|
|
 |
|
|
|
| |
|
|
| |
|
|
|
山地鄉社區居家老人跌倒相關危險因子之研究-以花蓮縣卓溪鄉為例 A study of the risk factors causing fall of the elderly on aboriginal community residents at Jhuosi in Hualien
|
|
|
| 作者 |
 |
鄧雅文 |
| 學校系所 |
|
慈濟大學原住民健康研究所 |
| 地點 |
|
全臺 全部
|
| 研究內容 |
|
[ 摘要 ]
跌倒是我國老人因事故傷害死亡的第三大死因，隨著人口老化問題日趨嚴重，跌倒對老年人而言已是一個重要的公共衛生議題。
本研究採橫斷研究設計，利用結構式問卷調查法，以花蓮縣卓溪鄉年滿65歲以上社區居家老人為研究對象，探討卓溪鄉65歲以上老人過去一年跌倒與重複跌倒之盛行率，過去一年跌倒情形以及跌倒與重複跌倒相關之危險因子。
研究結果顯示卓溪鄉403位65歲以上老人過去一年共有103位老人發生224次跌倒事件，跌倒之盛行率為25.6%；而過去一年有重複跌倒經驗者有54位，其重複跌倒之盛行率為13.4%。跌倒發生的時間，主要集中在白天(91.1%)；跌倒發生的地點，有一半以上的跌倒事件發生在自宅外(自宅外:69.9%; 自宅內:30.1%)；而跌倒前身體最常出現的症狀以頭輕飄飄或頭暈最多，占46.6%。而影響卓溪鄉社區居家老人跌倒之危險因子為眼睛疾病總數、飲酒量、運動習慣、計時起走測驗(Timed Up and Go Test; TUGT)以及臥室環境安全分數。而影響卓溪鄉老人重複跌倒之危險因子為視力狀況、下肢關節疾病以及自覺目前健康狀況。
針對卓溪鄉社區居家老人跌倒與重複跌倒相關之危險因子研究結果部分，較重要的發現為飲酒量以及臥室環境安全分數，而這樣的觀察結果與國內跌倒相關性研究是有所差異的。因此針對山地鄉社區居家老人跌倒預防措施，建議醫療專業人員應與原住民老人共同計畫，減少酒精攝取及增進居家安全以減少跌倒的發生。
關鍵字：卓溪鄉、跌倒、重複跌倒、危險因子
[ 英文摘要 ]
For elderly people in Taiwan, fall is one of the top three accidental causes of death. Along with aging of population, fall has already become important public health issue for elderly people.
A cross-sectional design and structural questionnaire was used for the study. We survey all the subject of elderly people who aged at or above 65 and living at Jhuosi county in Hualien. The purpose of the study is to explore prevalence of fall and recurrent falls in past one year, the circumstances of falling, and related risk factors.
The result reveals that among 403 elderly people of Jhuosi county, out of the 103 subjects experienced 224 times of fall. The prevalence of fall was 25.6%, the recurrent falls prevalence was 13.4% (54 subjects). Most of the fall events took place during daytime (91.1%) and outside (outside: 69.9%; inside: 30.1%). There was 46.6% of subjects fell dizzy before falling down. The significant fall related risk factors were eye disease amount, alcohol drinking status, physical exercise habit, Timed Up and Go Test (TUGT) and bedroom safety score. Furthermore, the significant recurrent falls related risk factors were vision status, knee joint disease and perceived health status.
The meaningful of this investigation is to discover alcohol drinking status and bedroom safety score are the most important risk factors of fall and recurrent fall. Therefore, we suggest that health professionals should plan with indigenous elder people for reduction of alcohol drinking and modification of house safety.
Key words: Jhuosi, fall, recurrent falls, risk factors
|
|
|
|
|
|
|
|
