School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Saint Paul's Hospital, No. 123, Jianxin Street, Taoyuan District, Taoyuan City, Taiwan.
Biomed Res Int. 2022 Dec 7;2022:4581126. doi: 10.1155/2022/4581126. eCollection 2022.
This study was to explore the relationship of older adults' demographic information, physiological indices, and stages of frailty with their risk of falling.
In the cross-sectional study, a total of 221 older adults with the mean age 74.9 (SD = 6.8) years old were surveyed by senior fitness test.
Results were observed in terms of participants' physical fitness, with significant differences being observed in the correlations of left-hand grip strength ( = 5.05, < .000), right-hand grip strength ( = 6.03, < .000), and total grip strength ( = 5.70, < .000), time up and go test ( = -6.25, < .000), and 30-sec chair stand test ( = 7.19, < .000) with the risk of falling. According to the logistic regression analysis results, long-term medication (OR = 0.12, 95% CI =0.02-0.62, < .01) and right-hand grip strength (OR = 0.86, 95% CI =0.76-0.97, < .01) are the main predictors of older adults' risk of falling.
Older females with low education, history of falls, weaker grip strengths; taking longer to finish the TUG test; and standing fewer times during the 30-second chair stand test were at risk of fall. In prediction, older people using long-term medication were at lower risk of falling, and the greater the hand grip strength was, the lower the fall risk was. According to the research results, nursing personnel must develop care programs and improve older adults' risk of falls.
本研究旨在探讨老年人的人口统计学信息、生理指标和虚弱阶段与跌倒风险的关系。
在这项横断面研究中，共有 221 名平均年龄为 74.9（SD=6.8）岁的老年人接受了老年人体能测试。
研究结果观察了参与者的身体素质，左手握力（r=5.05，<0.000）、右手握力（r=6.03，<0.000）和总握力（r=5.70，<0.000）、起立-行走测试（r=-6.25，<0.000）和 30 秒椅站测试（r=7.19，<0.000）与跌倒风险呈显著相关。根据逻辑回归分析结果，长期用药（OR=0.12，95%CI=0.02-0.62，<0.01）和右手握力（OR=0.86，95%CI=0.76-0.97，<0.01）是老年人跌倒风险的主要预测因素。
女性、受教育程度低、有跌倒史、握力较弱；完成 TUG 测试的时间较长；30 秒椅站测试中站立次数较少的老年人有跌倒风险。在预测中，长期使用药物的老年人跌倒风险较低，握力越大，跌倒风险越低。根据研究结果，护理人员必须制定护理计划，降低老年人的跌倒风险。
