摘要
(1)目的了解唐山市社区老年人跌倒状况,分析其影响因素。(2)方法采用分层整群随机抽样的方法,选取河北省唐山市各1所三级和二级医院,对其所属10个卫生服务中心辖区的32个社区中登记户籍且≥75岁的3448名老年人进行跌倒次数调查,起止时间2016年7月~2017年1月,并收集其一般资料、疾病资料、服药情况及日常生活能力。(3)结果社区高龄老年人近一年发生跌倒者有1097名(31.8%),其中24.9%跌倒≥2次;多因素分析显示女性、高血压、罹患足部疾病、视力下降明显、服用容易导致跌倒的药物及日常生活能力障碍是发生跌倒的危险因素(P<0.05)。(4)结论社区高龄老年人跌倒发生率高,再次跌倒的风险大,尤其是患有高血压、足部疾病及视力下降明显、活动能力差的老人,需要家庭、社会共同努力制定预防跌倒策略以减少老年人跌倒风险。
Objective To understand the situation of the elderly's falls in Tangshan community,and analyze the influencing factors.Methods We adopted stratified cluster random sampling method,and selected all the registered inhabitants aged≥75 years old for the frequencies of fall survey from 32 communities of 10 health service centers under management of 1 tertiary hospital and 1 secondary hospital in Tangshan city,Hebei province,and collected the general information,disease information,medicine treatment and activity of daily living.Results In the recent one year,1097 elderly people(31.8%)fell in the community,24.9%of whom fell twice or more.Multivariate analysis showed the old who was of female,hypertension,foot disease,poor eyesight,medicine treatment and poor activity of daily living had risk for falls(P<0.05).Conclusion The elderly in the community have high risk for falls and are at high risk of falling again,especially those with hypertension,foot diseases,poor eyesight and poor mobility.Therefore,strategies should be developed to prevent falls,which requires the joint efforts of families and society.
作者
周慧
齐丽娜
陈长香
郭全荣
ZHOU Hui;QI Lina;CHEN Changxiang(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China)
出处
《华北理工大学学报（医学版）》
2020年第6期446-451,共6页
Journal of North China University of Science and Technology：Health Sciences Edition
基金
国家社会科学基金项目(编号:16BRK028)。
关键词
社区
高龄老年人
跌倒状况
影响因素
Community
The elderly
Falling condition
Influencing factors
