跌倒對社區老人健康生活品質的影響

The Impact of Fall on Health-Related Quality of Life among the Elderly in Community

徐慧娟(Hui-Chuan Hsu) ； 吳淑瓊(Shwu-Chong Wu) ； 江東亮(Tung-Liang Chiang)

《中華公共衛生雜誌》 15卷6期 (1996/12) Pp. 525-532

https://doi.org/10.6288/CJPH1996-15-06-04

摘要

本研究目的在建立路徑分析模式，探討跌倒對老年人的身體功能、心理憂鬱、與自評健康等向度的直接與間接影響。資料來源為台大公共衛生研究所吳淑瓊主持之「老人長期照護調查研究」於1992年收集之第一波資料，該研究樣本由設籍台北縣市四社區65歲以上老人抽樣而得，完訪樣本數共454人。結果發現：(1)13.7%的老人自述過去一年曾跌倒。(2)在控制人口特性與疾病症狀數後，路徑分析結果顯示跌倒對身體功能有顯著的直接影響。(3)跌倒對憂鬱和自評健康的影響主要來自間接影響，即跌倒影響身體功能，再經由身體功能影響憂鬱與自評健康。由此顯示跌倒至少對健康生活品質當中的身體功能、憂鬱、自評健康各有直接與間接影響，政策上應加強老友跌倒的防治工作。

關鍵字

老人 ； 跌倒 ； 健康生活品質

並列摘要

The purpose of this study was to propose and evaluate a path model of the effect of falls on the health-related quality of life among the community elderly. In the model, health-related quality of life was measured by physical function, depression, and self-rated health. The cross-sectional data came from 1992 Long-Term Care Survey involving 454 respondents aged 65 and over living in 4 communities around Taipei Area. The result showed (1) 13.7% of the respondents had at least one fall in the year prior to the survey; (2) After controlling demographic characteristics and self-reported chronic conditions, fall has exerted a significantly direct effect on physical function; (3) Indirect effects of fall on depression and self- rated health were found through the direct effect of fall on physical function. It showed that fall had the direct and indirect effects on physical function, depression, and self-related health. The policy on prevention of fall for the elderly should be strengthened.

並列關鍵字

elderly ； fall ； health-related quality of life