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院前护理所见老年跌倒受害者:性别差异

Elderly victims of falls seen by prehospital care: gender differences.

作者信息

Meschial William Campo, Soares Dorotéia Fátima Pelissari de Paula, de Oliveira Nelson Luiz Batista, Nespollo Alice Milani, da Silva Wesley Alexandre, Santil Fernando Luiz de Paula

机构信息

Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brasil.

Departamento de Geografia, Universidade Federal do Paraná, Curitiba, PR, Brasil.

出版信息

Rev Bras Epidemiol. 2014 Jan-Mar;17(1):3-16. doi: 10.1590/1415-790x201400010002eng.

Abstract

OBJECTIVE

To identify elderly who are victims of falls, according to gender, who received care from prehospital services of Maringá, Paraná.

METHODS

A cross-sectional exploratory study carried out with 1,444 elderly patients who suffered falls in Maringá in the period from 2006 to 2008. Data were gathered from prehospital care services, typed and processed using the Epi Info 6.04d®. The χ² test was used to compare the falls in relation to gender (significance level = 0.05).

RESULTS

The number of falls according to gender presented similar percentages, 51.0% for males and 49.0% for females. Significant differences between genders were observed regarding age (p < 0.001), presence of alcohol breath (p < 0.001), type of fall (p < 0.001), place of fall (p < 0.001), treatment at hospital (p = 0.023), number of injuries (p = 0.014), type of injury (p < 0.001) and injury location (p <0.001).

CONCLUSION

These results show that falls happen differently among the elderly when considering gender. It highlights the importance of understanding these differences in detail and the circumstances in which the fall occurred, since this knowledge is key to plan preventive actions.

摘要

目的

根据性别确定巴拉那州马林加市接受院前服务护理的跌倒老年患者。

方法

对2006年至2008年期间在马林加市跌倒的1444名老年患者进行了一项横断面探索性研究。数据收集自院前护理服务,使用Epi Info 6.04d®进行录入和处理。采用χ²检验比较不同性别的跌倒情况(显著性水平 = 0.05)。

结果

按性别划分的跌倒人数百分比相似,男性为51.0%,女性为49.0%。在年龄(p < 0.001)、呼出酒精气味(p < 0.001)、跌倒类型(p < 0.001)、跌倒地点(p < 0.001)、在医院的治疗情况(p = 0.023)、受伤数量(p = 0.014)、损伤类型(p < 0.001)和损伤部位(p < 0.001)方面,不同性别之间存在显著差异。

结论

这些结果表明,在考虑性别因素时,老年人跌倒的情况有所不同。这凸显了详细了解这些差异以及跌倒发生时的具体情况的重要性,因为这些信息是制定预防措施的关键。

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