Effects of Falling on the Quality of Life of Old-old People

跌倒对老年人生活质量的影响

基本信息

批准号：
10670362
负责人：
HAGA Hiroshi
金额：
$ 1.41万
依托单位：
Tohoku Bunka Gakuen University (1999)Health Sciences University of Hokkaido (1998)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10670362/
关键词：
Fall Community elderly Quality of life Social activity

项目摘要

The purpose of this study was to examine the effects of falling on the subsequent fear of falling, physical and emotional health, and daily life of elderly people.The subjects were 871 residents of 0 Town in Hokkaido who were aged 65 years or older. Two surveys were carried out: a baseline survey (in 1998) in which 754 of the 871 subjects participated and a follow-up survey (in 1999) of 599 subjects who replied in the baseline survey that they had never experienced a fall. In the follow-up survey, 518 of the 599 selected subjects participated. The surveys were conducted in the homes of the subjects by a trained interviewers. The items surveyed included gender, age, history of falls in the past year and the circumstances of the falls, fear of falling, self efficacy, history of disease, self-rated health status, satisfaction with life, instrumental ADL, social roles, social network, and lifestyle.In the baseline survey, it was found that more women had experienced falls in the past year … More than men had (19.3% of the men vs 21.6% of the women). People who used a walking aid as well as people with a history of hypertension, cataract or osteoporosis experienced more falls.Of the 518 subjects who participated in the follow-up survey, 68 replied that they had experienced falls and 452 replied that they had not experienced falls since the time of the baseline survey. These two groups were compared to assess the effects of falls on quality of life. The fear of falling had increased in the "fall" group compared to that in the "nonfall" group. The self-rated health status and degree of satisfaction with life had decreased in the fall group and, conversely, had increased in the nonfall group. The number of people with whom subjects associated, the social role score, and the social participation score had notably decreased in the nonfall group compared to those in the fall group.The results suggest that experience of falling by elderly people not only increases the degree of anxiety about falling again but also causes a deterioration of subjective well-being as well as limitations to social roles and association with other people. However, the results did not support the hypothesis that falling has a stronger effect on the quality of life of old-old people. Less

这项研究的目的是检查跌倒对随后对跌倒，身体和情感健康以及老年人的日常生活的恐惧的影响。受试者是北海道0镇的871名居民，年龄在65岁或65岁以上。进行了两项调查：一项基线调查（1998年），其中871名受试者中有754名参与的受试者（1999年）对599名受试者进行了对基线调查中复制的受试者，他们从未经历过跌倒。在后续调查中，599名选定受试者中有518名参加了比赛。这些调查是由训练有素的访调员在受试者的家中进行的。所调查的项目包括过去一年的性别，年龄，跌倒的历史以及跌倒的恐惧，疾病的恐惧，疾病史，疾病的历史，对生活的健康状况，对生活的满意度，工具性ADL，社交角色，社交网络和生活方式。在基线调查中，在过去的一年中，有更多的女性在过去的一年中经历了比男人相比（19.3％的男人）。使用步行援助以及具有高血压，白内障或骨质疏松症史的人们经历了更多的跌倒。参加了后续调查的518名受试者，有68名复制了他们经历了跌倒和452个复制，自从基线调查以来，他们从未经历过跌倒。比较这两组以评估跌倒对生活质量的影响。与“非坠落”群体相比，“秋季”组的恐惧在“秋季”组中增加了。秋季群体的自我评价健康状况和对生活的满意程度有所下降，相反，在非堕落组中有所增加。与秋季组中的受试者，与受试者相关的受试者的人数，社会角色评分和社会参与评分的人数显着下降。结果表明，老年人跌倒的经历不仅增加了对再次跌倒的焦虑程度，还会导致主观幸福感以及对社会角色的限制和与其他人的局限性。但是，结果不支持以下假设：跌倒对老年人的生活质量的影响更强。较少的