Lim Young Mi, Sung Mi Hae
Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Kangwon-do, Korea.
Int J Nurs Pract. 2012 Oct;18(5):481-8. doi: 10.1111/j.1440-172X.2012.02060.x.
The purpose of the study was to determine home environmental and health-related factors among home fallers and recurrent fallers in community dwelling older Korean women. The study population included 438 older women aged 65 years and over. Measures included a checklist of home environments and health-related items. Risk indicators for accidental falls and recurrent falling were analysed using logistic regression. Logistic regression analysis revealed that chronic disease (odds ratio (OR) = 2.02, P = 0.007), poor night light (OR = 1.97, P = 0.032) and obstacle of door sill (OR = 1.76, P = 0.021) were predictors of accidental falls, and physical inactivity (OR = 2.34, P = 0.018) and slippery floor in the bathroom (OR = 0.41, P = 0.034) were predictors of recurrent falling. The findings have implications for strategies and suggest the need to modify home environmental context in systematic and consistent ways and the need to maintain physical activities to prevent falls and recurrent falling.
该研究的目的是确定居住在社区的韩国老年女性中家庭跌倒者和反复跌倒者的家庭环境及健康相关因素。研究对象包括438名65岁及以上的老年女性。测量指标包括家庭环境和健康相关项目的清单。使用逻辑回归分析意外跌倒和反复跌倒的风险指标。逻辑回归分析显示,慢性病(比值比(OR)=2.02,P=0.007)、夜间光线差(OR=1.97,P=0.032)和门槛障碍物(OR=1.76,P=0.021)是意外跌倒的预测因素,身体活动不足(OR=2.34,P=0.018)和浴室地面湿滑(OR=0.41,P=0.034)是反复跌倒的预测因素。这些发现对策略具有启示意义,并表明需要以系统和一致的方式改变家庭环境,以及需要保持身体活动以预防跌倒和反复跌倒。