上海市某镇老年人跌倒危险因素分析

Analysis of Risk Factors of Accidental Falls among the Elderly in a Town, Shanghai

目的掌握老年人跌倒伤害的危险因素以及相关知识、信念、行为的水平,为安全社区的创建工作提供依据。方法搜集分析浦东新区某镇所有老年人的基本情况,预防跌倒知识,信念方面、态度方面、行为方面知识及伤害相关信息。结果老年人伤害跌倒率为4.95%,患有慢性病的老年人跌倒情况明显高于无慢性病的老年人,老年人无规律锻炼的跌倒率明显高于有规律锻炼的跌倒率,运动能力低的跌倒率明显高于运动能力高的老年人。结论某镇老年人跌倒率高于上海市的总体水平。应从控制慢性病、加强体质和减少居家致跌危险因素等方面预防老年人跌倒。对于老年跌倒态度仍要加强培训,并在创建安全社区过程中摸索老年人跌倒干预模式。

Objective To understand the risk factors, knowledge, attitude and practice of the elderly caused by accidental falls in a town, so as to provide some evidence of safe community building. Methods By collecting basic data, knowledge, attitudes, behaviors and the other information of falling prevention among all the aged in a town of Pudong New Area. Results The incidence of injury falls was 4.95%. The falling incidence of the aged with chronic diseases was significantly higher than that of those without chronic diseases. The falling incidence of the aged doing irregular exercises was significantly higher than that of those doing regular exercises. The falling incidence of the aged with low motor capacity was significantly higher than that of those with high motor capacity. Conclusion Accidental falls of the elderly in this town are more serious than that of the whole elderly in Shanghai. The accidental falls can be prevented through chronic diseases prevention, physical ability strengthening and risk factors reduction at home. Education on accidental falls of the aged should be strengthened, and intervention mode could be groped through safe community building.