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

• 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

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

本研究以北海道0町65岁以上的871名老年人为研究对象，探讨跌倒对老年人跌倒恐惧、身心健康和日常生活的影响。进行了两项调查：一项基线调查（1998年），871名受试者中有754名参与，另一项随访调查（1999年），599名受试者在基线调查中回答说他们从未经历过跌倒。在后续调查中，599名选定的受试者中有518人参与。这些调查是由经过培训的访问者在受试者家中进行的。调查项目包括性别、年龄、过去一年福尔斯史及福尔斯情况、对跌倒的恐惧、自我效能、疾病史、自评健康状况、生活满意度、工具性日常生活能力、社会角色、社会网络和生活方式，基线调查发现，过去一年福尔斯的女性较多 ...更多信息 比男子多（男子19.3%，妇女21.6%）。使用助行器的人以及有高血压、白内障或骨质疏松症病史的人经历更多的福尔斯。在参与随访调查的518名受试者中，68人回答说他们经历过福尔斯，452人回答说他们自基线调查以来没有经历过福尔斯。比较这两组以评估福尔斯对生活质量的影响。与“不跌倒”组相比，“跌倒”组对跌倒的恐惧增加了。跌倒组的自测健康状况和生活满意度下降，相反，非跌倒组的自测健康状况和生活满意度上升。与跌倒组相比，未跌倒组的受试者相关人数、社会角色得分和社会参与得分均显著下降，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，而且还导致主观幸福感恶化以及社会角色和与他人交往的限制。然而，研究结果并不支持跌倒对老年人生活质量影响更大的假设。少