Yun Eun Suk
Ewha Womans University, Seoul, Korea.
J Korean Acad Nurs. 2012 Dec;42(6):810-8. doi: 10.4040/jkan.2012.42.6.810.
This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender.
Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls.
For men, ability to perform ADL & IADL (β(32)=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (β(31)=0.14, p<.05) and ability to perform ADL & IADL (β(32)=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls.
The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.
本研究旨在探讨基于性别的社区居住老年人跌倒次数相关因素。
参与者为403名60岁及以上的社区老年居民(男性=206名,女性=197名)。在本研究中,8个变量被确定为可导致老年人跌倒的预测因素,这与先前的研究一致。这8个变量分为外生变量:感知健康状况、躯体化、抑郁、身体机能和认知状态,以及内生变量:害怕跌倒、日常生活活动能力和工具性日常生活活动能力以及跌倒频率。
对于男性,日常生活活动能力和工具性日常生活活动能力(β(32)=1.84,p<.001)占跌倒次数方差的16%。对于女性,害怕跌倒(β(31)=0.14,p<.05)和日常生活活动能力和工具性日常生活活动能力(β(32)=1.01,p<.001)对跌倒次数有显著影响,占跌倒次数方差的15%。
本研究结果证实了基于性别的跌倒预测模型对于社区居住老年人具有全面性。该跌倒预测模型可有效促进未来跌倒预测和干预项目开发的研究。