与 PACE 参与者跌倒风险相关的因素。
Factors associated with the risk for falls in PACE participants.
机构信息
M. Louise Fitzpatrick College of Nursing, Villanova University, 800 Lancaster Avenue, Villanova, PA 19085, USA.
M. Louise Fitzpatrick College of Nursing, Villanova University, 800 Lancaster Avenue, Villanova, PA 19085, USA.
出版信息
Geriatr Nurs. 2020 Sep-Oct;41(5):571-578. doi: 10.1016/j.gerinurse.2020.03.002. Epub 2020 Mar 18.
OBJECTIVE
The purpose was to determine the relationship between frailty, fear of falling, and depression with falls risk in vulnerable community-dwelling older adults.
METHODS
A cross-sectional correlational design and chart review were completed. Nursing home eligible older adults ≥55 who live in the community were surveyed on frailty, fear of falling, depression, and the risk for falls. Pearson's correlation, multiple regression and hierarchical regression were used to analyze the data.
RESULTS
Increased frailty, fear of falling, and depression were significantly associated with an increased risk for falls. Frailty and fear of falling were significant predictors of the risk for falls while depression did not contribute to the regression model. When controlling for sociodemographics, frailty, fear of falling, and incontinence were significant predictors for the risk for falls.
DISCUSSION
The results of this study will assist in assessment and interventions to decrease the risk for falls in high risk older adults.
目的
确定虚弱、跌倒恐惧和抑郁与脆弱的社区居住老年人跌倒风险之间的关系。
方法
采用横断面相关性设计和图表回顾法。对居住在社区中≥55 岁的有资格入住养老院的老年人进行虚弱、跌倒恐惧、抑郁和跌倒风险调查。采用 Pearson 相关、多元回归和分层回归分析数据。
结果
虚弱程度增加、跌倒恐惧和抑郁与跌倒风险增加显著相关。虚弱和跌倒恐惧是跌倒风险的显著预测因素，而抑郁并未对回归模型做出贡献。当控制社会人口统计学因素、虚弱、跌倒恐惧和尿失禁时，它们是跌倒风险的显著预测因素。
讨论
本研究的结果将有助于评估和干预高危老年人的跌倒风险。
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