老年人群害怕跌倒心理障碍患病率的meta分析  

Prevalence rate of fear of falling in the elderly:A meta-analysis

作　　者：徐培梅 刘跃 陈志刚[1] 郭宗晓 王旭[3] XU Pei-mei;LIU Yue;CHEN Zhi-gang;GUO Zong-xiao;WANG Xu(Department of Orthopaedics,Hai’an People’s Hospital Affiliated to Nantong University,Nantong Jiangsu,226600,China;Nursing College,Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan,610072,China;Department of Geriatrics,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing Jiangsu,210008,China)

机构地区：[1]南通大学附属海安人民医院骨科,江苏南通226600 [2]成都中医药大学护理学院,四川成都610072 [3]南京大学医学院附属鼓楼医院老年医学科,江苏南京210008

出　　处：《职业与健康》2022年第5期695-698,703,共5页Occupation and Health

基　　金：江苏省南通市科技局基金项目(MSZ18062);江苏省卫健委课题(BJ18019)。

摘　　要：目的分析中国老年人害怕跌倒心理障碍的患病情况。方法2021年6月在Web of Science、PubMed、Embase、中国知网、中国生物医学文献数据库、万方数据库等数据库中检索相关文献,使用Stata 15.0软件进行meta分析。结果纳入32篇文献,老年人害怕跌倒心理障碍的总患病率为57%(95%CI:52%~62%)。亚组分析显示,医院、社区及养老机构老人患病率分别为55%(95%CI:36%~73%)、59%(95%CI:54%~63%)和54%(95%CI:36%~73%),男性和女性发生率分别为48%(95%CI:43%~53%)和60%(95%CI:54%~66%)。测评工具中修订版跌倒效能量表、国际版跌倒效能量表及跌倒效能量表评估的患病率居于前列,分别为71%(95%CI:56%~85%)、68%(95%CI:56%~80%)和66%(95%CI:62%~70%),过去有跌倒老人与无跌倒患病率分别为68%(95%CI:60%~76%)和50%(95%CI:45%~54%)。结论我国老年人害怕跌倒心理障碍的患病率较高,应予以高度关注。Objective To analyze the situation of fear of falling in the elderly in China.Methods Relevant literatures were searched in databases such as Web of Science,PubMed,Embase,CNKI、CBM and Wanfang Data,and meta-analysis was performed by stata15.0 software.Results 32 studies were included.The total prevalence of fear of falling in the elderly was 57%(95%CI:52%-62%).Subgroup analysis showed that the prevalence rate of the elderly in hospitals,communities and pension institutions was 55%(95%CI:36%-73%),59%(95%CI:54%-63%)and 54%(95%CI:36%-73%),respectively.The prevalence of males and females was 48%(95%CI:43%-53%)and 60%(95%CI:54%-66%)respectively.Among the evaluation tools,the prevalence rates of modified falls efficacy scale(MFES),falls efficacy scale-international(FES-I)and falls efficacy scale(FES)were the highest,which was 71%(95%CI:56%-85%),68%(95%CI:56%-80%)and 66%(95%CI:62%-70%),respectively.The prevalence rate of the elderly with falls and those without falls in the past was 68%(95%CI:60%-76%)and 50%(95%CI:45%-54%)respectively.Conclusion The prevalence of fear of falling is high in the elderly in China,which should be paid attention to.

关 键 词：害怕跌倒 老年人 患病率 META分析 

分 类 号：R181.3[医药卫生—流行病学]