摘要
目的应用老年综合评估(comprehensive geriatric assessment,CGA)方法,探讨社区老年人跌倒危险因素。方法选取2019年1月至12月间某社区的200名老年人,对其进行评估,采用CGA系列综合量表,从老年人的躯体情况、功能状态、心理健康和社会环境等多个维度对老年人进行全面的评估,观察评估结果与老年人跌倒发生率的关系。结果200例老年人中33例在过去1年内发生跌倒,发生率为16.5%。单因素分析显示,年龄、独居、视力、听力、患3种以上慢性病、日常生活活动能力(activities of daily living,ADL)及简易精神状态检查量表(mini-mental state examination,MMSE)、楼梯门阶等活动障碍物、地面情况组间比较均有统计学差异(P<0.05)。Logistic回归分析显示,年龄、独居、患3种以上慢性病、楼梯门阶等活动障碍物是跌倒的独立危险因素。结论老年综合评估从生理、心理、环境等多维度对老年人跌倒风险进行评估,值得推广使用。
Objective To explore the effects of comprehensive geriatric assessment(CGA)in elderly fall risk factors.Methods From January to December 2019,the CGA scales were used to comprehensively assess the physical condition,functional state,mental health and social environment among 200 elderly people in a certain community.The relationship between the evaluation results and the incidence of falls in the elderly were observed.Results Among the 200 elderly people,33 of them fell within the past year with 16.5% for the incidence.Single factor analysis showed that there were statistically significant differences in age,living alone,visual acuity,hearing,suffering from more than 3 kinds of chronic diseases,the score of activities of daily living(ADL)and minimum Mental State Examination(MMSE),stairs,doorstep and other moving obstacles,ground conditions between groups(P<0.05).Logistic regression analysis showed that age,living alone,suffering from more than 3 kinds of chronic diseases,the stairs,doorstep and other moving obstacles were independent risk factors for falls.Conclusion Comprehensive assessment of the elderly from the physiological,psychological,environmental and other dimensions of the elderly fall risk assessment,it is worth popularizing.
作者
钱荣
谢岚
叶红
叶超
QIAN Rong(Department of Nursing,Bengbu Medical College,Bengbu 233000,China)
出处
《牡丹江医学院学报》
2020年第6期52-54,71,共4页
Journal of Mudanjiang Medical University
基金
安徽省高等学校人文社会科学重点研究项目(SK2019A0188)。
关键词
社区老年人
老年综合评估
跌倒
危险因素
Community elderly
comprehensive geriatric assessment
fall
risk factors
