老年衰弱人群跌倒发生率的Meta分析  

A Meta-analysis of the incidence of falls in the frail elderly population

作　　者：陈延梅 郭红[1] 焦萌 高思[3] 李荔[4] 伍琼 王青 白月园 Chen Yanmei;Guo Hong;Jiao Meng;Gao Si;Li Li;Wu Qiong;Wang Qing;Bai Yueyuan(School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Second Department of Health Care,China-Japan Friendship Hospital,Beijing 100029,China;Department of Neurology,China-Japan Friendship Hospital,Beijing 100029,China;Department of Thoracic Surgery,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学护理学院,北京100029 [2]中日友好医院保健部二部,北京100029 [3]中日友好医院神经内科,北京100029 [4]中日友好医院胸外科,北京100029

出　　处：《中国实用护理杂志》2024年第16期1275-1280,F0003,共7页Chinese Journal of Practical Nursing

基　　金：北京中医药大学教育教学改革专项基金(XJYZ22006)。

摘　　要：目的对老年衰弱人群的跌倒发生现状进行分析,为制订老年衰弱人群跌倒预防措施提供可靠依据。方法对中国知网、维普数据库、万方数据库、中国生物医学文献数据库、PubMed、Embase、Web of Science、CINAHL、The Cochrane Library、Sinomed进行检索,检索有关老年衰弱人群跌倒的横断面研究,检索时限从建库到2023年6月30日。由2名研究人员独立筛选文献和提取资料,并评价纳入研究的偏倚风险,采用Stata 16.0和RevMan5.4进行Meta分析。结果共纳入12个横断面研究,总样本量为4597例。Meta分析显示,老年衰弱人群跌倒发生率为39.9%(1834/4597)。亚组分析显示,性别、年龄、慢性疼痛、体质量指数、独居均有统计学意义(均P<0.05),其中男、女性衰弱老年人跌倒发生率分别为25.9%(640/2471)、40.7%(1005/2471);60~69、70~79、≥80岁衰弱老年人跌倒发生率分别为25.7%(470/1831)、30.6%(560/1831)、46.8%(857/1831);体质量指数<18.5、18.5~24.0、>24.0 kg/m2衰弱老年人跌倒发生率分别为12.3%(63/512)、9.6%(49/512)、19.9%(101/512);有、无慢性疼痛衰弱老年人跌倒发生率分别为33.6%(181/541)、16.0%(87/541);独居、非独居衰弱老年人跌倒发生率分别为32.3%(524/1624)、16.9%(274/1624)。结论老年衰弱人群的跌倒发生率处于比较高的水平,女性、年龄增加、超重、有慢性疼痛、独居的老年衰弱人群跌倒发生率更高。Objective To analyze and evaluate the current situation of falls in the frail elderly population,and to provide a reliable basis for formulating measures for fall prevention.Methods CNKI,VIP Database,Wanfang Database,China Biomedical Database,PubMed,Embase,Web of Science,CINAHL,Cochrane Library,Sinomed were searched,and cross-sectional studies on falls in the frail elderly population were searched,and the search time limit was established until June 30,2023.Two review authors independently screened studies,extracted data,assessed the risk of bias of included studies,and Meta-analyses were performed using Stata 16.0 software and RevMan5.4.Results A total of 12 cross-sectional studies with a total sample size of 4597 cases were included.Meta-analysis showed that the incidence of falls in the frail elderly population was 39.9%(1834/4597).The results of subgroup analysis showed that there was significant difference in the female,age,chronic pain,body mass index,live alone(P<0.05).The incidence of falls in male and female was 25.9%(640/2471)and 40.7%(1005/2471),respectively.The incidence of falls in the aged 60-69,70-79 and over 80 years old was 25.7%(470/1831),30.6%(560/1831)and 46.8%(857/1831),respectively.The incidence of falls in body mass index<18.5,18.5-24.0,>24.0 kg/m2 was 12.29%(63/512),9.58%(49/512)and 19.89%(101/512),respectively.The incidence of falls in with or without chronic pain was 33.55%(181/541)and 16.03%(87/541),respectively.The incidence of falls in living alone and not living alone was 32.3%(524/1624)and 16.9%(274/1624),respectively.Conclusions The incidence of falls in the frail elderly population is at a relatively high level.Women,older adults,overweight,have chronic pain and live alone have a higher incidence of falls.

关 键 词：老年人 衰弱 跌倒 META分析 横断面研究 

分 类 号：R473[医药卫生—护理学]