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在埃塞俄比亚亚的斯亚贝巴的圣保罗医院千禧年医学院就诊的视力障碍成年人中,自述跌倒相关伤害及其相关因素。

Self-Reported Fall-Related Injury and Its Associated Factors among Adults with Visual Impairment Attending St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

机构信息

St. Paul's Hospital Millennium Medical College, Department of Ophthalmology, Addis Ababa, Ethiopia.

University of Gondar, School of Medicine, Department of Optometry, Gondar, Ethiopia.

出版信息

Ethiop J Health Sci. 2023 Mar;33(2):263-272. doi: 10.4314/ejhs.v33i2.11.

Abstract

BACKGROUND

Falls account for vast majority of fractures and are a significant reason for trauma related hospital admissions. The main aim of this study is to determine the prevalence of self-reported fall, related injuries, and associated factors among adult patients with visual impairment.

METHODS

Hospital-based cross-sectional study was conducted from July to August 2021. Systematic random sampling technique was used. The data were entered into Epi-data version 3.1 and exported to SPPS version 26 for analysis. Frequency, mean, and percentage, were used to summarize the descriptive data. The association between the outcome variable and explanatory variables was assessed using binary and multivariate logistic regressions. The adjusted odds ratio was calculated, and variables with a p-value below 0.05 at the 95% confidence interval (CI) were considered statistically significant.

RESULT

A total of 487 study participants were involved in this study with a response rate of 93.83%. The mean age of the study participants was 52 ± 16.26 years. The overall prevalence of self-reported fall was 36.1 %. Being female, being older than 64 years of age, rural residence, fear of falling, and blind stage of visual impairment were significantly associated with falling.

CONCLUSION

The prevalence of self-reported fall was high among visually impaired individuals. Female sex, age more than 64 years, rural residence, fear of falling, and blind stage of visual impairment were significantly associated with falling. Reducing patients' chances of suffering from falling-related injuries and consequences requires raising awareness about the burden, danger, and effects of falling on persons who are visually impaired.

摘要

背景

跌倒占绝大多数骨折的原因,也是创伤相关住院的主要原因。本研究的主要目的是确定视力障碍成年患者中自我报告跌倒、相关损伤及其相关因素的患病率。

方法

本研究为 2021 年 7 月至 8 月进行的基于医院的横断面研究。采用系统随机抽样技术。数据输入 Epi-data 版本 3.1 并导出到 SPPS 版本 26 进行分析。使用频率、均值和百分比对描述性数据进行总结。使用二项和多变量逻辑回归评估结果变量与解释变量之间的关联。计算调整后的优势比,置信区间 (CI) 为 95%时 p 值低于 0.05 的变量被认为具有统计学意义。

结果

本研究共纳入 487 名研究参与者,应答率为 93.83%。研究参与者的平均年龄为 52±16.26 岁。自我报告跌倒的总患病率为 36.1%。女性、年龄大于 64 岁、农村居住、害怕跌倒和视力障碍的失明阶段与跌倒显著相关。

结论

视力障碍者自我报告跌倒的患病率较高。女性、年龄大于 64 岁、农村居住、害怕跌倒和视力障碍的失明阶段与跌倒显著相关。提高对视力障碍者跌倒的负担、危险和影响的认识,有助于减少患者遭受跌倒相关伤害和后果的几率。

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