老年人糖尿病患者跌倒恐惧的决定因素。
Determinants of fear of falling in older adults with diabetes.
机构信息
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
出版信息
Geriatr Nurs. 2022 Jul-Aug;46:7-12. doi: 10.1016/j.gerinurse.2022.04.017. Epub 2022 May 14.
OBJECTIVES
To identify the important determinants of FoF among older adults with diabetes in endocrine clinics based on demographic and illness characteristics, physical function and capability, psychosocial and cognitive factors.
METHODS
A cross-sectional study was conducted on 240 older adults with Type 2 diabetes who were recruited by convenience sampling. Self-reported questionnaires, medical records as well as physical function and capability tests were used to collect the data. Multiple linear regression was used to identify the important determinants of FoF.
RESULT
Diabetes distress, sarcopenia levels, TUG results, and HbA1c levels were significant determinants of FoF. These determinants uniquely explained 14%, 9%, 4%, and 2% of the variance in FoF respectively.
CONCLUSION
Beside sarcopenia and dynamic balance being known as significantly associated with FoF in a general older population, diabetes distress and HbA1c levels should also be considered in designing interventions to improve FoF among older adults with diabetes.
目的
根据人口统计学和疾病特征、身体功能和能力、心理社会和认知因素，确定内分泌科老年糖尿病患者 FoF 的重要决定因素。
方法
采用便利抽样法，对 240 名 2 型糖尿病老年患者进行横断面研究。使用自我报告问卷、病历以及身体功能和能力测试来收集数据。采用多元线性回归来确定 FoF 的重要决定因素。
结果
糖尿病困扰、肌肉减少症水平、TUG 结果和 HbA1c 水平是 FoF 的显著决定因素。这些决定因素分别独立解释了 FoF 变异的 14%、9%、4%和 2%。
结论
除了肌肉减少症和动态平衡被认为与一般老年人群的 FoF 显著相关外，糖尿病困扰和 HbA1c 水平也应在设计干预措施以改善糖尿病老年患者的 FoF 时加以考虑。
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