论文部分内容阅读
目的探讨社区老年人原发性骨质疏松症与跌倒风险的关系,为老年骨质疏松患者跌倒的预防提供依据。方法 2013—2014年对上海市浦东新区泥城社区106名老年原发性骨质疏松患者(观察组)和121名老年非骨质疏松患者(对照组)进行对照调查评价,应用修订版跌倒效能量表调查,采用SPSS 20.0进行统计学分析。结果观察组跌倒自我效能平均得分为(115.41±6.80)分,对照组为(125.88±7.43)分,差异有统计学意义(t=-11.017,P<0.05)。观察组中既往有跌倒史患者的跌倒自我效能总得分为(109.46±3.78)分,无跌倒史患者的总得分为(120.33±4.37)分,差异有统计学意义(t=-13.546,P<0.05)。老年骨质疏松患者的跌倒风险与年龄、跌倒次数呈正相关。结论泥城社区老年骨质疏松患者是发生跌倒意外事件的高危人群,早期进行风险测评有利于制定适合该人群的预防保健措施。
Objective To explore the relationship between primary osteoporosis and the risk of falling in community elders and to provide evidence for the prevention of falls in elderly patients with osteoporosis. Methods From 2013 to 2014, 106 elderly patients with primary osteoporosis (observation group) and 121 elderly non-osteoporosis patients (control group) were investigated and evaluated in the urban community of Shanghai Pudong New Area. The revised version of the fall efficacy Scale survey, using SPSS 20.0 for statistical analysis. Results The mean score of falls self-efficacy in observation group was (115.41 ± 6.80) points, while the control group was (125.88 ± 7.43) points, the difference was statistically significant (t = -11.017, P <0.05). In the observation group, the total score of fall self-efficacy was (109.46 ± 3.78) points in patients with past history of fall and the total score of patients without fall history was (120.33 ± 4.37) points, the difference was statistically significant (t = -13.546, P < 0.05). The risk of falls in elderly patients with osteoporosis is positively correlated with age and the number of falls. Conclusion Elderly patients with osteoporosis in the community of Chengcheng are at risk of falling accidents. Early risk assessment is conducive to the development of preventive health care measures suitable for this population.