in control communities was not statistically significant.
Multifaceted interventions in community settings may be useful in preventing falls among older people, and can be applied in similar settings in China.
评估一项为期 18 个月的多方面干预措施在减少中国社区居住的老年人跌倒发生率方面的效果。
采用前后交叉调查的方法对一项基于人群的社区试验进行评估。将四个居民区随机分为多方面干预组和对照组。从每个社区的老年人样本中收集基线信息。在 18 个月的综合干预后，计算了 1 年的年跌倒率。
干预后，干预社区样本中有 7.19%的人报告跌倒，而对照组社区样本中有 17.86%的人报告跌倒（p<0.000）。干预社区的年跌倒率下降了 10.52%，而对照组社区的差异无统计学意义。
社区环境中的多方面干预措施可能有助于预防老年人跌倒，可以在中国类似环境中应用。
