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预防医学  2023, Vol. 35 Issue (12): 1062-1066    DOI: 10.19485/j.cnki.issn2096-5087.2023.12.011
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
重庆市老年慢性病共病患者跌倒调查
张家佳1, 陈小玉1, 廖娟2, 陈娇2, 赵小刚2
1.重庆医科大学附属永川医院医务科,重庆 402160;
2.重庆医科大学附属永川医院,重庆 402160
Prevalence of falls among elderly patients with comorbidity of chronic diseases in Chongqing Municipality
ZHANG Jiajia1, CHEN Xiaoyu1, LIAO Juan2, CHEN Jiao2, ZHAO Xiaogang2
1. Department of Medical Services, Yongchuan Hospital Affiliated to Chongqing Medical University,Chongqing 402160, China;
2. Yongchuan Hospital Affiliated to Chongqing Medical University, Chongqing 402160, China
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摘要 目的 了解重庆市老年慢性病共病患者跌倒情况及其影响因素, 为制定预防跌倒措施提供依据。方法 选择2022年7 — 12月在重庆市某三甲医院就诊的老年慢性病共病患者为调查对象, 采用问卷调查收集人口学信息、躯体状况和近6个月跌倒情况, 分析跌倒发生率。采用多因素logistic回归模型分析老年慢性病共病患者跌倒的影响因素。结果 发放问卷344份, 回收有效问卷338份, 问卷有效率为98.26%。男性195例, 占57.69%; 女性143例, 占42.31%。年龄为(77.10 ± 7.29)岁。患2、3、4、5种慢性病患者分别为171、115、38和14例, 分别占50.59%、34.02%、11.24%和4.14%。近6个月发生跌倒76例, 发生率为22.49%。多因素logistic回归分析结果显示, 近6个月有眩晕史(OR=2.720, 95%CI:1.409~5.249)、跌倒恐惧(OR=8.725, 95%CI:4.572~16.653)和居住环境适老化改造(OR=0.257, 95%CI:0.130~0.509)是老年慢性病共病患者跌倒的影响因素。结论 有眩晕史、跌倒恐惧和居住环境未进行适老化改造的老年慢性病共病患者跌倒风险较高。
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张家佳
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关键词 老年人慢性病共病跌倒影响因素    
AbstractObjective To investigate the prevalence and influencing factors of falls among elderly patients with comorbidity of chronic diseases in Chongqing Municipality, so as to provide insights into preventing measures of falls. Methods Elderly patients with comorbidity of chronic diseases admitted to a level A tertiary hospital of Chongqing Municipality from July 2022 to December 2022 were recruited. Participants' demographics, physical component and fall condition were collected using a questionnaire survey. Incidence of falls was descriptively analyzed, and factors affecting falls among elderly patients with comorbidity of chronic diseases were identified using a multivariable logistic regression model. Results A total of 344 questionnaires were allocated, and 338 valid questionnaires were recovered, with an effective rate of 98.26%. There were 195 men (57.69%) and 143 women (42.31%), with a mean age of (77.10±7.29) years. There were 171 (50.59%), 115 (34.02%), 38 (11.24%) and 14 (4.14%) patients suffering from 2, 3, 4 and 5 chronic diseases, respectively. The incidence of falls during recent six months was 22.49%. Multivariable logistic regression analysis identified history of vertigo in last 6 months (OR=2.720, 95%CI: 1.409-5.249), fear of falling (OR=8.725, 95%CI: 4.572-16.653) and adaptation of living environments to ageing (OR=0.257, 95%CI: 0.130-0.509) as factors affecting elderly patients with comorbidity of chronic diseases. Conclusion The Elderly patients with comorbidity of chronic diseases who have a history of vertigo, fear of falling, and living environments that are not age-adapted are at higher risks of falls.
Key wordselderly    comorbidity of chronic diseases    fall    influencing factor
收稿日期: 2023-08-04      修回日期: 2023-10-27     
中图分类号:  R181.3  
基金资助:重庆医科大学第五临床学院研究生创新基金资助项目(YJSCX202210)
作者简介: 张家佳,硕士研究生在读
通信作者: 陈小玉,E-mail:cxy_8966@yahoo.com.cn   
引用本文:   
张家佳, 陈小玉, 廖娟, 陈娇, 赵小刚. 重庆市老年慢性病共病患者跌倒调查[J]. 预防医学, 2023, 35(12): 1062-1066.
ZHANG Jiajia, CHEN Xiaoyu, LIAO Juan, CHEN Jiao, ZHAO Xiaogang. Prevalence of falls among elderly patients with comorbidity of chronic diseases in Chongqing Municipality. Preventive Medicine, 2023, 35(12): 1062-1066.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.12.011      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I12/1062
[1] World Health Organization.Falls-factsheet[EB/OL].[2023-10-27].http://www.who.int/news-room/fact-sheets/detail/falls.
[2] 新华社.“健康中国2030”规划纲要[EB/OL].[2023-10-27].http://news.xinhuanet.com//health/2016-10/25/c_1119786029_4.htm..
[3] 齐元涛,柳言,杜金,等.基于健康生态学模型的我国老年人慢性病共病影响因素研究[J].中国全科医学,2023,26(1):50-57.
[4] 王志灼,谷莉,周谋望.中国老年人跌倒风险因素识别及评估工具应用的研究进展[J].中国康复医学杂志,2021,36(11):1440-1444.
[5] 刘晓燕,丁霞,董晨,等.社区与住院老年人跌倒的现状及影响因素[J].中国康复理论与实践,2022,28(4):389-398.
[6] 周君桂,李亚洁,范建中.Morse跌倒评估量表中文版在我国住院老年患者中的信度及效度研究[J].中国康复医学杂志,2012,27(3):244-247,284.
[7] 孙艳格,杜雪平,黄凯,等.亚洲人骨质疏松自我筛查工具对社区绝经后妇女骨质疏松症筛查效果评价[J].中华全科医师杂志,2014,13(8):655-658.
[8] 卫尹,曹艳佩,杨晓莉,等.老年住院患者衰弱综合征现状及影响因素[J].复旦学报(医学版),2018,45(4):496-502.
[9] 康宁,于海军,陆晓敏,等.中国老年人跌倒发生率的Meta分析[J].中国循证医学杂志,2022,22(10):1142-1148.
[10] 赵鸣,王浩,罗央努,等.社区老年人跌倒发生情况及家庭环境危险因素分析[J].预防医学,2017,29(9):888-891.
[11] 李新辉,毛晓润,杜文娟,等. 社区老年高血压和糖尿病患者居家环境安全的护理干预[J].中国老年学杂志,2015,35(22):6372-6374.
[12] 刘翠鲜,沈志祥.老年跌倒的特点与预防策略[J].中国老年学杂志,2013,33(2):459-461.
[13] LISTON M B,BAMIOU D E,MARTIN F,et al.Peripheral vestibular dysfunction is prevalent in older adults experiencing multiple non-syncopal falls versus age-matched non-fallers:a pilot study[J].Age Ageing,2014,43(1):38-43.
[14] SCHEFFER A C,SCHUURMANS M J,VAN DIJK N,et al.Fear of falling:measurement strategy,prevalence,risk factors and consequences among older persons[J].Age Ageing,2008,37(1):19-24.
[15] GAZIBARA T,KURTAGIC I,KISIC-TEPAVCEVIC D,et al.Falls,risk factors and fear of falling among persons older than 65 years of age[J].Psychogeriatrics,2017,17(4):215-223.
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