社区老年人跌倒及危险因素调查  

Analysis on the Falls and its Risk Factors in the Elderly People in Community

作　　者：徐伟[1] 吴益生[1] 万秋萍[1] 张国慧[1] 龙轶轩 周峰[2] 周德定[2] 

机构地区：[1]上海市闸北区疾病预防控制中心,上海200072 [2]上海市疾病预防控制中心,上海200336

出　　处：《中国慢性病预防与控制》2010年第5期489-491,共3页Chinese Journal of Prevention and Control of Chronic Diseases

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(P<0.05)。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。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.Conclusion The consequence of fallings has already influenced the good health and quality life of the aged.Improving indoor environment of the elderly,intensifying education of knowledge about precaution of falls in elderly and preventing the occurrence of falling in the elderly can improve quality life of the aged.

关 键 词：社区 老年人 跌倒 发生率 危险因素 

分 类 号：R64[医药卫生—外科学]