社区老年人跌倒效能与认知的相关性研究

Study on correlation between fall efficiency and cognition of community elderly

[目的]了解社区老年人跌倒流行现状及跌倒效能情况,并探讨其与认知功能的相关性。[方法]以便利抽样的方式,抽取河北省13个地区的378例社区老年人,进行认知功能测评及跌倒相关情况的问卷调查。[结果]在被调查的378例老年人中,有152例发生跌倒,跌倒发生率为40.20%,认知功能与跌倒效能Spearman相关分析结果呈适度正相关(r=0.455,P<0.01)。[结论]社区老年人跌倒发生率较高,认知损害与跌倒风险适度正相关,提示开展以家庭为基础的综合干预训练,可能成为预防老年跌倒的有效途径。

Objective:To understand the epidemic status quo of fall and fall efficiency in community elderly,and probe into the correlation between their fall efficiency and cognition.Methods:By means of convenient sampling,a total of 378 elderly from 13 communities in Hebei province were selected for a questionnaire survey on cognitive function assessment and fall related conditions.Results:Among the 378 elderly people surveyed,152 cases had falls,and the incidence of falls was 40.20%.There was a moderate positive correlation between cognitive function and fall efficiency by spearman correlation analysis(r=0.455,P<0.01).Conclusions:The elderly in this group had higher incidence of falls in elderly,and there was a moderate positive correlation between cognitive impairment and fall risk.It suggested that the comprehensive intervention based on family training,including attention,visual spatial function and executive function,may become the effective way to prevent falls for elderly.