College of Nursing, Korea University, Anam-dong, Seongbuk-Gu, Seoul 02841, Korea.
Department of Hematology and Oncology, Gangneung Asan Hospital, University of Ulsan College of Medicine, 38 Bangdong-gil, Sacheon-myeon, Gangneung-si, Gangwon-do 25440, Korea.
Int J Environ Res Public Health. 2020 Feb 9;17(3):1098. doi: 10.3390/ijerph17031098.
As the population ages, falls are becoming one of the leading causes of morbidity and mortality. Joint disease (either osteoarthritis or rheumatoid arthritis) is a well-known predictor of falls, and these medical conditions increase in accordance with the aging population. This study aimed to describe individual, physical, and psychological characteristics between older adults with and without a fall history. Further, we aimed to identify statistically significant physical or psychological factors associated with falls by controlling individual variables. We analyzed data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Adults aged 65 years or over with doctor-diagnosed joint disease were eligible. A total of 2707 women and 784 men (n = 3491) were enrolled. Of these, 1174 patients suffered a fall within a year (average number of falls = 2.4). We adopted individual variable-adjusted models and found that limited activities of daily living (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.04-1.87), fear of falling (OR 7.18, 95% CI 4.26-12.09), and depression (OR 1.28, 95% CI 1.09-1.50) significantly increased fall risks on logistic regression analysis. Our findings suggest that physical and psychological factors, especially the fear of falling, need to be addressed to prevent falls in elderly patients with arthritis.
随着人口老龄化，跌倒已成为发病率和死亡率的主要原因之一。关节疾病（骨关节炎或类风湿关节炎）是跌倒的已知预测因素，这些疾病随着人口老龄化而增加。本研究旨在描述有跌倒史和无跌倒史的老年人之间的个体、身体和心理特征。此外，我们旨在通过控制个体变量，确定与跌倒相关的具有统计学意义的身体或心理因素。我们分析了 2014 年韩国老年人生活状况和福利需求调查的数据。符合条件的是年龄在 65 岁及以上、有医生诊断为关节疾病的成年人。共有 2707 名女性和 784 名男性（n=3491）入选。其中，1174 名患者在一年内跌倒（平均跌倒次数=2.4 次）。我们采用了个体变量调整模型，发现日常生活活动受限（比值比（OR）1.4，95%置信区间（CI）1.04-1.87）、害怕跌倒（OR 7.18，95% CI 4.26-12.09）和抑郁（OR 1.28，95% CI 1.09-1.50）在逻辑回归分析中显著增加了跌倒风险。我们的研究结果表明，身体和心理因素，特别是对跌倒的恐惧，需要解决，以预防关节炎老年患者跌倒。
