老年人跌倒致骨折的影响因素研究  

Influencing factors of fractures caused by falls in the elderly

作　　者：戴婷 马彩莉[2] 周雅琴 陈希 张毅 赵丽萍[2] DAI Ting;MA Cai-li;ZHOU Ya-qin;CHEN Xi;ZHANG Yi;ZHAO Li-ping(Department of Nursing&Department of Traditional Chinese Medicine,The Third Xiangya Hospital of Central South University,Changsha,Hunan 410013,China;不详)

机构地区：[1]中南大学湘雅三医院护理部&中医科,湖南长沙410013 [2]中南大学湘雅二医院,湖南长沙410011 [3]中南大学湘雅护理学院

出　　处：《现代预防医学》2021年第14期2608-2612,共5页Modern Preventive Medicine

摘　　要：目的探讨老年人跌倒致骨折的影响因素,为老年人跌倒致骨折风险的评估及采取干预措施提供参考。方法2019年7—11月,采用病例对照研究的方式选取长沙市某3所三级甲等医院骨科及脊柱外科住院治疗的跌倒致骨折老年人为病例组(139例),同期采用成组设计,选取长沙市某2个社区卫生服务中心登记在册的139例跌倒非骨折老年人为对照组。使用调查问卷收集患者的基本情况、跌倒情况、日常生活习惯以及临床资料,并进行多因素logistic回归分析探讨影响因素。结果logistic回归分析结果示,病例组与对照组在跌倒倒向(OR=3.58)、饮用浓茶(OR=3.08)、既往骨折史(OR=2.43)、跌倒史(OR=2.62)、低体重(OR=3.30)、超重(OR=0.46)等方面差异均有统计学意义(均有P<0.05)。结论老年人跌倒致骨折受多种因素的影响,应该从饮食、营养、体重管理以及跌倒姿势控制等多方面进行综合干预和指导,从而减少老年人跌倒致骨折的发生。Objective To explore the influencing factors of falling-induced fracture in the elderly, and to provide reference for the risk assessment and intervention measures. Methods From July to November 2019, 139 elderly patients with fractures caused by falls in orthopedics and spinal surgery in a tertiary hospital in Changsha were selected as the case group. During the same period, according to the ratio of 1:1 between cases and control, 139 fall-induced non-fractured elderly people in two sub-district community health service centers in Changsha were selected as the control group. We used the self-made questionnaire to collect the basic information, fall occurrence, daily habits and clinical data, and multivariate logistic regression analysis was conducted to investigate the influencing factors. Results The results of multiple logistic regression analysis showed that there were statistically significant differences between the case group and the control group in terms of fall-backward(OR=3.58), drinking strong tea(OR=3.08), past fracture history(OR=2.43), fall history(OR=2.62), low weight(OR =3.30) and overweight(OR =0.46)(P <0.05). Conclusion The elderly fall fracture is affected by multiple factors and comprehensive intervention and guidance should be carried out from diet, nutrition, weight management and fall posture control, so as to reduce the incidence of elderly fall fracture.

关 键 词：老年人 跌倒 骨折 影响因素 护理 

分 类 号：R47[医药卫生—护理学]