与意大利养老院居民意外跌倒相关的风险因素：一项纵向研究（FRAILS）。
Risk factors associated with accidental falls among Italian nursing home residents: A longitudinal study (FRAILS).
机构信息
IRCCS SMN Fondazione Don Gnocchi, Via Capecelatro, 66, 20148 Milano, Italy; Italian Society of Geriatrics and Gerontology, Via G.C. Vanini, 5, 50129 Firenze, Italy.
Unit of Neuroepidemiology Fondazione IRCCS Istituto Neurologico Carlo Besta, via Celoria 11, 20133 Milan, Italy; Department of Psychology, University of Turin, via Verdi 10, 10124 Turin, Italy.
出版信息
Geriatr Nurs. 2020 Mar-Apr;41(2):75-80. doi: 10.1016/j.gerinurse.2019.06.003. Epub 2019 Jul 8.
Older adults living in nursing homes (NHs) are at greater risk of injury resulting from a fall due to multiple factors, such as functional/cognitive impairment, postural instability, polytherapy, and psychotropic drugs. We aimed to assess characteristics of fallers, and investigate risk factors associated with falls among older NHs residents, through one-year longitudinal study. Demographic and clinical characteristics, number/typology of drugs, and fall occurrence were collected for each resident. We recruited 409 residents (82% women; 83 ± 9.4 years) in geriatric units (331, 81%) and in specialized dementia units (SDUs, 78%). 111 residents fell (27%), and 54 (48.6%) of them had an injury related to a fall. We detected an average of 1.3 falls (±0.48, range 1-10) per resident. Higher autonomy in activities of daily living, living in SDUs, and previous falls were significantly associated with falls. Thus, these findings should be considered as an alert to subsequent falls.
居住在养老院（NHs）的老年人由于多种因素，如功能/认知障碍、姿势不稳、多种药物治疗和精神药物，更容易因跌倒而受伤。我们旨在通过为期一年的纵向研究，评估跌倒老年人的特征，并调查与养老院老年人跌倒相关的危险因素。为每位居民收集人口统计学和临床特征、药物数量/类型以及跌倒发生情况。我们招募了 409 名居民（82%为女性；83±9.4 岁），他们分别在老年病房（331 名，81%）和专门的痴呆病房（SDU，78%）。111 名居民跌倒（27%），其中 54 名（48.6%）与跌倒有关受伤。我们发现每位居民平均有 1.3 次（±0.48，范围 1-10）跌倒。日常生活活动的更高自主性、居住在 SDU 和以前的跌倒与跌倒显著相关。因此，这些发现应该被视为对随后跌倒的警告。
Zotero 插件