School of Physiotherapy and Exercise Science, Curtin University.
School of Nursing, Midwifery and Paramedicine, Curtin University.
Clin Interv Aging. 2018 Feb 12;13:261-269. doi: 10.2147/CIA.S153687. eCollection 2018.
A million older people living in Australia receive community care services each year due to experiencing functional or mental health difficulties. This group may be at greater risk of falling than similar-aged people not receiving services. However, there is limited falls prevention research for this population.
The aim of this study was to identify the falls prevalence rates of older people from 10 Australian community care organizations and compare current falls prevention data to a study 10 years prior that utilized the same 10 organizations. This study also identified factors associated with falling for this population.
This is a cross-sectional descriptive study, in which 5,338 questionnaires were mailed to a random sample of community care recipients aged ≥65 years.
A total of 1,991 questionnaires were returned (37.3%), with 47.7% of respondents having fallen in the previous year, and 32.7% in the month prior to completing the questionnaire, similar to 10 years prior. Community care clients had a 50% higher falls rate than that reported for similar-aged people not receiving services, and this remained unchanged over the last 10 years. Eighty-six per cent of fallers had fallen once or twice, and 60% reported being injured. Thirty-six per cent of respondents reported not being able to get up independently, and only 27.4% of fallers were referred to a falls prevention program (significantly fewer than 10 years ago; 95% CI: 0.821-6.366, =0.01). Balance issues (odds ratio [OR]: 2.06, 95% CI: 1.288-3.290, =0.003) and perceived risk of falling in the future being "definite" (OR: 6.42, 95% CI: 1.890-21.808, =0.003) or "unsure" (OR: 3.31, 95% CI: 1.144-9.544, =0.027) were risk factors associated with falling. In contrast, individuals referred to a falls prevention intervention had a 47% reduced likelihood of having fallen (95% CI: 0.281-0.988, =0.046).
Community care clients should have their falls risk routinely assessed, and at-risk individuals be offered falls prevention advice and referral to fall prevention programs.
每年有 100 万澳大利亚老年人因身体或心理健康问题而接受社区护理服务。与未接受服务的类似年龄人群相比，这群人跌倒的风险可能更高。然而，针对这一人群的跌倒预防研究有限。
本研究旨在确定 10 家澳大利亚社区护理机构中老年人的跌倒发生率，并将当前的跌倒预防数据与 10 年前使用相同 10 家机构的研究进行比较。本研究还确定了与该人群跌倒相关的因素。
这是一项横断面描述性研究，向年龄≥65 岁的社区护理受者随机样本邮寄了 5338 份问卷。
共收回 1991 份问卷（37.3%），47.7%的受访者在过去一年中跌倒，32.7%在填写问卷前一个月跌倒，与 10 年前相似。社区护理客户的跌倒率比未接受服务的类似年龄人群报告的跌倒率高 50%，过去 10 年来这一比率没有变化。86%的跌倒者跌倒了 1 到 2 次，60%的人受伤。36%的受访者报告无法独立起身，只有 27.4%的跌倒者被转介到跌倒预防计划（明显少于 10 年前；95%置信区间：0.821-6.366，=0.01）。平衡问题（比值比[OR]：2.06，95%置信区间：1.288-3.290，=0.003）和未来跌倒的“明确”（OR：6.42，95%置信区间：1.890-21.808，=0.003）或“不确定”（OR：3.31，95%置信区间：1.144-9.544，=0.027）的感知风险是跌倒的相关风险因素。相比之下，被转介到跌倒预防干预的个体跌倒的可能性降低了 47%（95%置信区间：0.281-0.988，=0.046）。
社区护理客户应定期评估跌倒风险，对高风险个体提供跌倒预防建议，并转介至跌倒预防计划。
