老年人既往跌倒史与跌倒风险及相关因素。
Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls.
机构信息
Servicio Aragonés de Salud, Sector Alcañiz Atención Primaria, Centro de Salud Andorra Calle Huesca s/n, 44500 Andorra, Teruel, Spain.
Faculty of Health Sciences, Universidad San Jorge, Campus Universitario, Villanueva de Gállego, Autovía A-23 Zaragoza-Huesca Km. 299, 50830 Villanueva de Gállego, Zaragoza, Spain.
出版信息
Int J Environ Res Public Health. 2020 Jun 8;17(11):4085. doi: 10.3390/ijerph17114085.
Abstract
Falls in the elderly are one of the main geriatric syndromes and a clear indicator of fragility in the older adult population. This has serious consequences, leading to an increase in disability, institutionalization and death. The purpose of this cross-sectional study was to analyze the prevalence of risk of falling and associated factors in a population of 213 non-institutionalised, able older adults with a history of falling in the previous year. We used the following assessment tools: Questionnaire of the WHO for the study of falls in the elderly, Geriatric Depression Scale and Tinetti's Gait and Balance Assessment Tool. Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling. In order to prevent fall reoccurrence, community-based fall prevention programs should be implemented.
摘要
老年人跌倒属于老年综合征之一，也是老年人群脆弱性的明确指标。这会带来严重后果，导致残疾、住院和死亡风险增加。本横断面研究的目的在于分析在过去一年中发生过跌倒的 213 名非住院、身体状况良好的老年人中，跌倒风险的流行率及其相关因素。我们使用了以下评估工具：世卫组织老年人跌倒研究问卷、老年抑郁量表和 Tinetti 步态和平衡评估工具。年龄、使用助行器、多重用药、跌倒后住院和抑郁与跌倒风险显著相关。为了预防跌倒再次发生，应实施基于社区的跌倒预防计划。
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