Study on falls prevention care for the elderly

老年人的福尔斯跌倒必须被视为严重事件，因为骨折和卧床不起。因为许多因素可能与福尔斯有关，本文从1988年10月至1989年12月在13所医院进行的老年人福尔斯跌倒的调查中，收集了有关老年人福尔斯跌倒情况的资料，并分析了这些因素与老年人跌倒的关系。研究对象包括人口统计学资料、医疗资料、日常生活活动能力、福尔斯跌倒的时间和地点等。另一方面，采用人体摇摆测量法，对健康老年人站立平衡功能的特点进行了研究。受试者为59 ~ 80岁的男性10例，女性14例。采用重力仪（WAMI）测量人体摇摆。结果如下：1）福尔斯占169例（48名男性和65名女性患者）17名患者导致跌倒。2）脑血管病、痴呆和视力受损似乎是导致老年人福尔斯的因素。3）所有福尔斯的63%发生在以下时间4-8，12比16和8比12出院后2个月内发生率为40%左右;出院后行为发生率为40%左右。

Falls in the elderly must be considered as serious events because following, to fracture and bed ridden.Because so many factors may be associated with falls, we studied to define the relationship of these factors with falls in the elderly.The study were conducted in 13 hospitals between October 1988 and December 1989.We got the informations regarding to the patient falls from nurses in the hospitals.Data collected on the study patients included demographies, medical informations, ADLs,the time and place of falls.The other hand, characteristics of equilibrium function in the healthy elderly standing were investigated by body sway measurements.Subjects were 10 males and 14 females ranging in age between 59 and 80 years old.The body sway.was measured using a gravicoder(WAMI).The results were as follows:1) Falls accounted for 169 cases (48 males and 65 females in the number of the patients) 17 patients resulted in a fracture.2) Cerebro Vascular Skierose, dementia and impaired vision seemed to be factors that contributes to falls in the elderly.3) 63 % of all falls occurred during the following time 4-8,12-16 and 8-12. Also, about 40 % occurred within 2 months after the admission.4) Chance of behavior regard to discharge resulted often in a fall.5) The body sway using total shift length and area of the sway, was larger at condition in closed eyes than in open eyes and increased with increase of age.6) The body sway increased with increase of resonant frequency of platform.