认知功能对居家老年人跌倒危险性的影响分析  

Relationship between cognitive function and fall among elderly adults in home-based setting

作　　者：覃芹丹 陈颖颖[1] 李萍[1] 余红芬 张超南 江思思[1] 姜丽萍[1] 

机构地区：[1]温州医科大学护理学院,温州市325035 [2]台州临海市永丰中心卫生院

出　　处：《中华护理杂志》2015年第11期1379-1382,共4页Chinese Journal of Nursing

基　　金：教育部社科基金青年基金项目(14YJCZH077)

摘　　要：目的探讨居家老年人认知功能与其跌倒发生的相关性。方法采用病例一对照研究的方法，在调查的居家老年人1538例中选出过去1年内有跌倒史者274例作为病例组，以年龄和性别为匹配因素在非跌倒组中进行1：2配比．获得822例的病例．对照样本，并对各因素进行回顾性研究。结果认知功能中以轻度障碍者与居家老年人跌倒发生有关联．调整文化程度、居住状况、婚姻状况以及患慢性病数目后，OR值为1．682，95％CI为1．059-2．671。Logistic回归分析显示．认知功能中定向力合并回忆力障碍、计算力合并记忆力障碍是老年人跌倒的危险因素。结论轻度认知功能障碍是居家老年人跌倒的危险因素，定向力合并回忆力障碍可以作为老年人跌倒风险的预测指标。Objective To investigate the association between cognitive function and fall in elderly adults in home-based setting. Methods A case-control study was conducted. Among 1,538 elderly adults who completed in- terviews,274 had fails for the last year and were recruited as the ease group. The rest were matched by age and gender in a 1：2 ratio. A total of 274 cases and 548 controls were included. Associations were evaluated by X2 test, t test,and logistic regression analysis. Results Mild cognitive impairment was associated with fall in elder adults in home-based setting. After adjustment for level of education,living situation,marital status and number of chronic diseases, the relationship was still significant （OR =1.682,95% CI [ 1.059,2.671 ] ）. Multivariate logistic regression models revealed that orientation and recall impairment,calculation and memory impairment were independently associated with higher rates of fall in the elderly. Conclusion Mild cognitive impairment is a risk factor for elderly adults＇ fall,and orientation and recall impairment can predict fall in elder adults in home-based setting.

关 键 词：老年人:意外跌倒 认知障碍 

分 类 号：R473.2[医药卫生—护理学]