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社区居住老年人中相关神经心理因素与跌倒风险因素之间的关系

Relationship between Associated Neuropsychological Factors and Fall Risk Factors in Community-Dwelling Elderly.

作者信息

Yi DongHyun, Jang SeungJun, Yim JongEun

机构信息

Department of Physical Therapy, Graduate School of Sahmyook University, Seoul 01795, Korea.

Department of Physical Therapy, Sahmyook University, Seoul 01795, Korea.

出版信息

Healthcare (Basel). 2022 Apr 14;10(4):728. doi: 10.3390/healthcare10040728.

Abstract

This study examined whether neuropsychological factors could affect fall risk factors in the community-dwelling elderly via correlation analysis. A total of 393 older adults (76.69 ± 6.01) participated in this study. Cognitive function, depression, fall efficacy, balance confidence, balance, gait, and muscle strength were evaluated, and the correlation between psychological factors and fall risk factors was analyzed. Additionally, a multiple regression analysis was conducted to determine whether or not there was a significant effect between psychological factors and fall risk factors. Analysis showed that the psychological factors examined were all significantly correlated with the fall risk factors. A correlation analysis between cognitive function and fall risk factors showed that the correlation coefficient of the 6-Meter Walk Test was highest; for depression and fall risk factors, the correlation coefficient of gait speed was highest; for fall efficacy and fall risk factors, the correlation coefficient of the 6-Meter Walk Test was highest; and for confidence in balancing and fall risk factors, the correlation coefficient of the 6-Meter Walk Test was highest. This study suggests that psychological factors affect fall risk factors in the community-dwelling elderly, and a multifaceted approach that includes psychological factors would be helpful in providing interventions for falls.

摘要

本研究通过相关性分析,探讨了神经心理学因素是否会影响社区居住老年人的跌倒风险因素。共有393名老年人(76.69±6.01)参与了本研究。对认知功能、抑郁、跌倒效能、平衡信心、平衡能力、步态和肌肉力量进行了评估,并分析了心理因素与跌倒风险因素之间的相关性。此外,进行了多元回归分析,以确定心理因素与跌倒风险因素之间是否存在显著影响。分析表明,所研究的心理因素均与跌倒风险因素显著相关。认知功能与跌倒风险因素的相关性分析显示,6米步行试验的相关系数最高;抑郁与跌倒风险因素的相关性分析中,步速的相关系数最高;跌倒效能与跌倒风险因素的相关性分析中,6米步行试验的相关系数最高;平衡信心与跌倒风险因素的相关性分析中,6米步行试验的相关系数最高。本研究表明,心理因素会影响社区居住老年人的跌倒风险因素,纳入心理因素的多方面方法将有助于提供跌倒干预措施。

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本文引用的文献

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Elderly Fall Detection Systems: A Literature Survey.老年人跌倒检测系统:文献综述
Front Robot AI. 2020 Jun 23;7:71. doi: 10.3389/frobt.2020.00071. eCollection 2020.
4
Predictors of Incident Fear of Falling in Community-Dwelling Older Adults.社区居住的老年人中与跌倒恐惧相关的预测因素。
J Am Med Dir Assoc. 2020 May;21(5):615-620. doi: 10.1016/j.jamda.2019.08.020. Epub 2019 Oct 11.
7
Predicting falls in older adults using the four square step test.使用四方步试验预测老年人跌倒情况。
Physiother Theory Pract. 2017 Oct;33(10):766-771. doi: 10.1080/09593985.2017.1354951. Epub 2017 Aug 3.

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