透過您的圖書館登入
IP:44.222.212.138

摘要


目地:跌倒所造成傷害,會危害到老年人健康及生活品質。預防老人跌倒已成為公共衛生及長期照護之重要議題。本篇研究之目地,在於找出臺灣老年族群跌倒的危險因子。方法:本研究使用國民健康局「台灣中老年人身心社會狀況長期追蹤調查」以1999年70歲以上2,310位老人為研究對象,經四年追蹤至2003年,扣除掉死亡及資料不全者,有效樣本為1,645人。研究設計採長期追蹤研究,選定以1999年自變項為危險因子,來預測2003一年中個案是否發生跌倒事件。跌倒採老人主觀認定與通報。先以卡方檢定進行單變項分析;再將有顯著差異的變項,依據人口特質、健康行為及藥物、慢性疾病、營養健康狀態、身體功能損傷、心理社會狀態、活動及行動力等七大類變項,以三種模式逐步進入邏輯斯迴歸分析。結果:於2003年中共有395位老人發生跌倒,盛行率為24%,其中有201人(12.2%)發生多次跌倒。透過邏輯斯迴歸分析發現:跌倒史(OR=1.7,95% CI=1.3-2.3),大小便失禁(OR=1.6,95% CI=1.1-2.4),低教育程度者(OR=1.5,95% CI=1.1-2.00)及糖尿病(OR=1.4,95% CI=1.0-2.0),顯著增加跌倒的風險。結論:跌倒史、大小便失禁、低教育程度者及糖尿病,為預測台灣老人跌倒的獨立危險因子。針對跌倒的高危險族群,需要周全的評估及防治計劃,以期能降低老人跌倒的發生。

關鍵字

跌倒 老人 危險因子 長期追蹤研究 台灣

並列摘要


Objectives: Fall constitutes a significant hazard to the health and well-being of seniors. Preventing fall in the elderly is an important public health issue. The purpose of this research is to identify the risk factors for fall among the elderly population in Taiwan.Methods: Data were drawn from the ”Survey of Health and Living Status of the Elderly in Taiwan,” a national longitudinal study. A total of 2310 seniors, aged 70 years and older were recruited in 1999. 1645 effective respondents were followed up in 2003; the lost cases were mainly due to death and incomplete data. The independent variables collected in 1999 were used as risk factors to predict the occurrence of fall in 2003. A fall as a dependent variable was defined according to self-report. A Chi-square test was used for univariate analyses first. Significant independent variables were then entered into logistic regression analyses by three models incorporating the following variables: age, gender, education, life style factors and medication use, chronic diseases, nutrition status and general health, physical impairments, psycho-social status, activity and mobility.Results: The prevalence rate of fall at the 4-year follow-up point was 24% (n=395); 12.2% (n=201) reported two falls or more. By logistic regression analysis, risk factors of fall existed among persons with prior fall history (OR=1.7, 95% CI=1.3-2.3), incontinence (OR=1.6, 95% CI=1.1-2.4), low education level (OR=1.5, 95% CI=1.1-2.0) and diabetes history (OR=1.4, 95% CI=1.0-2.0).Conclusion: The study concludes that prior fall history, incontinence, low education level, and diabetes history are independent risk factors for fall. Those who are at high risk of falls should require more detailed assessment and active management to prevent falling.

並列關鍵字

fall elderly risk factors longitudinal study Taiwan

被引用紀錄


徐于茹(2014)。憂鬱對骨質疏鬆骨折之老年人患者再骨折次數之影響〔碩士論文,中原大學〕。華藝線上圖書館。https://doi.org/10.6840%2fcycu201400018
劉智誠(2014)。台灣地區老年人自覺視力惡化之預測因子探討—三年縱貫性研究分析〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2014.00175
劉哲維(2014)。老人脆弱狀況與跌倒之關係〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2014.00091
陳芊羽(2014)。社區老年人跌倒之相關因素分析:一世代研究〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343%2fISU.2014.00483

延伸閱讀