社区居住的泰国老年人跌倒恐惧的流行情况及其相关因素。

Prevalence and Factors Associated with Fear of Falling in Community-Dwelling Thai Elderly.

机构信息

Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Faculty of Physical Therapy, Mahidol University, Salaya, Nakhon Pathom, Thailand,

出版信息

Gerontology. 2021;67(3):276-280. doi: 10.1159/000512858. Epub 2021 Mar 5.

DOI:10.1159/000512858

PMID:33677442

Abstract

BACKGROUND

Falls are common in older people. The fear of falling (FOF) can lead elderly persons to restrict their activities which reduces quality of life. We aimed to estimate the prevalence and factors associated with FOF in community-dwelling Thai elderly to improve screening, treatment and prevention policies and practices.

OBJECTIVES

We aimed to estimate the prevalence and factors associated with FOF in suburban-dwelling Thai seniors.

METHODS

Seniors aged 60-85 years old from 4 suburban communities near Bangkok, Thailand, were interviewed and examined. Questionnaires were used to collect data on the FOF, symptoms of depression, anxiety and balance tests. T tests, χ2 tests, and logistic regressions were used in statistical analysis.

RESULTS

210 subjects were enrolled. The mean age was 70.3, and 74.3% were female. Fifty-three (25.2%) reported a previous history of falls. The prevalence of FOF was 35.8% in the subjects with previous history of falls and 21.7% in subjects without previous history of falls. FOF was associated with female gender, age ≥80, living alone, impaired balance, and functional impairment but not with previous history of falls.

CONCLUSION

FOF is associated with balance impairment, anxiety, depression, and functional impairment of daily routine activities.

摘要

背景

老年人中跌倒很常见。对跌倒的恐惧（FOF）可能导致老年人限制活动，从而降低生活质量。我们旨在评估社区居住的泰国老年人中 FOF 的患病率和相关因素，以改善筛查、治疗和预防政策和实践。

目的

我们旨在估计曼谷附近 4 个郊区社区居住的泰国老年人中 FOF 的患病率和相关因素。

方法

对来自泰国曼谷附近 4 个郊区社区的 60-85 岁老年人进行访谈和检查。使用问卷收集 FOF、抑郁症状、焦虑和平衡测试的数据。在统计分析中使用了 T 检验、卡方检验和逻辑回归。

结果

共纳入 210 名受试者。平均年龄为 70.3 岁，74.3%为女性。53 名（25.2%）报告有既往跌倒史。有既往跌倒史的受试者中 FOF 的患病率为 35.8%，无既往跌倒史的受试者中 FOF 的患病率为 21.7%。FOF 与女性、年龄≥80 岁、独居、平衡受损和日常活动功能障碍有关，但与既往跌倒史无关。