【摘要】 目的了解上海市松江区60岁及以上社区老年人的跌倒相关认知、信念和行为信息,为进一步开展老年人跌倒干预工作和制定跌倒综合防治策略提供建议。方法采用整群抽样的方法,对松江区15个街镇共计6,446名老年人进行老年人跌倒情况和知信行情况的调查。结果松江区60岁及以上老年人跌倒发生率为10.8%,老年人跌倒相关知识掌握欠佳。logistics回归结果显示,与85岁及以上老年人相比,65岁以下(OR=1.553,P<0.01)、65～74岁(OR=1.714,P<0.01)和75～84岁(OR=1.442,P=0.001)3个年龄段的老年人跌倒相关知识掌握更好;与小学及以下文化程度的老年人相比,初中(OR=1.526,P<0.01)、高中/中专(OR=1.901,P<0.01)、大专及以上(OR=2.895,P<0.01)文化程度的老年人跌倒相关知识掌握更好。52.7%的老年人存在害怕跌倒的心理,女性(OR=1.182,P=0.01)、年龄大(OR=1.205,P=0.044;OR=1.372,P=0.011)、受教育程度高(OR=1.341,P=0.012;OR=1.999,P<0.01)、最近一年有过跌倒史(OR=1.696,P<0.01)和因跌倒而日常活动能力下降(OR=2.189,P<0.01)是老年人害怕跌倒的危险因素。75%以上的老年人愿意参加跌倒预防控制相关知识培训和体育锻炼活动。结论松江区60岁及以上老年人跌倒发生率较低,跌倒相关知识掌握欠佳,害怕跌倒心理发生率较高。应积极组织开展老年人跌倒相关知识培训和体育锻炼活动,提高预防跌倒的意识和自我效能,减少跌倒的发生。更多还原

【Abstract】 Objective To understand the knowledge, attitude, perception, and behavioral information of falls among the elderly aged 60 years and over in Songjiang District of Shanghai, and to provide suggestions for further intervention and comprehensive prevention and treatment of falls among the elderly. Methods A total of 6,446 elderly people in 15 communities of Songjiang District were investigated by cluster sampling. Results The incidence of falls in the elderly aged 60 years and above in Songjiang District was 10.8%. Some elderly people were not good at knowledge of fall prevention. Multivariate logistic regression analysis showed that the elderly aged <65(OR=1.553, P<0.01), 65-74(OR=1.714, P<0.01) and 75-84(OR=1.442, P=0.001) were more likely to have better knowledge of fall prevention than those aged 85 and above. Compared with the elderly with the primary education level or below, the elderly with junior high school(OR=1.526, P<0.01), high school/secondary specialized school(OR=1.901, P<0.01), college and above(OR=2.895, P<0.01) education level were more likely to have better knowledge of fall prevention. The proportion of the elderly who had the fear of falling(FOF) was 52.7%. Women(OR=1.182, P=0.001), older(OR=1.205, P=0.044; OR=1.372, P=0.011), high education level(OR=1.341, P=0.012; OR=1.999, P<0.01), history of falling in the last year(OR=1.696, P<0.01) and a decline in daily activity due to falling(OR=2.189, P<0.01) were the risk factors for fear of falling. More than 75% of the elderly were willing to participate in fall prevention and control related knowledge training and physical training activities. Conclusion The incidence of falls in the elderly aged 60 years and over in Songjiang District is low; their knowledge of falls is poor; their psychological fear of falls is high. It is necessary to actively organize training and physical exercises for the elderly to prevent falls so as to improve their awareness and self-efficacy and reduce the occurrence of falls.更多还原