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題名：A Checklist for Assessing the Risk of Falls among the Elderly
書刊名：The Journal of Nursing Research
作者：黃惠璣
作者(外文)：Huang, Hui-chi
出版日期：2004
卷期：12:2
頁次：頁131-142
主題關鍵詞：老人；跌倒；危險因子；評估表；環境；Elderly；Falls；Risk factor；Checklist；Environment
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:17
  • 點閱點閱:78
　　　　　本研究目的是以跌倒危險評估表評量老人跌倒的危險因子。跌倒危險評估表是作者從德爾菲技術 (Delphi technique) 發展形成，經試用後再度修改而成。本研究採橫斷面設計以立意取樣在臺北市三家老人安養院 (302位) 及文山區 (103位居民) 取得405個樣本。樣本群根據過去一年中有無跌倒的經驗分成跌倒組 (202人) 和未跌倒組 (203人)。結果發現跌倒組較未跌倒組的簡易認知問卷(Short Portable Mental Status Questionnaire, SPMSQ) 得分低，需花較多時間完成Get-up & Go測驗，且較害怕再跌倒。當老人多花一秒的時間完成Get-up & Go測驗，或有尿失禁情況，這兩因子會增加老人跌倒的危險性。老人居住的環境中若廚房燈光灰暗、自家門口前 (或後門)有堆積物品，其發生跌倒的危險機會就分別增加為22或13倍。本研究使用的跌倒評估表，可提供照護者識別高危險跌倒的老人，以利事先採取預防跌倒的措施，減少危險之發生。
　　　　　The purpose of this study was to estimate the risk of falls among elderly citizens by using a checklist. This checklist was initially developed using the Delphi technique, then refined on the basis of research findings. Cross-sectional design and a purposive sample were used, with the sample selected from three sheltered housing projects (n = 302) and from Win-san district (n = 103) in Taipei, comprising 405 participants. On the basis of their experiences of falling in the previous year, participants were classified into two groups: fall (n = 202) and non-fall (n = 203). Participants in the fall group had lower scores on an SPMSQ (Short Portable Mental Status Questionnaire), took longer to complete the Get-up & Go test and were more afraid of falling. Participants who took longer than one second to complete the Get-up & Go test or had urinary frequency or incontinence problems were found to be at greater risks for falls. The elderly who lived in homes with dimly lit kitchens and clutters at entryways (or backyards) were found to be at a considerably greater risk, by 22 or 13 times respectively. This checklist can be used by care providers to identify those providing care to the elderly, those at high risk of falls, and to prevent such falls or, at least lessen the risks of falls.
期刊論文
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5.Huang, H. C.、Gau, M. L.、Lin, W. C.、Kernohan, G.(2003)。Assessing risk of falling in older adults。Public Health Nursing，20(5)，399-411。  new window
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11.Baraff, L. J.、Lee, T. J.、Kader, S.、Penna, R. D.(1999)。Effect of a practice guideline on the process of emergency department care of falls in elder patients。Academic Emergency Medicine，6(12)，1216-1223。  new window
12.Bonar, S. K.、Tinetti, M. E.、Speechley, M.、Cooney, L. M.(1990)。Factors associated with short-versus long-term skilled nursing facility placement among community-living hip fracture patients。Journal of American Geriatrics Society，38，1139-1144。  new window
13.Booth, J.、Davidson, I.、Winstanley, J.、Waters, K.(2001)。Observing washing and dressing of stroke patients: Nursing intervention compared with occupational therapists. What is the difference?。Journal of Advanced Nursing，33(1)，98-105。  new window
14.Clemson, L.、Fitzgerald, M. H.、Heard, R.、Cumming, R. G.(1999)。Inter-rater reliability of a home fall hazards assessment tool。The Occupational Therapy Journal of Research，19(2)，83-100。  new window
15.Dennis, R. J.(1999)。Functional reach improvement in normal older women after Alexander Technique instruction。Journal of Gerontology: Medical Sciences，54A(1)，8-11。  new window
16.Doom, C.、Gruber-Baldini, A. L.、Zimmerman, S.、Hebel, J. R.、Port, C. L.、Baumgarten, M.、Quinn, C. C.、Taler, G.、May, C.、Magaziner, J.(2003)。Dementia as a risk factor for falls and fall injuries among nursing home residents。Journal of American Geriatrics Society，51(9)，1213-1218。  new window
17.Feder, G.、Cryer, C.、Donovan, S.(2000)。Guidelines for the Prevention of Falls in People Over 65。British Medical Journal，321，1007-1011。  new window
18.Friedman, S. M.、Munoz, B.、West, S. K.、Rubin, G. S.、Fried, L. P.(2002)。Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention。Journal of the American Geriatrics Society，50(8)，1329-1335。  new window
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21.Heitterachi, E.、Lord, S. R.、Meyerkort, P.、McCloskey, I.、Fitzpatrick, R.(2002)。Blood pressure changes on upright tilting predict falls in elderly。Age and Ageing，31(3)，181-186。  new window
22.Joo, J. H.、Lenze, E. J.、Mulsant, B. H.、Begley, A. E.、Weber, E. M.、Stack, J. A.、Mazumdar, S.、Reynolds, C. F.、Pollock, B. G.(2002)。Risk factors for falls during treatment of late-life depression。The Journal of Clinical Psychiatry，63(10)，936-941。  new window
23.Kannus, P.、Niemi, S.、Palvanen, M.、Parkkari, J.(2000)。Continuously increasing number and incidence of fall-induced, fracture-associated, spinal cord injuries in elderly persons。Archives of Internal Medicine，160(14)，2145-2149。  new window
24.Kendra, M. A.、George, V. D.(2001)。Defining risk in home visiting。Public Health Nursing，18(2)，128-137。  new window
25.Leipzig, R. M.、Cumming, R. G.、Tinetti, M. E.(1999)。Drugs and falls in elderly: a systematic review and meta-analysis II cardiac and analgesic drugs。Journal of the American Geriatrics Society，47(1)，40-50。  new window
26.Norton, R.(1999)。Preventing falls and fall-related injuries among elderly。Australasian Journal of Ageing，18(4)，160-166。  new window
27.Shigematsu, R.、張曼玲、Yabushita, N.、Sakai, T.、Nakagaichi, M.、Nho, H.、Tanaka, K.(2002)。Dance-based aerobic exercise may improve indices of falling risk in older women。Age and Ageing，31(4)，261-266。  new window
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學位論文
1.Huang, H. C.(2001)。Risk assessment and interventions to prevent falls in older people in Taiwan，United Kingdom。  new window
圖書
1.Kane, Robert L.、Kane, Rosalie A.(2000)。Assessing Older Persons: Measures, Meaning, and Practical Applications。New York, NY：Oxford University press。  new window
2.Andrew, G.(1993)。Geriatric Physical Therapy。Geriatric Physical Therapy。St. Louis, MO。  new window
3.Greenhalgh, Trisha(2001)。How to Read a Paper: the Basics of Evidence Based Medicine。London：BMJ Books。  new window
4.Tinetti, M. E.、Baker, D. I.、Dutcher, J.、Vincent, J. E.、Rozett, R. T.(1997)。Reducing the risks of falls among older adults in the community。Reducing the risks of falls among older adults in the community。Berkeley, CA。  new window
 
 
 
 
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