社区老年人跌倒的危险因素分析

Analysis on risk factors for falls in elderly people from community

目的分析影响社区老年人发生跌倒的相关因素。方法对南宁市某社区1 222名老年人(年龄≥60岁)进行调查,分析其发生跌倒的情况,对可能影响老年人跌倒的相关因素进行单因素及多因素非条件logistic回归分析。结果 1 222名老年人中,在1年内有363例发生1次跌倒(29.8%),男性跌倒的发生率高于女性(P<0.05)。生活自理是社区老年人跌倒的保护因素(P<0.05),高龄、心功能不全、骨折脱臼、晕厥、痴呆、卒中、帕金森病是社区老年人跌倒的危险因素(P<0.05)。结论社区老年人跌倒发生率较高,针对相关危险因素予以相应的干预措施非常必要。

Objective To analyze the relative factors influencing the incidence rate of the falls in elderly people from community. Methods An investigation was conducted in 1 222 elderly people from an community in Nanning. The incidence rate of the falls was analyzed. Univariate analysis and multivariate non-conditional logistic regression analysis were used to analyze the relative factors probably influencing the falls in elderly people. Results Of 1 222 elderly people,the falls within one year occurred in 363 cases （29.8%）. The incidence rate of the falls in the male was higher than that in the female（ P 〈 0.05 ）. Self-care was the protective factor for the falls in elderly people from community （ P 〈 0.05 ）. Advanced age, cardiac insufficiency, fracture or dislocation, syncope, dementia, stroke and Parkinson＇ s disease were the risk factors for the fails in elderly people from community （ P 〈 0.05 ）. Conclusion The incidence rate of the falls in elderly people from community is quite high. It is very necessary to take the corresponding intervention measures according to the relative risk factors.