苏州市某社区居家老年人跌倒危险因素分析

目的 探讨苏州市某社区居家老年人跌倒现状及危险因素,为社区跌倒预防工作提供参考.方法 采用方便抽样的方法,于2018年4—7月选取苏州市某社区60岁及以上居家养老的375名老年人为研究对象,采用Logistic回归模型分析跌倒的危险因素.结果 65名居家老年人在一年内发生过跌倒,发生率为17.33％,午饭后到晚饭间是老...

Analysis of the Risk Factors of Falls among the Elderly at Home in a Community in Suzhou

Objective To explore the risk factors of falls among the elderly in a community of Suzhou,and to provide reference for community fall prevention.Methods A convenient sampling method was used to select 375 elderly people over 60 years old in a community of Suzhou from April to July in 2018.Logistic regression model was used to analyze the risk factors of falls.Results 65 elderly people at home fell within one year,the incidence rate was 17.3%.The peak time of falls was from lunch to dinner room(49.23%).The incidence of falls outside the residence was higher than that in the residence.The most common fall was in the toilet(43.48%),and the most common fall in public places was in the stairway(38.09%).Multivariate analysis showed that antidepressants(OR=10.67),visual impairment(OR=2.69),previous fall history(OR=9.18),decreased muscle strength(OR=4.06),t value of bone mineral density≤-2.5(OR=14.75)were independent risk factors for falls,while living with family members(OR=0.42)and using non slip mat in toilet(OR=0.01)were protective factors.Conclusion There is a high incidence of falls among the elderly in a community in Suzhou.For the elderly who live alone,have visual impairment,muscle strength decline,take antidepressant drugs for a long time,and their bone mineral density decreases,we should strengthen the fall prevention to reduce the incidence of falls in the elderly at home.