社区老年人跌倒及危险因素调查.pdfVIP

中国慢性病预防与控制2010 年10 月第18 卷第5 期 Chin J Prev Contr Chron Dis ，October 2010，Vol． 18，No．5 489 · · 【论著】 （ ） 文章编号：1004-6194 2010 05-0489-03 社区老年人跌倒及危险因素调查 1 1 1 1 1 2 2 徐伟 ，吴益生 ，万秋萍 ，张国慧 ，龙轶轩 ，周峰 ，周德定 摘要：目的 对社区老年人跌倒情况及危险因素进行调查，为社区干预提供科学依据。方法 采用随机整群抽样方 法, 对某街道随机抽取的3 440 户中的60 岁及以上所有老年人在2007 年1 月1 日— 12 月31 日间发生跌倒的情况进行 回顾性调查。结果 60 岁以上的1 967 名调查对象中，跌倒伤害发生率为2.54％ ；其中男性跌倒发生率为1.68%，女性跌 倒发生率为3.35%。61.54％跌倒发生在家中；57.69％跌倒是因地面潮湿和地面不平等环境因素造成的。年龄、平衡失调、 步态不稳、身体状况差、慢性病等是老年人跌倒的主要危险因素（P0.05）。结论 跌倒受老年人的身心健康和环境因素共 同影响，加强对跌倒危险因素的干预是今后老年人预防跌倒的工作重点。 关键词：社区；老年人；跌倒；发生率;危险因素 中图分类号：R64 文献标识码：A Analysis on the Falls and its Risk Factors in the Elderly People in Community XU Wei, WU Yi-sheng, WAN Qiu-ping, et al. Zhabei CDC, Shanghai 200072,China Abstract:Objective To investigate the situation of falls and its risk factors in the elderly in community. Methods With cluster random sampling, the elderly people aged 60 yrs and over in 3 440 families were selected and the falling events happened during Jan 1 to Dec 31 of 2007 were investigated. Results The falling incidence rate was 2.54% in 1 967 investigated subjects, and 1.68% in male and 3.35% in female. There was about 61.54% of fallings occurred at home. The main reasons for 57.69% fallings were attributed to wet floor and uneven ground, etc. The main risk factors for the elderly fallings included the age, disequilibrium, instability of gait, poor health condition, chronic diseases and so on. C