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某鄉村社區女性長者反覆跌倒之危險因子探討

Recurrent Falls and Associated Risk Factors in Old Females Living in Rural Community

摘要


目的:反覆跌倒相較於單次跌倒更容易造成老人的傷害及失能。由於在鄉村地區所做的相關研究幾乎闕如,本研究探討臺灣偏遠老化地區老年婦女反覆跌倒盛行率及危險因子。方法:於2009年針對高雄市田寮區全區65歲以上女性共1,040位,進行隨機抽樣流行病學調查。由固定專業人員進行個別結構式問卷調查,內容包含基本人口學資料、生活習慣、跌倒史及過去病史,問卷也針對自覺健康情形及自覺身體疼痛進行詢問。扣除死亡及空戶後,最後共完成有效樣本368份。結果:368位受訪婦女平均年齡為74.3歲,在過去一年有49位(13.3%)婦女曾跌倒一次,有34位(9.2%)婦女曾跌倒兩次以上,總跌倒次數為177次,跌倒位置以戶外為主(73%)。多元邏輯斯迴歸分析則發現,有心臟疾病史、有使用葡萄糖胺、有身體疼痛狀況和反覆跌倒呈正相關;身體質量指數越高、自評健康狀況普通及自評健康狀況好則和反覆跌倒呈負相關。結論:本研究顯示,鄉村地區老年婦女反覆跌倒占跌倒的比率甚高。有身體疼痛狀況、自評健康狀況較差、心臟疾病史、身體質量指數較低、使用葡萄糖胺等風險的老年女性容易發生反覆跌倒。建議針對這些女性能進行完整的跌倒風險評估與及時介入。

並列摘要


Objectives: Recurrent falls, compared to single fall, may increase the risk of injuries and disabilities in the elderly. The purpose of this study was to evaluate the prevalence and associated risk factors of recurrent falls among elderly female residents in a remote, aging community in Taiwan. Methods: A cross-sectional epidemiological survey of 1,040 elderly (aged over 65 years old) female residents living at Tianliao District of Kaohsiung County was performed in 2009. Subjects were selected by the simple random sampling method. For each subject, a standardized face-to-face interview was conducted based on a structured questionnaire (including social demographic data, lifestyle, fall history, and past medical history) that also inquired into the subject's self-perceived health status and bodily pain history. A total of 368 effective questionnaires were collected. Results: A total of 177 fall incidents were reported among the 368 female elderly subjects with 49 (13.3%) subjects experiencing a fall (occasional fallers) and 34 (9.2%) experiencing two or more falls (recurrent fallers) in the preceding year. Most of the falls took place outdoors (73%). Multinominal logistic regression analysis revealed that history of cardiovascular diseases, use of glucosamine, and presence of bodily pain were positively associated with recurrent falls, while higher body mass index and fair or good self-perceived health status were inversely associated with recurrent falls. Conclusion: The study demonstrated that the prevalence of recurrent falls in female elderly residents living in a remote aging community is not uncommon. Older females with worse self-perceived health status, bodily pain, lower body mass index, history of heart diseases, and use of glucosamine tend to have a higher risk of recurrent falls and should therefore be comprehensively screened to facilitate timely intervention.

被引用紀錄


邱韋瑄、葉淑玲、周燕芳(2022)。應用多元策略降低社區老人跌倒發生率長期照護雜誌25(2),171-184。https://doi.org/10.6317/LTC.202212_25(2).0006
蔡安茹、李劉瀅瀅、王金蓮(2021)。照顧一位反覆跌倒股骨頸骨折病人之護理經驗榮總護理38(2),143-149。https://doi.org/10.6142/VGHN.202106_38(2).0004

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