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中文摘要: 摘要 目的 探讨上海市青浦区60岁及以上老年人跌倒风险以及相关危险因素的分布,为探索预防老年人跌倒防控措施的制定提供科学依据。方法 采用多阶段分层随机抽样的方法,抽取920名老年人作为研究对象,对其2016年8月—2017年7月发生的跌倒情况进行回顾性问卷调查。结果 920名调查对象中,跌倒发生率为8.50%,其中男性跌倒发生率为5.10%, 女性跌倒发生率为11.50%;不同性别跌倒发生率差异有统计学意义(X2=11.9,P<0.00);年龄分层分析结果显示,70岁及以上年龄组跌倒发生率明显高于70岁以下年龄组(X2=10.66, P=0.001);多因素logistic回归分析显示:走路或者站立困难、感觉触觉下降、有足部疾病、患有3种或以上的慢性病、有骨骼、关节等骨骼肌肉系统损害或疾病是社区老年人跌倒发生的危险因素,相对于女性,男性不易发生跌倒。结论 青浦区老年人发生跌倒潜在风险依然较高,应针对患有多种慢性疾病、骨质疏松和触觉下降等的老年人制定综合干预措施。
Abstract:Abstract Objective To explore the risk of falling and the distribution of related risk factors among the elderly over 60 years old in Qingpu District, and provide reference for the development of preventive measures. Methods The research team adopted a multi-stage stratified random sampling method, a total of 920 people. A questionnaire survey was conducted on the fall from August 2016 to July 2017.Results Among the 920 respondents, the incidence of falls was 8.50%, including a male fall rate of 5.10% and a female fall rate of 11.50%; The incidence of falls between men and women is statistically significant; from the incidence of age-level falls, The incidence of falls in the age group 70 and over is significantly higher than that in the age group under 70,Multi-factor logistic regression analysis is difficult to walk or stand, feels tactile decline, suffers from three or more chronic diseases, and has skeletal muscles such as bones, joints or diseases that are risk factors for falls in the elderly in the community. Conclusion The elderly in Qingpu District are still at a high potential risk of falling. Comprehensive intervention measures should be developed for elderly people suffering from various chronic diseases, osteoporosis, and decreased sense of touch.
keywords: Keywords the elderly fall risk assessment risk factor
文章编号:3202012003 中图分类号:R873 文献标志码:
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