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本文引用的文献

1
Accidental falls in the elderly and their relation with functional capacity.
Rev Lat Am Enfermagem. 2012 Sep-Oct;20(5):927-34. doi: 10.1590/s0104-11692012000500015.
2
The role of cognitive impairment in fall risk among older adults: a systematic review and meta-analysis.认知障碍在老年人跌倒风险中的作用:系统评价和荟萃分析。
Age Ageing. 2012 May;41(3):299-308. doi: 10.1093/ageing/afs012. Epub 2012 Feb 27.
3
Falls incidence, risk factors, and consequences in Chinese older people: a systematic review.中国老年人跌倒发生率、危险因素和后果的系统评价。
J Am Geriatr Soc. 2011 Mar;59(3):536-43. doi: 10.1111/j.1532-5415.2010.03286.x. Epub 2011 Mar 1.
4
[Functional dependency and falls in elderly living in poverty in Mexico].[墨西哥贫困老年人的功能依赖与跌倒]
Salud Publica Mex. 2011 Jan-Feb;53(1):26-33.
5
Elderly deaths due to ground-level falls.因地面跌倒导致的老年人死亡。
Am J Forensic Med Pathol. 2010 Dec;31(4):350-4. doi: 10.1097/PAF.0b013e3181f69c87.
6
A multifactorial approach to understanding fall risk in older people.多因素方法理解老年人跌倒风险。
J Am Geriatr Soc. 2010 Sep;58(9):1679-85. doi: 10.1111/j.1532-5415.2010.03017.x.
7
The physical environment as a fall risk factor in older adults: Systematic review and meta-analysis of cross-sectional and cohort studies.老年人身体环境作为跌倒风险因素:横断面研究和队列研究的系统评价与荟萃分析
Aust Occup Ther J. 2010 Feb;57(1):51-64. doi: 10.1111/j.1440-1630.2009.00787.x.
8
International comparison of cost of falls in older adults living in the community: a systematic review.社区老年人跌倒成本的国际比较:系统评价。
Osteoporos Int. 2010 Aug;21(8):1295-306. doi: 10.1007/s00198-009-1162-0. Epub 2010 Feb 27.
9
Psychosocial risk factors associated with falls among Chinese community-dwelling older adults in Hong Kong.与香港社区居住的老年华人跌倒相关的心理社会风险因素。
Health Soc Care Community. 2010 May;18(3):272-81. doi: 10.1111/j.1365-2524.2009.00900.x. Epub 2010 Jan 18.
10
Person-environment interactions contributing to nursing home resident falls.导致养老院居民跌倒的人与环境的相互作用。
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老年人的能力、可用性、环境与跌倒风险之间的联系。

Connection between competence, usability, environment and risk of falls in elderly adults.

作者信息

Leiva-Caro José Alex, Salazar-González Bertha Cecilia, Gallegos-Cabriales Esther Carlota, Gómez-Meza Marco Vinicio, Hunter Kathleen F

机构信息

Departamento de Enfermería, Facultad Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile.

Facultad de Enfermería, Universidad Autónoma de Nuevo León, San Nicolás de los Garza, NL, Mexico.

出版信息

Rev Lat Am Enfermagem. 2015 Nov-Dec;23(6):1139-48. doi: 10.1590/0104-1169.0331.2659.

DOI:10.1590/0104-1169.0331.2659
PMID:26626006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4664015/
Abstract

OBJECTIVE

To determine connections between competence, usability, environment and risk of falls in elderly adults.

METHOD

Correlational descriptive study, 123 elderly adults, both male and female, aged 70 years and older were included. Data was collected via the Tinetti Scale, CESD-7 Scale, Montreal Cognitive Assessment, Usability Questionnaire on Housing and Housing Enabler; and sociodemographic and health background certificate data. For data analysis, descriptive and inferential statistics were used, multivariate linear and logistic regression models were adjusted.

RESULTS

42.0% of the elderly adults had presented with falls, with a higher prevalence in women, and in the group of 70-75 years. The physical environment of the house, gait, and usability were set as risk factors for falls. A negative relationship between usability and depressive symptoms, cognitive health, balance, gait, the social and physical environment was found, p <0.05; and a strong positive correlation between walking and balance, p <0.05.

CONCLUSION

This study helps to better understand the phenomenon of falling, to find a connection between usability with the risk of falls, and other variables.

摘要

目的

确定老年人的能力、可用性、环境与跌倒风险之间的联系。

方法

相关性描述性研究,纳入123名年龄在70岁及以上的老年人,男女皆有。通过Tinetti量表、CESD - 7量表、蒙特利尔认知评估、住房可用性问卷和住房促进因素收集数据;以及社会人口统计学和健康背景证明数据。数据分析采用描述性和推断性统计,调整多元线性和逻辑回归模型。

结果

42.0%的老年人曾有跌倒经历,女性及70 - 75岁组的患病率更高。房屋的物理环境、步态和可用性被确定为跌倒的风险因素。发现可用性与抑郁症状、认知健康、平衡、步态、社会和物理环境之间存在负相关,p <0.05;步行与平衡之间存在强正相关,p <0.05。

结论

本研究有助于更好地理解跌倒现象,找到可用性与跌倒风险以及其他变量之间的联系。