合肥市农村老年人跌倒现状及影响因素分析

Analysis of the status quo and influencing factors of the fall of rural older adults in Hefei City

研究采用多阶段分层整群随机抽样的方法,对合肥市农村地区950名60岁及以上农村老年人进行问卷调查。结果显示,老年人过去1年的跌倒率为26.84%,跌倒发生地点多数在室外(70.20%),以上午居多(53.72%)。多因素Logistic回归分析结果显示,女性、非独居、有抑郁症状、衰弱、患脑卒中的老年人具有高跌倒风险;80岁及以上老年人跌倒风险更低。总体来看,合肥市农村老年人跌倒率较高,老年人跌倒受多种因素影响,应针对重点人群,采取相应措施,降低跌倒风险,提升农村老年人晚年生活质量和幸福感。

This study conducted a survey on 950 rural older adults aged 60 years and above in rural areas of Hefei City by using multi-stage stratified cluster random sampling,to describe the fall status of the rural older adults and analyze the influencing factors of falls,therefore provides a reference for the prevention of falls among older adults.The questionnaire included general demographic information,behavior,living environment,frailty,etc.,and the occurrence of falls,including the types,time,place and reasons for falls.The incidence of falls in the past year was 26.84%among the rural older adults in Hefei City.Most of them fell outdoors(70.20%),mostly in the morning(53.72%).Multivariate logistic regression analysis showed that women,nonliving alone,had depressive symptoms,weak body condition,suffered from stroke had a high risk of falling.Older people aged 80 years and older had a lower risk of falling.On the whole,the fall rate of older adults in the rural areas of Hefei City is high and is affected by many factors.Multiple measures should be taken targeting key populations to reduce the fall risk specifically,therefore improving the quality of life and happiness of rural older adults in their later years.