老年人内在能力下降与跌倒的相关性研究  

Correlation of intrinsic capacity decline with falls in the elderly

作　　者：张丹丹[1] 奚桓[2] 齐海梅[3] 陈雪丽[4] 李虹[1] 吴娟[1] 周娇 张洁[1] Zhang Dandan;Xi Huan;Qi Haimei;Chen Xueli;Li Hong;Wu Juan;Zhou Jiao;Zhang Jie(Geriatric Medicine Ward,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Beijing Hospital,National Center of Gerontology,National Clinical Research Center for Geriatric Diseases,Beijing 100730,China;Department of Geriatrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Rehabilitation,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京医院老年医学病房国家老年医学中心,中国医学科学院老年医学研究院,100730 [2]北京医院国家老年医学中心,国家老年疾病临床医学研究中心,100730 [3]北京医院老年医学部国家老年医学中心,中国医学科学院老年医学研究院,100730 [4]北京老年医院康复科,100095

出　　处：《中华老年医学杂志》2020年第10期1182-1185,共4页Chinese Journal of Geriatrics

基　　金：北京医院“科技新星”项目(BJ-2020-090)。

摘　　要：目的探讨老年人内在能力下降与跌倒发生的相关性,为跌倒风险的评估提供新的方法和依据。方法选取2019年3月至2019年12月的125例老年住院患者进行调查,测量评估老年住院患者内在能力,并回顾其过去1年是否发生跌倒,通过Logistic回归分析内在能力对老年人跌倒发生风险的影响。结果125例老年患者中37例在过去1年内发生过跌倒,跌倒发生率为29.6%(37/125),92.0%(115/125)的老年患者存在不同维度的内在能力下降,下降平均得分为[2.2(1.0,3.0)],内在能力下降的维度越多,发生跌倒的风险越大(OR=2.425,95%CI:1.132〜4.848,P=0.016),在考虑了人口学因素之后,年龄(OR=1.786,95%CI:1.034〜2.023)、内在能力下降(OR=2.425,95%CI:1.132〜4.848)是跌倒发生的独立危险因素。结论内在能力下降和跌倒发生密切相关,内在能力五个维度框架为跌倒风险预测提供了新的思路和方向。Objective To investigate the correlation between decline of intrinsic capacity and falls in the elderly,in order to provide a new method and basis for fall risk assessment.Methods A total of 125 elderly inpatients were selected between March 2019 and December 2019 for the survey.The intrinsic capacity of elderly inpatients was evaluated,and the history of falls in the past year were obtained through interviewing.The impact of intrinsic capacity on the risk of falls was analyzed by using logistics regression analysis.Results Of 125 elderly patients,37 had experienced falls in the past year,with an incidence of 29.6%(37/125).A decline of intrinsic capacity in varying degrees was found in 92.0%(115/125)of elderly patients and the average score of decline was 2.2(1.0,3.0).The more intrinsic capacity decreased,the greater the risk of falls(OR=2.425,95%CI:1.132-4.848,P=0.016),After taking demographics into consideration,age(OR=1.786,95%C7:1.034-2.023)and decline of intrinsic capacity(Oi?=2.425,95%CI:1.132-4.848)were independent risk factors for falls.Conclusions Decline of intrinsic capacity is closely related to the occurrence of falls.The five-dimension framework of intrinsic capacity provides new ideas and directions for predicting the risk of falls.

关 键 词：内在能力 跌倒 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]