Does fall history influence residential adjustments?
Does fall history influence residential adjustments?
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跌倒史会影响住宅调整吗？
DOI：
10.1093/geront/gnq086
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Murphy,SusanL
中科院分区：
文献类型：
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作者：
Leland,Natalie;Porell,Frank;Murphy,SusanL
本研究的目的：以确定是否报告福尔斯在基线与老年人的决定，使住宅调整（RA）和调整的类型在随后的2 years.Design和Methods：观察（n= 25,036）是从健康和退休研究，一个全国代表性的样本社区生活的老年人，65岁及以上。在基线时，跌倒史（无跌倒、1次跌倒无损伤、2次或2次以上福尔斯无损伤或1次或1次以上福尔斯有损伤）和可能与RA相关的因素用于预测RA的发生（即，结果：与无福尔斯史者相比，有福尔斯史者发生RA的几率更高。在那些作出RA，个人与伤害性下降更有可能比那些没有历史的下降，开始使用自适应设备或增加其使用的个人护理assistance.Implications：较高的启动RA之间的秋天可能表明积极主动的步骤，以防止未来的福尔斯，并可能受到影响的相互作用与医疗保健系统。为了优化跌倒预防工作，老年人将受益于教育和干预措施，解决最佳使用RA之前，福尔斯发生。
Purpose of the study:To determine whether reported falls at baseline are associated with an older adult’s decision to make a residential adjustment (RA) and the type of adjustment made in the subsequent 2 years.Design and Methods:Observations (n= 25,036) were from the Health and Retirement Study, a nationally representative sample of community-living older adults, 65 years of age and older. At baseline, fall history (no fall, 1 fall no injury, 2 or more falls no injury, or 1 or more falls with an injury) and factors potentially associated with RA were used to predict the initiation of an RA (i.e., moving, home modifications, increased use of adaptive equipment, family support, or personal care assistance) during the subsequent 2 years.Results:Compared with those with no history of falls, individuals with a history of falls had higher odds of making any RA. Among those making an RA, individuals with an injurious fall were more likely than those with no history of a fall to start using adaptive equipment or increase their use of personal care assistance.Implications:The higher initiation of RAs among fallers may indicate proactive steps to prevent future falls and may be influenced by interactions with the health care system. To optimize fall prevention efforts, older adults would benefit from education and interventions addressing optimal use of RAs before falls occur.