摘要
目的调查神经内科门诊就诊老年人跌倒现况,探讨老年人跌倒的影响因素。方法选取2019年9月—2020年03月在我院神经内科就诊的老年慢性病患者3600人作为研究对象,调查老年慢性病患者的一般资料、慢性病情况、服药情况,根据就诊前1年内是否发生跌倒分为跌倒组和非跌倒组,分析跌倒的影响因素。结果3600人中发生跌倒的有1102人,其中男436人,女666人。单因素分析显示女性、脑梗死病史,脑梗死后遗症、冠心病、糖尿病、生活能力下降、白内障、慢性疼痛、听力下降、骨质疏松、失眠、精神异常、共病、多重用药、服用苯二氮卓类药物、肌少症、社会支持为跌倒的危险因素。多因素分析显示跌倒的危险因素有女性、年龄、脑梗死后遗症、生活能力下降、肌少症、多重用药、服用苯二氮卓类药物、慢性疼痛、社会支持下降。结论老年慢性病患者跌倒患病率高。跌倒为多因素导致,与患者生活能力、疾病、用药和社会支持均有关系。
Objective:To investigate the falls of the elderly in the outpatient department of Neurology and explore the influencing factors.Methods 3600 elderly patients with chronic diseases who were treated in neurology department of our hospital from September 2019 to March 2020 were selected as the research objects.The general information,chronic diseases and medication of elderly patients with chronic diseases were investigated.According to whether falls occurred within one year before treatment,they were divided into fall group and non fall group,and the influencing factors of falls were analyzed.Results Among 3600 people,1102 fell,436 men and 666 women.Univariate analysis showed that women,history of cerebral infarction,sequelae of cerebral infarction,coronary heart disease,diabetes,decreased living ability,cataract,chronic pain,hearing loss,osteoporosis,insomnia,mental disorder,comorbidity,multiple drugs,benzodiazepines,sarcopenia and social support were risk factors for falls.Multi factor analysis showed that the risk factors of falls were women,age,sequelae of cerebral infarction,decline of living ability,sarcopenia,multiple drugs,benzodiazepines,chronic pain,and decline of social support.Conclusion The prevalence of falls in elderly patients with chronic diseases is high.Falls are caused by many factors,which are related to patients'life ability,disease,medication and social support.
作者
布茂振
BU Mao-zhen(Yanggu County People's Hospital,Shandong,Yanggu 252300)
出处
《泰山医学院学报》
CAS
2020年第12期904-906,共3页
Journal of Taishan Medical College
关键词
老年人
跌倒
影响因素
the elderly
falls
influencing factors