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农村老年人意外伤害及其相关行为

Unintentional Injuries among the Elderly in Rural Areas and Their Related Behaviors.

作者信息

Rezapur-Shahkolai Forouzan, Sayfian Nasrin, Moeini Babak, Roshanaei Ghodratollah

机构信息

Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Korean J Fam Med. 2019 Mar;40(2):80-86. doi: 10.4082/kjfm.17.0124. Epub 2019 Feb 28.

Abstract

BACKGROUND

Although the role of unintentional injuries as a cause of death in adults is known, there is limited knowledge about such adults' behaviors. This study aims to investigate the frequency of and factors affecting unintentional injuries among the elderly living in rural areas and their related behaviors.

METHODS

A cross-sectional study was carried out in the rural areas of Hamadan County, Iran, in 2016. The sample consists of randomly selected 445 adults aged 60-75 years. Data collection was conducted through face-to-face interviews, using questionnaires.

RESULTS

One hundred and forty-three participants (34.7%) experienced 166 injury occurrences. The injuries occurred more in females than in males. There were more mild and severe injuries (48.2% and 31.3%, respectively) than moderate ones (20.5%). The most frequent mechanism of injuries was accidental falls (64.5%). There was a significant relationship between using aid devices and injuries (P=0.001). Among the most applied injury preventive measures as reported by the elderly, crossing streets safely and the use of proper lighting at night had the highest percentages (81.5% and 69.7%, respectively). However, the use of protective handles and plastic flooring in bathrooms in order to prevent slipping had the lowest percentages (less than 1.0%).

CONCLUSION

The injuries among the elderly in this study were important health concerns. Injury-related factors should be considered in the development of injury prevention programs.

摘要

背景

尽管意外伤害作为成年人死因的作用已为人所知,但对于这类成年人的行为了解有限。本研究旨在调查农村地区老年人意外伤害的发生频率、影响因素及其相关行为。

方法

2016年在伊朗哈马丹县农村地区开展了一项横断面研究。样本由随机选取的445名60 - 75岁成年人组成。通过面对面访谈使用问卷进行数据收集。

结果

143名参与者(34.7%)发生了166起伤害事件。女性受伤人数多于男性。轻度和重度伤害(分别为48.2%和31.3%)多于中度伤害(20.5%)。最常见的伤害机制是意外跌倒(64.5%)。使用辅助装置与伤害之间存在显著关联(P = 0.001)。在老年人报告的最常用伤害预防措施中,安全过马路和夜间使用适当照明的比例最高(分别为81.5%和69.7%)。然而,为防止滑倒在浴室使用防护把手和塑料地板的比例最低(低于1.0%)。

结论

本研究中老年人的伤害是重要的健康问题。在制定伤害预防计划时应考虑与伤害相关的因素。

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