【摘要】 目的通过对社区老年人居家环境进行安全性评估,促进居家致跌危险环境改造和降低老年人跌倒的发生提供依据。方法对上海市某社区2008年8月1日—2009年8月1日期间全部80岁以上独居老人共395户、481人进行居家致跌危险环境的入户评估和老年人跌倒情况回顾性调查。结果跌倒发生率为17.05%,发生次数发生率为24.32%,其中发生2次以上跌倒占32.93%,因跌倒住院占5.19%。居家致跌环境主要包括在地面或通道未使用防滑地砖(38.23%)、室内照明亮度不够(47.85%)、浴缸(淋浴房)未使用防滑垫(62.78%)和浴缸(淋浴房)旁未安装扶手(70.89%)等。结论独居老人是发生跌倒的高危人群,居家致跌环境因素增加了老人跌倒发生的风险,开展有针对性的居家危险环境评估其意义重大。更多还原

【Abstract】 [Objective]Through the assessment of home falls risk of elderly people living alone in community,to provide the basis for environmental improvement against home falls risk and reducing the incidence of falls. [Methods]The retrospective survey was performed on 481 elderly residents aged above 80 years from 395 families living alone in a community of Shanghai City,reviewing the situation of falls incidence during August 1,2008 to August 1,2009 and evaluating the home falls risk. [Results]The incidence of falls was 17.05%,the incidence of occurrence was 24.32%,among which 2 falls occupied 32.93% and hospitalization due to falls accounted for 5.19%.The home falls risk included no skid bricks(38.23%),not enough indoor brightness(47.85%),no non-slip mat in bath / shower room(62.78%) and no handrails in bath / shower room(70.89%),etc. [Conclusion]The elderly people living alone is the group with high risk of falls.The home environmental risk increases the risk of falls among the elderly.It is significant to evaluate the home environmental risks.更多还原