Factors associated with falls among older, cognitively impaired people in geriatric care settings - A population-based study
Factors associated with falls among older, cognitively impaired people in geriatric care settings - A population-based study
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DOI：
10.1176/appi.ajgp.13.6.501
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发表时间：
2005-06-01
影响因子：
7.2
通讯作者：
Karlsson, S
中科院分区：
文献类型：
--
作者：
Kallin, K;Gustafson, Y;Karlsson, S
目的：作者研究了老年护理机构中认知障碍老年人跌倒的相关因素。方法：这是一项针对瑞典北部一个县所有老年护理机构的研究。居民通过多维痴呆评估量表进行评估，并补充有关身体约束的使用、疼痛、住院期间跌倒情况以及前一周跌倒和受伤情况的问题。收集了 3,323 名 65 岁及以上居民的跌倒和认知数据。这些居民中有2008人（60.4%）存在认知障碍，他们成为研究人群。参与者中，69% 是女性；平均年龄：83.5岁。结果：在 2,008 名认知障碍居民中，有 189 人 (9.4%) 在上周至少跌倒过一次。能够从椅子上站起来、以前跌倒过、走路时需要帮助以及过度活跃症状是与跌倒最密切相关的因素。结论：预防认知障碍老年人跌倒尤其困难。干预策略可能必须包括治疗精神和行为症状、改善步态和平衡、调整药物治疗以及仔细的工作人员监督。
Objective: The authors studied factors associated with falls among cognitively impaired older people in geriatric care settings. Method: This was a study using all geriatric care settings in a county in northern Sweden. Residents were assessed by means of the Multi-Dimensional Dementia Assessment Scale, supplemented with questions concerning the use of physical restraints, pain, previous falls during the stay, and falls and injuries during the preceding week. Data about both falls and cognition were collected in 3,323 residents age 65 and older. Of these residents 2,008 (60.4%) were cognitively impaired, and they became the study population. Of the participants, 69% were women; mean age: 83.5 years. Results: Of 2,008 cognitively impaired residents, 189 (9.4%) had fallen at least once during the preceding week. Being able to get up from a chair, previous falls, needing a helper when walking, and hyperactive symptoms were the factors most strongly associated with falls. Conclusion: Preventing falls in cognitively impaired older people is particularly difficult. An intervention strategy would probably have to include treatment of psychiatric and behavioral symptoms, improvement of gait and balance, and adjustment of drug treatment, as well as careful staff supervision.