| 张迪,何耀,刘淼,杨鸿兵,吴蕾,王建华,杨姗姗,陈静,王义艳,曾静,姚尧,郭美灵.北京市农村社区老年人跌倒情况调查及影响因素研究[J].Chinese journal of Epidemiology,2016,37(5):624-628 |
| 北京市农村社区老年人跌倒情况调查及影响因素研究 |
| Study on incidence and risk factors of fall in the elderly in a rural community in Beijing |
| Received:February 05, 2016 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.05.007 |
| KeyWord: 跌倒 发生率 流行病学 农村社区 影响因素 |
| English Key Word: Fall Incidence Epidemiology Rural Community Risk Factors |
| FundProject:北京市科委重点-老年综合评估(D121100004912003);科技部-衰老相关(973计划)(2013CB530800) |
| Author Name | Affiliation | E-mail | | Zhang Di | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | He Yao | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China
State Key Laboratory of Kidney Disease, Chinese People's Liberation Army General Hospital, Beijing 100853, China | yhe301@sina.com | | Liu Miao | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Yang Hongbing | Miyun County Hospital of Traditional Chinese Medicine, Beijing 101500, China | | | Wu Lei | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Wang Jianhua | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Yang Shanshan | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Chen Jing | Miyun County Hospital of Traditional Chinese Medicine, Beijing 101500, China | | | Wang Yiyan | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Zeng Jing | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Yao Yao | Department of Epidemiology, Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China | | | Guo Meiling | Miyun County Hospital of Traditional Chinese Medicine, Beijing 101500, China | |
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| Abstract: |
| 目的 探究北京市农村社区老年人跌倒发生情况。方法 2014年6-9月整群抽取北京市密云县城乡结合部巨各庄镇和山区农村冯家峪镇老年人群,采用问卷收集老年人跌倒流行病学特征、心理及躯体健康数据。结果 调查研究对象共2397人(男性967人,女性1430人),跌倒发生的总人数为347人,发生率为14.5%,其中男性跌倒93人(9.6%),女性跌倒254人(17.8%),女性跌倒发生率明显高于男性;在家庭院落发生的跌倒次数最多(282次),山地/田地跌倒(57次)为农村社区跌倒地点分布的特征;跌倒损伤率为27.2%,跌倒后引起的损伤部位以髋部损伤最多。跌倒的多因素分析中发现,体育锻炼及月收入较高为保护因素;起立行走试验异常、视力问题及脑卒中为跌倒的危险因素。男性老年人中独有的危险因素为轻度认知障碍,女性则为尿失禁,同时午睡在女性老年人跌倒中有保护意义。结论 北京市农村社区跌倒发生率相对较高,且有其独特的地区分布特点;跌倒对老年人的躯体及相关心理健康有较大危害。 |
| English Abstract: |
| Objective To investigate the incidence of fall in the old farmers of Miyun county in Beijing. Methods The old farmers who lived in Jugezhuang and Fengjiayu townships of Miyun county were selected for a questionnaire survey to collect the information about the incidence of fall and their health status. Results A total of 2 397 old farmers, including 967 males and 1 430 females, were surveyed. Fall occurred in 347 old farmers (14.5%). The difference in the incidence of fall was significant between males (9.6%) and females (17.8%). A total of 282 falls occurred in courtyards, 45 falls occurred in field/hilly areas. Among the falls occurred, 216 (27.2%) led to injuries. The most common site of injuries was hip (45 falls). Logistic regression analysis showed that physical exercise and high income were protective factors, but difficult standing up and walking, visual problem and stroke were the risk factors. In the males, the special risk factor was mid cognitive impairment, and in the females, the special risk factor was urinary incontinence, but afternoon nap was a protective factor. Conclusion The incidence of fall in the rural community was relatively high with distinct area distribution, which has caused serious influence on the mental and physical health of the elderly. |
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