Fang Li, Fang Ching-Lin, Fang Shu-Hui
Department of Nursing, Fooyin University, Kaohsiung, Taiwan.
Department of Rehabilitation, Erlin Christian Hospital, Changhua, Taiwan.
Florence Nightingale J Nurs. 2024 Jun 28;32(2):184-189. doi: 10.5152/FNJN.2024.23296.
The aim of this study was to explore the relationship between regular exercise, depression, and fall among the community older people to find out the predictors of fall. This study applied cross-sectional and correlational study design. The study recruited 285 community older people by using the questionnaires which included social-demographic data, regular exercise, depression, and whether fall history questionnaires were used in this study. The mean score of the depression scale for older people was 3.47 (SD 2.92). People who took anti-hypertensive or anti-diabetes drugs have higher risks of falls than those who did not (B = 1.659; p < .001; Exp (B) = 5.256). Community-dwelling older people with regular exercise have a lower risk of falls than those without (B = -1.485; p < .001; Exp(B) = 0.227). Rehabilitation programs designed to improve both the older people's physical function and mental health played very important roles in preventing falls. It is necessary to undergo depression screening programs for the community older people in order to detect older people depression in advance and prevent the incidence of falls.
本研究旨在探讨社区老年人定期锻炼、抑郁与跌倒之间的关系，以找出跌倒的预测因素。本研究采用横断面和相关性研究设计。该研究通过问卷调查招募了285名社区老年人，问卷内容包括社会人口学数据、定期锻炼、抑郁情况以及是否有跌倒史。老年人抑郁量表的平均得分为3.47（标准差2.92）。服用抗高血压或抗糖尿病药物的人比未服用者有更高的跌倒风险（B = 1.659；p <.001；Exp(B) = 5.256）。有定期锻炼的社区居住老年人比没有锻炼的人跌倒风险更低（B = -1.485；p <.001；Exp(B) = 0.227）。旨在改善老年人身体功能和心理健康的康复计划在预防跌倒方面发挥着非常重要的作用。有必要对社区老年人进行抑郁筛查计划，以便提前发现老年人的抑郁情况并预防跌倒的发生。
