台灣地區認知功能障礙老人跌倒情形探討

Falls for elderly with congnitive disability in Taiwan

何岳璋(Yue-Zang Ho)

指導教授 ： 張明正 ； 邱政元

亞洲大學/健康學院/健康管理研究所/碩士(2010年)

摘要

本研究主要是探討認知功能障礙是否影響到老年人跌倒的重要因素。研究對象為1599位台灣地區65歲以上的老人以及1599位老人中有認知功能障礙的243位老人。研究方法主要是用民國94年行政院衛生署國民健康局『國民健康訪問暨藥物濫用調查』(簡稱「國民健康訪問調查」National Health Interview, NHIS)資料檔65歲以上個人問卷資料進行橫斷性的研究。研究內容包括認知功能障礙、人口社會學變項、疾病因素、健康因素、居住環境以及跌倒經驗。

本研究使用邏輯斯迴歸分析探討老人跌倒的相關因素以及有認知功能障礙老人跌倒的相關因素。

預測台灣地區老人的跌倒邏輯斯迴歸分析發現有認知功能障礙者、女性、有高血脂者、有糖尿病者、有ADLs困難者、有IADLs困難者、居住在環境危險者都比較會跌倒。

預測台灣地區有認知功能障礙老人的跌倒邏輯斯迴歸分析發現有糖尿病者、有IADLs困難者比較容易發生跌倒。

本研究的結果有助於老人注意認知功能障礙與跌倒及其相關影響因素，期望政府衛生機關在推廣老人跌倒相關議題時，能夠注重這些影響跌倒的因素，增進老年人的健康。

關鍵字

老人 ； 認知功能障礙 ； 跌倒

並列摘要

The purpose of this study is to explore the falls and their related factors for elderly in Taiwan.　The study subjects were elder people aged 65 and above, the total number was 1599 and congnitive disability elder was 243.　This study was cross-sectional design, and used the secondary data from 2005 Survey of Social Development Trends-Health and Security which was conducted by Directorate General of Budget, Accounting and Statistics Executive Yuan, R.O.C.　Study variables included personal characteristics, psychological status, physical condition, environment and falls.

Logistic regression was used to explore elderly falls and their related factors also identify elderly with disability and their related factors.

This study found that group of elderly with congnitive disability, female, those had hyperlipemia, diabetes, ADLs problems, IADLs problems and living in dangerous environment were more likely to fall.
In the study also found those had hyperlipemia and IADLs problems in group of elderly with congnitive disability were more likely to fall.

Results of this study help better understanding the elderly with congnitive disability and falls. Public sectors and policy makers need to focus those significant results to promote quality life for elderly.

並列關鍵字

elderly ； congnitive disability ； falls

參考文獻

　　International Work Group on the prevention of falls by the elderly.

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