利雅得老年人跌倒情况及其与健康问题和周围环境因素的关系

Falls among elderly and its relation with their health problems and surrounding environmental factors in Riyadh.

作者信息

Alshammari Sulaiman A, Alhassan Abdullatif M, Aldawsari Matar A, Bazuhair Faisal O, Alotaibi Fahad K, Aldakhil Ahmed A, Abdulfattah Faroq W

机构信息

Research Chair of Health Education and Health Promotion, The College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Family Community Med. 2018 Jan-Apr;25(1):29-34. doi: 10.4103/jfcm.JFCM_48_17.

Abstract

BACKGROUND

Falls among the elderly are one of the major causes of morbidity and mortality worldwide. They constitute the second leading cause of unintentional deaths after road-traffic accidents. The aim of the study was to estimate the prevalence of falls among the elderly and to investigate the factors that contribute to this phenomenon.

MATERIALS AND METHODS

A cross-sectional analytical study was conducted in the elderly, over the age of 60, in Riyadh. The sample under scrutiny was estimated to be 357 in total. A pilot study was conducted among 15 subjects. Two questionnaires were used for the interviews which were translated into Arabic using the "Morse Fall Scale." The questionnaires assessed: the participants' previous history of falls, whether a secondary diagnosis had been obtained, whether any ambulatory aids had been used or whether an IV connection had been fitted during convalescence. They also inquired if any gait/transferring device had been used to assist the patient at any time.

RESULTS

Out of 357 participants, 206 (57.7%) had a history of falls. Study found an association between the number of falls recorded, the age of the participants, and whether the participant was female. Furthermore, there were statistically significant associations between the history of falls and a condition of impaired health. The results also showed that environmental hazards play a significant role in the occurrence of falls with ≤ 0.001, in which 103 (81.7%) of the individuals who were exposed to environmental hazards revealed a history of falls.

CONCLUSION

Falls among the elderly are common. Significantly, if the health of the individuals is impaired, and there are contiguous environmental risk factors, these elements combine to play a part in the occurrence of such falls. There is, therefore, a need to design and develop a health awareness program to prevent such problems in the elderly.

摘要

背景

老年人跌倒在全球范围内是发病和死亡的主要原因之一。它们是仅次于道路交通事故的第二大非故意伤害死亡原因。本研究的目的是估计老年人跌倒的患病率,并调查导致这一现象的因素。

材料与方法

在利雅得对60岁以上的老年人进行了一项横断面分析研究。经审查的样本总数估计为357人。在15名受试者中进行了一项试点研究。使用两份问卷进行访谈,问卷使用“莫尔斯跌倒量表”翻译成阿拉伯语。问卷评估了:参与者以前的跌倒史、是否获得了二次诊断、是否使用了任何助行器具或在康复期间是否安装了静脉输液管。问卷还询问了是否在任何时候使用过任何步态/转移辅助装置来帮助患者。

结果

在357名参与者中,206人(57.7%)有跌倒史。研究发现记录的跌倒次数、参与者的年龄以及参与者是否为女性之间存在关联。此外,跌倒史与健康受损状况之间存在统计学上的显著关联。结果还表明,环境危害在跌倒发生中起重要作用(P≤0.001),其中103名(81.7%)暴露于环境危害的个体有跌倒史。

结论

老年人跌倒很常见。值得注意的是,如果个体健康受损,并且存在连续的环境风险因素,这些因素共同作用导致此类跌倒的发生。因此,有必要设计和制定一项健康意识计划,以预防老年人出现此类问题。

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