Faculty of Medical Sciences, Family Health Program, State University of Campinas, Rua Vital Brasil, 50, Barão Geraldo, Campinas-SP 13083-888, Brazil.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):317-22. doi: 10.1016/j.archger.2010.01.010. Epub 2010 Feb 12.
This study aims to determine the factors that may be related to falls in the elderly assisted by the Family Health Program (FHP). Elderly individuals aged 60 years or over, who were assisted by the FHP primary care system (n=2209), responded to a sociodemographic and health questionnaire. Mental health was evaluated using the Geriatric Depression Scale (GDS) and quality of life was assessed by the Medical Outcome Study Short-Form Health Survey (SF-36). In order to verify which independent variables affected the occurrence of falls, logistic regression analysis was performed. 27.1% of the sample reported one fall during the previous year, and 8.7% were recurrent fallers over the same period. The factors considered in the final model for falls were: age over 80 years-old, female gender, the presence of more than eight associated diseases, need for hospitalization during the previous year and appointments outside the FHP routine, hearing complaints, GDS score over 11 points, and emotional problems SF-36 score between 25 and 74 points. The factors included in the final model for falls can be easily identified and properly overcome by FHP strategy. Patient falling history investigation should thus form part of the FHP team routine. This concern should be reinforced when it comes to women aged 80 years and over.
本研究旨在确定与家庭健康计划（FHP）辅助的老年人跌倒相关的因素。接受 FHP 初级保健系统（n=2209）辅助的 60 岁及以上老年人回答了一份社会人口统计学和健康问卷。使用老年抑郁量表（GDS）评估心理健康，使用医疗结局研究 36 项简短健康调查问卷（SF-36）评估生活质量。为了验证哪些独立变量影响跌倒的发生，进行了逻辑回归分析。在过去的一年中，27.1%的样本报告了一次跌倒，8.7%的人在同一时期反复跌倒。最终模型中考虑的跌倒相关因素有：年龄超过 80 岁，女性，存在超过 8 种相关疾病，过去一年需要住院治疗以及在 FHP 常规治疗之外的预约，听力投诉，GDS 评分超过 11 分，SF-36 评分在 25 到 74 分之间存在情绪问题。最终模型中包含的跌倒相关因素可以通过 FHP 策略轻松识别并适当克服。因此，患者的跌倒史调查应成为 FHP 团队常规工作的一部分。对于 80 岁及以上的女性，应加强这方面的关注。
