Gashaw Moges, Adie Admass Biruk
Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Department of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.
Adv Orthop. 2021 Feb 27;2021:6686068. doi: 10.1155/2021/6686068. eCollection 2021.
Fall-related injury is the common cause of unintentional injury and premature death among people with visual impairment. So far, the knowledge about fall-related injuries among medically diagnosed visual impairment people living in low- and middle-income countries is scarce. Hence, this study is a preliminary attempt to assess the fall-related injury and its determinants among adult people with medically diagnosed visual impairment individuals.
An institutional-based cross-sectional study was conducted from March to July 2018 with a total sample size of 337 study participants. The study participants were recruited by using a systematic random sampling method. Univariable and multivariable binary logistic regression model analysis was used to identify predictors of fall-related injuries with IBM Statistical Package for Social Sciences version 23.
A total of 320 adults with visual impairments participants have participated in this study. The finding of this study was reported as follows: 24.7% of (95% CI: 20.0-29.4%) adults with visual impairments experienced one or more fall-related injuries. The main predictors of fall-related injuries identified by multivariate analysis were severity of visual impairment: moderate (AOR, 2.91; 95% CI: 1.23 - 6.87), severe (AOR, 3.58; 95% CI: 1.26-10.17), cause of visual impairment: cataract (AOR, 10.63; 95% CI: 2.49 - 45.26), diabetic retinopathy (AOR, 15.35; 95% CI: 2.51-93.96), taking medication (AOR, 6.35; 95% CI: 2.93-13.75), having family support (AOR, 2.13; 95% CI: 1.08 - 4.19), and depression (AOR 3.82, 95% CI: 1.27-11.45).
Soft tissue injuries were the most common fall-related injuries reported by the study participants. The severity of visual impairment, the cause of visual impairment, taking one or more medication, having family support, and having depression were significant predictors of fall-related injuries.
在视力受损人群中，与跌倒相关的伤害是意外伤害和过早死亡的常见原因。到目前为止，关于生活在低收入和中等收入国家中经医学诊断为视力障碍人群的跌倒相关伤害的知识还很匮乏。因此，本研究是对经医学诊断为视力障碍的成年人中与跌倒相关的伤害及其决定因素进行评估的初步尝试。
2018年3月至7月进行了一项基于机构的横断面研究，总样本量为337名研究参与者。研究参与者采用系统随机抽样方法招募。使用IBM社会科学统计软件包第23版进行单变量和多变量二元逻辑回归模型分析，以确定与跌倒相关伤害的预测因素。
共有320名视力障碍成年人参与了本研究。本研究结果报告如下：24.7%（95%置信区间：20.0 - 29.4%）的视力障碍成年人经历过一次或多次与跌倒相关的伤害。多变量分析确定的与跌倒相关伤害的主要预测因素包括：视力障碍严重程度：中度（比值比[AOR]，2.91；95%置信区间：1.23 - 6.87）、重度（AOR，3.58；95%置信区间：1.26 - 10.17）；视力障碍原因：白内障（AOR，10.63；95%置信区间：2.49 - 45.26）、糖尿病视网膜病变（AOR，15.35；95%置信区间：2.51 - 93.96）；服用药物（AOR，6.35；95%置信区间：2.93 - 13.75）；有家庭支持（AOR，2.13；95%置信区间：1.08 - 4.19）；以及抑郁（AOR 3.82，95%置信区间：1.27 - 11.45）。
软组织损伤是研究参与者报告的最常见的与跌倒相关的伤害。视力障碍的严重程度、视力障碍的原因、服用一种或多种药物、有家庭支持以及抑郁是与跌倒相关伤害的重要预测因素。
