泰国社区老年人跌倒的相关因素

IF 0.5 Q4 HEALTH CARE SCIENCES & SERVICES Internet Journal of Allied Health Sciences and Practice Pub Date : 2022-10-01 DOI:10.15563/jalliedhealthsci.13.54
Midori Higashiyama, Shigeharu Tanaka, O. Watanabe
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引用次数: 0

摘要

本研究旨在确定跌倒率和跌倒的危险因素。本研究包括居住在泰国Bang Si Thong市的75名社区老年人(23名男性和52名女性)。参与者的平均年龄为70.7岁。作为一种方法,参与者收到了一份评估跌倒风险和运动功能的问卷。除了问卷调查外,还测量了身体和运动功能。对秋季相关资料和社会人口学资料进行描述性统计。以是否有跌倒史为因变量,进行逻辑回归分析以确定与跌倒相关的因素。身体和运动功能以及社会人口学因素的数据被输入逻辑回归模型。差异有统计学意义,p < 0.05。结果,进行了评估下肢功能的短物理性能电池测试,超过50%的参与者得分为9分。此外,35名参与者(46.7%)曾跌倒。室内跌倒频率高于室外跌倒频率。结果显示,发生跌倒的危险因素包括“膝关节和髋关节疼痛(比值比分别为5.08和6.40,p < 0.05)”、“站立能力(比值比分别为4.10,p < 0.05)”、“握力(比值比分别为0.83,p < 0.05)”和“害怕跌倒(比值比分别为2.22,p < 0.05)”。除了这些生理功能因素外,害怕跌倒的心理因素也与之相关。建议对干预方法进行详细的评估和检查有助于预防跌倒。
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Factors related with fall in community‐dwelling older adults in Thailand
This study aimed to determine the fall rate and risk factors of fall. This study included 75 community ‐ dwelling older adults (23 males and 52 females) who lived in the Bang Si Thong city of Thailand. The average age of the participants was 70.7 years old. As a method, the participants received a questionnaire assessing the fall risk and motor functions. In addition to the questionnaire, physical and motor functions were measured. The descriptive statistics in fall related data and sociodemographic data were calculated. A logistic regression analysis was performed to determine the factor related with fall, with the presence or absence of a history of fall as the dependent variable. The data from physical and motor functions and sociodemographic factors were entered into the logistic regression model. The statistical significance level was set at p < 0.05. As the results, the Short Physical Performance Battery tests were performed for assessing lower extremity functions, and more than 50% of the participants scored 9 points. In addition, 35 participants (46.7%) had experienced a fall. The frequency of indoor falls was higher than that of outdoor falls. Our findings revealed that the risk factors of falls comprised “Pain of Knees and Hip (odds ratio = 5.08 and 6.40, p < 0.05)”, “Standing ability (odds ratio = 4.10, p < 0.05)”, “Grip Strength (odds ratio = 0.83, p < 0.05)”, and “Fear of fall (odds ratio = 2.22, p < 0.05)”. In addition to these physical functional factors, the psychological factor of fear of falling was also associated. It is suggested that a detailed assessment and examination of intervention methods contribute to fall prevention.
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