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老年人群中跌倒的患病率、危险因素、跌倒情况及功能独立水平——一项描述性研究。

Prevalence, risk factors, circumstances for falls and level of functional independence among geriatric population - A descriptive study.

作者信息

Pitchai Pothiraj, Dedhia Hiral Bipin, Bhandari Nidhi, Krishnan Deepa, D'Souza Nikshita Ria John, Bellara Jayesh Mahesh

机构信息

Associate Professor, Department of Community Physiotherapy, MGM College of Physiotherapy, Navi Mumbai, Maharashtra, India.

Physiotherapist, Department of Community Physiotherapy, MGM School of Physiotherapy, MGMIHS, Navi Mumbai, Maharashtra, India.

出版信息

Indian J Public Health. 2019 Jan-Mar;63(1):21-26. doi: 10.4103/ijph.IJPH_332_17.

Abstract

BACKGROUND

Falls is one of the common problems faced by elderly population and in preventing falls in India, research has largely focused on identification and management of risk factors, but the circumstances of the fall and its associated factors are sparsely researched.

OBJECTIVES

The primary objective is to find the prevalence of fall, investigate risk factors, and its circumstances for falls and level of functional independence in elderly population. The secondary objective is to find out fear of fall (FOF) and its association of demographic factors on elderly population.

METHODS

This was a cross-sectional study; 2049 elderly population of 60 years and above were recruited by one-stage cluster sampling technique within Mumbai, Panvel, and Thane cities, Maharashtra. Data were collected using a questionnaire, Fall Efficacy Scale-International, Barthel Index, and Kuppuswamy Scale. Obtained responses were analyzed using SPSS software; descriptive statistics and Chi-square test were applied.

RESULTS

The prevalence of falls in this study found as 24.98%. Demographic factors such as age group, education, marital status, and socio-economic status had demonstrated a significant association with older adults (P < 0.05); 44.92% of falls occurred in the morning, the majority of falls (65.43%) occurred indoors, 56.45% of the fallers reported to had slips, and 60.55% of the fallers had sustained injuries. From the total participants, 34.70% of the fallers reported FOF, 23.67% of the fallers expressed reduced functional activities, and 18.06% of the fallers demonstrated affection in activities of daily living.

CONCLUSION

This study reveals fall as a significant health problem and provides insight into the influencing risk factors for falls among older adults.

摘要

背景

跌倒问题是老年人群面临的常见问题之一。在印度,预防跌倒的研究主要集中在危险因素的识别和管理上,但对跌倒的具体情形及其相关因素的研究较少。

目的

主要目的是了解老年人群中跌倒的发生率,调查危险因素、跌倒情形以及功能独立水平。次要目的是了解跌倒恐惧(FOF)及其与老年人群人口统计学因素的关联。

方法

这是一项横断面研究;采用单阶段整群抽样技术,在马哈拉施特拉邦的孟买、潘伟尔和塔那市招募了2049名60岁及以上的老年人。使用问卷、国际跌倒效能量表、巴氏指数和库普苏瓦米量表收集数据。使用SPSS软件对获得的回答进行分析;应用描述性统计和卡方检验。

结果

本研究中跌倒的发生率为24.98%。年龄组、教育程度、婚姻状况和社会经济地位等人口统计学因素与老年人有显著关联(P < 0.05);44.92%的跌倒发生在早晨,大多数跌倒(65.43%)发生在室内,56.45%的跌倒者报告有滑倒情况,60.55%的跌倒者有受伤情况。在所有参与者中,34.70%的跌倒者报告有跌倒恐惧,23.67%的跌倒者表示功能活动减少,18.06%的跌倒者在日常生活活动中受到影响。

结论

本研究表明跌倒问题是一个重大的健康问题,并深入了解了老年人跌倒的影响危险因素。

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