[1]苏清清,高远,库洪安,等.农村老年人害怕跌倒与跌倒经历、躯体功能的相关性研究[J].军事护理,2022,39(06):9-12.[doi:10.3969/j.issn.1008-9993.2022.06.003]
　SU Qingqing,GAO Yuan,KU Hongan,et al.Correlation Between Fear of Falling and Previous Fall Experience and Physical Function Among Old People in Rural Areas[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(06):9-12.[doi:10.3969/j.issn.1008-9993.2022.06.003]
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农村老年人害怕跌倒与跌倒经历、躯体功能的相关性研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年06期
页码:
9-12
栏目:
老年健康管理研究专栏
出版日期:
2022-06-15

文章信息/Info

Title:
Correlation Between Fear of Falling and Previous Fall Experience and Physical Function Among Old People in Rural Areas
文章编号:
1008-9993(2022)06-0009-04
作者:
苏清清1; 高远2; 库洪安3; 周凯云4; 宋咪1; 皮红英5
(1.中国人民解放军总医院 解放军医学院,北京 100853; 2.解放军总医院第一医学中心 护理部,北京 100853; 3.解放军总医院第一医学中心 门诊部; 4.昆山市老年医院 护理部,江苏 苏州 215301; 5.中国人民解放军总医院 卫勤训练中心)
Author(s):
SU Qingqing1; GAO Yuan2; KU Hongan3; ZHOU Kaiyun4; SONG Mi1; PI Hongying5
(1.Medical School of Chinese PLA,Beijing 100853,China; 2.Department of Nursing,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China; 3.Outpatient Department,the First Medical Center of Chinese PLA General Hospital; 4.Department of Nursing,Kunshan Geriatric Hospital,Suzhou 215301,Jiangsu Province,China; 5.Medical Service Training Center,Chinese PLA General Hospital)
关键词:
老年人;  害怕跌倒;  意外跌倒;  躯体功能;  平衡
Keywords:
old people;  fear of falling;  accidental fall;  physical functional performance;  balance
分类号:
R473.2
DOI:
10.3969/j.issn.1008-9993.2022.06.003
文献标志码:
A
摘要:
目的 探讨农村老年人害怕跌倒与既往跌倒经历和躯体功能表现的相关性,为实施有效预防策略和实践提供借鉴。方法 2020年6-10月,便利抽样法选取在某二级医院体检中心参加老人年度免费体检项目的老年人1642名进行面对面调查,采集老年人的一般人口学资料、跌倒经历、躯体功能表现和害怕跌倒情况,比较不同跌倒经历和躯体功能状态对老年人害怕跌倒的影响。结果 12.85%的老年人害怕跌倒。是否害怕跌倒老年人在年龄、性别、合并疾病数量、近5年及1年跌倒史、跌倒次数、跌倒损伤程度、躯体功能表现上的差异均有统计学意义(均P<0.05)。多因素分析显示,跌倒损伤程度(OR=1.483)、四阶段平衡测试得分(OR=0.702)和30 s起坐测试个数(OR=0.956)与老年人害怕跌倒具有独立关联(均P<0.05)。结论 既往发生跌倒且跌倒损伤程度越高,平衡能力和下肢肌肉耐力不足,可能会增加老年人害怕跌倒的发生。应制定针对性措施预防老年人跌倒、降低跌倒损伤,提高躯体功能水平。
Abstract:
Objective To explore the correlation between fear of falling(FOF)and previous fall experience and the physical function among old people in rural areas,and to provide a guideline for the corresponding intervention strategies.Methods From June to October 2020,1642 old people who participated in the annual free physical examination program of the elderly in a physical examination center of a first-class hospital were selected by convenience sampling method.A face-to-face survey was conducted to collect the general demographic data,fall experience,physical function performance,and FOF.Effects of falling experience and physical function status on the elderly's FOF were compared.Results 12.85% of the old people reported the FOF.There were statistically significant differences in age,gender,number of complicated diseases,fall history in recent 5 years and 1 year,number of falls,degree of fall injury, physical function performance(all P<0.05).Multivariate regression analysis showed that the degree of fall injury(OR=1.483), the score of the 4-stage balance test(OR=0.702),and the number of 30 s sitting-up test(OR=0.956)were independently associated with the FOF(all P<0.05).Conclusions The higher the degree of a fall injury, the less balance ability and lower limb muscle endurance,the higher the risk of fall in the elderly.Measures should be taken to prevent falls,reduce falls,improve the level of physical function, and promote the physical and mental health of the elderly.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-10-06 【 修回日期 】 2022-02-07
【 基金项目 】 国家重点研发计划项目(2018YFC2001400)
【 作者简介 】 苏清清,博士在读,护师,从事老年护理、慢性病管理研究
【 通信作者 】 皮红英,电话:010-66939159
更新日期/Last Update: 2022-06-15