摘要
目的了解城市社区老年人跌倒发生情况及主要家庭环境危险因素,为开展针对性干预提供依据。方法采用随机整群抽样方法,在慈溪市抽取2个街道,每个街道抽取1个社区,纳入≥60岁居住满1年的老年人进行跌倒情况问卷调查,并对家庭环境中的致跌因素进行现场观察评估。结果共调查993人,跌倒发生率为14.90%,其中女性跌倒发生率为17.19%,高于男性的12.47%(P<0.05)。跌伤109人,跌伤发生率为10.98%,女性跌伤发生率为13.87%,高于男性的7.69%(P<0.05)。家庭环境中存在致跌危险因素比例最高的区域为卫生间(93.62%)和客厅(85.02%)。多因素Logistic回归分析显示,过道地毯不平整(OR=3.542,95%CI:1.235~10.161)和卧室床边有杂物(OR=8.611,95%CI:2.051~36.574)是居家老年人发生跌倒的主要环境危险因素。结论老年人跌倒发生率为14.90%,过道地毯不平整和卧室床边有杂物是发生跌倒的主要危险因素。
Objective To study the status and environment-related risk factors for falls among older adults in the urban community,and to provide evidences for the development of specific interventions.Methods A total of 993 older adults aged ≥60 years old from 2 communities in Cixi City were selected by stratified cluster sampling.Face-to-face interview and field investigation were carried out to collect participants' basic information,the situation and environment-related risk factors for falls occurred to them from November 2012 to October 2013.Results The overall incidence of falls was14.90%,and it was significantly higher in wowen(17.19%) than in men(12.47%)(P0.05).There were 109 participants reported to have fall-related injury with an incidence of 10.98%(109/993).Moreover,the incidence of fall-related injury for women(13.87%) was significantly higher than that for men(7.69%)(P0.05).Among them,35.14% falls occurred in home,the washroom(93.62%) and drawing room(85.02%) had higher proportion of having falling-related environmental risk factors.The multivariate logistic analysis showed that uneven carpet in aisle(OR=3.542,95%CI:1.235-10.161) and having clutters beside the bed(OR=8.611,95%CI:2.051-36.574) were two main environmental risk factors for elder falls in home.Conclusion The incidence of falls of older adult in Cixi was 14.90%.Uneven carpet in aisle and having clutters beside the bed were two main environmental risk factors for falls among the elderly at home.
出处
《预防医学》
2017年第9期888-891,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
浙江省医药卫生科技平台项目(2017RC017)
关键词
跌倒
老年人
家庭
危险因素
Falls
Elder adults
Incidence rate
Environmental related risk factors