农村老年人运动障碍综合征现状及其影响因素

Status and its influencing factors of locomotive syndrome in the elderly in rural areas

目的探讨农村老年人运动障碍综合征发生情况及其影响因素。方法采用单纯随机抽样法选取河南省豫北地区6个行政村的463名老年人为调查对象,采用一般资料调查表、老年人运动功能量表(GLFS-25)对农村老年人进行调查。结果农村老年人运动障碍综合征发生率为27.86%;不同性别、年龄、文化程度、慢性病种数等特征的老年人运动障碍综合征发生率比较,差异有统计学意义(P<0.05,P<0.01)。Logistic回归分析示,年龄、神经痛或腰痛、主观疲劳、过去1年跌倒次数及是否害怕跌倒是农村老年人运动障碍综合征的主要影响因素(P<0.05,P<0.01)。结论农村老年人运动障碍综合征发生率较高,影响因素较多,需针对影响运动功能障碍的因素,及早对农村老年人进行干预,以降低其运动障碍发生风险。

Objective To explore the occurence of locomotive syndrome and its influencing factors in the elderly in rural areas. Methods Totally 463 elderly people from 6 administrative villages in northern part of Henan province were selected by simple random sampling method,then they were investigated using the general information questionnaire and Geriatric Locomotive Function Scale (GLFS-25). Results The incidence rate of locomotive syndrome among the elderly in rural areas was 27.86%.There were significant differences in the incidence rate of locomotive syndrome among the elderly with different genders,ages,educational levels and number of chronic diseases ( P <0.05,P <0.01).Logistic regression analysis showed that,age,neuralgia or low back pain,subjective fatigue,times of fall in the past year and whether fear of fall were the main influencing factors of locomotive syndrome among the elderly in rural areas ( P <0.05,P <0.01). Conclusion The incidence rate of locomotive syndrome among the elderly in rural areas is higher.There are some factors influencing motor dysfunction for the elderly.It is necessary to take mearsures for the elderly at an early stage according the influencing factors of motor dysfunction,so as to reduce the risk of motor dysfunction.