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老年人居家意外伤害的患病率及危险因素

Prevalence and Risk Factors of Unintentional In-Home Injuries in Older Adults.

作者信息

Cho Ok-Hee, Kim Hyekyung

机构信息

Department of Nursing, College of Nursing and Health, Kongju National University, Gongju 32588, Republic of Korea.

Department of Nursing, Catholic Kwandong University, Gangneung 25601, Republic of Korea.

出版信息

Medicina (Kaunas). 2025 Jul 8;61(7):1235. doi: 10.3390/medicina61071235.

Abstract

: Older adults are a vulnerable population to unintentional injuries due to age-related physiological decline and the presence of various chronic conditions. Unintentional injuries occurring in the home, such as falls, burns, poisoning, cuts, and suffocation, have been reported at higher rates in this age group compared to younger populations. This study examines the prevalence and types of unintentional in-home injuries in older adults and identifies the risk factors associated with falls and cuts/collisions. : A cross-sectional study was conducted on 309 older adults (aged ≥ 65 years) recruited from eight senior welfare centers in South Korea. : The most frequent cause of injury was falls (28.7%), followed by cuts/collisions (27.0%), burns/fire (11.4%), and other injuries (8.1%). In the model adjusted for age and sex, risk factors for falls included a history of outdoor falls or indoor cuts/collisions, dizziness, and the use of two or more medications. Risk factors for cut/collision injuries included a history of indoor burns or falls, numbness in hands and feet, and visual impairment. To effectively prevent home injuries among older adults, it is crucial to focus not only on falls but also on frequent minor injuries caused by cuts and collisions.

摘要

老年人由于与年龄相关的生理衰退以及各种慢性疾病的存在,是易受意外伤害的人群。据报告,与年轻人群相比,该年龄组在家中发生的意外伤害,如跌倒、烧伤、中毒、割伤和窒息的发生率更高。本研究调查了老年人在家中发生意外伤害的患病率和类型,并确定了与跌倒和割伤/碰撞相关的风险因素。

对从韩国八个老年福利中心招募的309名老年人(年龄≥65岁)进行了一项横断面研究。

最常见的受伤原因是跌倒(28.7%),其次是割伤/碰撞(27.0%)、烧伤/火灾(11.4%)和其他伤害(8.1%)。在根据年龄和性别调整的模型中,跌倒的风险因素包括户外跌倒或室内割伤/碰撞史、头晕以及使用两种或更多药物。割伤/碰撞伤害的风险因素包括室内烧伤或跌倒史、手脚麻木和视力障碍。为了有效预防老年人在家中受伤,不仅要关注跌倒,还要关注由割伤和碰撞引起的频繁轻微伤害,这一点至关重要。

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