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社区居住老年人对跌倒相关危险因素及跌倒预防技术的认知与感知

Knowledge and perception of fall-related risk factors and fall-reduction techniques among community-dwelling elderly individuals.

作者信息

Braun B L

机构信息

Health Research Center, Institute for Research and Education, HealthSystem Minnesota, Minneapolis 55805, USA.

出版信息

Phys Ther. 1998 Dec;78(12):1262-76. doi: 10.1093/ptj/78.12.1262.

Abstract

BACKGROUND AND PURPOSE

Falls are a major cause of death and disability among older adults. Fall-related knowledge among community-dwelling elderly individuals, however, is unknown. The purposes of this study were to assess the perception of falling as a health problem, to determine the perceived importance of fall-related risk factors, and to identify personal characteristics and attitudes associated with perceived importance of fall-related risk factors among community-dwelling elderly people.

SUBJECTS AND METHODS

Resident council meeting attendees in 3 apartment buildings for elderly persons completed a self-administered survey (N=120). Items assessed factors influencing falls by the respondents (n=52) or falls among elderly persons (n=68). The data were analyzed by chi-square test, analysis of variance, and linear regression.

RESULTS

Falling during the previous month was reported by 10.1% of the subjects. Eighty-six percent of the subjects considered falling to be a preventable health problem and viewed falling as a moderately important concern compared with other health concerns. Exterior environmental factors such as pavement conditions and handrails were perceived as most likely to cause falls. The perceived personal likelihood of falling due to these risk factors was markedly lower compared with the perceived risk for other elderly persons.

CONCLUSION AND DISCUSSION

The community-dwelling elderly individuals studied considered falls to be preventable and understood the importance of fall-related risk factors, but they did not consider themselves to be susceptible to falling.

摘要

背景与目的

跌倒在老年人中是导致死亡和残疾的主要原因。然而,社区居住的老年人对跌倒相关知识的了解情况尚不清楚。本研究的目的是评估将跌倒视为健康问题的认知,确定跌倒相关危险因素的感知重要性,并识别社区居住老年人中与跌倒相关危险因素感知重要性相关的个人特征和态度。

对象与方法

3栋老年公寓楼的居民委员会会议参会者完成了一项自我管理的调查(N = 120)。调查项目评估了受访者(n = 52)认为影响跌倒的因素或老年人(n = 68)中的跌倒情况。数据采用卡方检验、方差分析和线性回归进行分析。

结果

10.1%的受试者报告在前一个月有跌倒情况。86%的受试者认为跌倒是一个可预防的健康问题,并认为与其他健康问题相比,跌倒是一个中等重要的问题。诸如路面状况和扶手等外部环境因素被认为最有可能导致跌倒。与对其他老年人的感知风险相比,因这些危险因素导致跌倒的个人感知可能性明显较低。

结论与讨论

本研究中的社区居住老年人认为跌倒是可预防的,并且理解跌倒相关危险因素的重要性,但他们不认为自己容易跌倒。

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