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社区居住老年人中影响跌倒恐惧因素的年龄差异:一项横断面研究。

Age differences in factors affecting fear of falling among community-dwelling older adults: A cross-sectional study.

作者信息

Zhang Yu, Ye Mingzhu, Wang Xiaoqian, Wu Jiawei, Wang Lecong, Zheng Guohua

机构信息

College of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China; Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

College of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China.

出版信息

Geriatr Nurs. 2023 Jan-Feb;49:74-80. doi: 10.1016/j.gerinurse.2022.11.011. Epub 2022 Nov 26.

Abstract

Our objective was to explore the determining factors of fear of falling (FOF) in community-dwelling older adults of different ages. A total of 541 community-dwelling older adults aged 65 years and older were investigated and separated into a younger group (n=347) and an older group (n=194). FOF was measured and possible factors affecting FOF were investigated. The prevalence of high FOF in the older group was significantly higher than that in the younger group. Poor sleep quality, low muscle strength, and multimorbidity were independent risk factors for high FOF in the younger group. While poor gait and balance were independent risk factors for high FOF, other factors, such as sex, marital status, education level, drinking status, cognitive ability, and muscle strength were also found to have a significant association with high FOF in the older group. Therefore, differential prevention strategies for high FOF should be considered for community-dwelling older adults of different ages.

摘要

我们的目标是探究不同年龄段社区居住老年人跌倒恐惧(FOF)的决定因素。总共对541名65岁及以上的社区居住老年人进行了调查,并将其分为较年轻组(n = 347)和较年长组(n = 194)。测量了跌倒恐惧,并调查了影响跌倒恐惧的可能因素。较年长组中高跌倒恐惧的患病率显著高于较年轻组。睡眠质量差、肌肉力量低和多种疾病是较年轻组中高跌倒恐惧的独立危险因素。虽然步态和平衡差是高跌倒恐惧的独立危险因素,但在较年长组中,其他因素,如性别、婚姻状况、教育水平、饮酒状况、认知能力和肌肉力量也被发现与高跌倒恐惧有显著关联。因此,对于不同年龄段的社区居住老年人,应考虑针对高跌倒恐惧的差异化预防策略。

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