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引文資料
題名:
行動功能指標「日常生活功能」及「工具性日常生活功能」預測臺灣老年人跌倒風險之探討
書刊名:
臺灣公共衛生雜誌
作者:
鄭秀瑮
/
蔡仲弘
作者(外文):
Cheng, Hsiu-li
/
Tsai, Alan C.
出版日期:
2012
卷期:
31:1
頁次:
頁21-30
主題關鍵詞:
日常生活功能
;
工具性日常生活功能
;
跌倒風險
;
老年人
;
ADL
;
Activities of daily living
;
IADL
;
Instrumental activities of daily living
;
Risk of fall
;
Elderly
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
5
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:
24
點閱:274
目標:探討台灣地區老年人「日常生活功能」(Activities of Daily Living, ADL)及「工具性日常生活功能」(Instrumental Activities of Daily Living, IADL)與跌倒的關聯。方法:資料來源為「台灣地區中老年身心社會生活健康狀況長期追蹤調查」。以2003及2007年皆完訪並排除資料不完整者,共3778人為研究對象。在控制人口學、社經、生活方式與健康狀況等變項下,以邏輯斯迴歸分析2003及2007年ADL及IADL與跌倒的關聯。結果:在控制上述變項下,橫斷性分析顯示IADL失能與前一年的跌倒呈顯著關聯,但ADL失能則不。2007年IADL失能1-2、3-4或5-6項的老人,前一年發生跌倒的風險,分別為0項失能者的1.49 (1.17-1.89, p<0.001),1.71(1.20-2.45, p<0.003),及2.10倍(1.31-3.38, p<0.002)。ADL 1-2或3-4項失能與跌倒風險不呈關聯,但5-6項失能,則與跌倒風險呈負關聯。縱貫分析結果顯示ADL或IADL皆無預測四年後跌倒風險的能力。嚴重(5-6項)ADL失能則與跌倒風險呈負關聯。結論:本研究顯示IADL具有預測目前或短期內(如一年)老年人跌倒風險的功能,但ADL不具此功能。此結果顯示維持老人IADL功能的重要性。適當的日常運動,正常的營養及定期行動功能篩險將有助於推遲行動功能的衰退,有效降低老年人跌倒的風險。
以文找文
Objectives: To determine the association between functional ability as indicated by ADLs (Activities of Daily Living) and IADLs (Instrumental Activities of Daily Living) and the risk of falling in older Taiwanese. Methods: Data were drawn from the 2003 and 2007 datasets of "The Survey of Health and Living Status of the Elderly in Taiwan". Subjects were 3778 participants who completed both surveys. Logistic regression analysis was employed to determine the association of ADL and IADL status with the risk of falling in 2003 and 2007 after controlling for demographic, lifestyle and health-related variables. Results: In cross-sectional analysis, IADLs but not ADLs were significantly associated with the risk of falling during the prior year. Those who had 1-2, 3-4 or 5-6 dependencies in 2007 had 1.49 (1.17-1.89, p<0.001), 1.71 (1.20-2.25, p<0.003) and 2.10 (1.31-3.38, p<0.002) times the risk of falling, respectively, during the previous 12 months when compared to those who had no dependency. Mild (1-2 dependencies) or moderate (3-4 dependencies) ADL dependency was not associated with the risk of falling and severe (5-6 dependencies) ADL impairment was negatively associated with the risk of falling. Longitudinal analysis showed that neither IADLs nor ADLs could predict the risk of falling four years later. Conclusions: Results suggested that IADL but not ADL status predicted the current or near term risk of falling; however, neither was a predictor of the risk four years later. These results highlight the importance of maintaining the functional ability of the elderly through regular exercise, proper nutrition, and routine monitoring of functional status.
以文找文
期刊論文
1.
徐慧娟、詹莉君(20080500)。Risk factors of falling among the elderly in Taiwan: a longitudinal study。Taiwan Geriatr Gerontol,3(2),141-154。
2.
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3.
黃惠璣、林季宜、王寶英(200706)。老人或失智老人跌倒危險因子之初探。臺灣老人保健學刊,3(1),1-13。
延伸查詢
4.
Anders, J.、Dapp, U.、Laub, S.、Renteln-Rruse, W.(2007)。Impact of Fall Risk and Fear of Falling on Mobility of Independently Living Senior Citizens Transitioning to Frailty: Screening Results Concerning Fall Prevention in the Community。Zeitschrift fur Gerontologie und Geriatrie,40(4),255-267。
5.
Kannus, P.、Sievänen, H.、Palvanen, M.、Järvinen, T.、Parkkari, J.(20051126)。Prevention of falls and consequent injuries in elderly people。Lancet,366(9500),1885-1893。
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蔡素蘭、林茂榮(20020800)。跌倒對臺灣鄉村社區老人日常生活活動能力衰退與害怕跌倒心理的影響。物理治療,27(4),155-164。
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Johnson, J. K.、Lui, L. Y.、Yaffe, K.(2007)。Executive function, more than global cognition, predicts functional decline and mortality in elderly women。The Journals of Gerontology Series A Biological Sciences and Medical Sciences,62,1134-1141。
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Chu, L. W.、Chi, I.、Chiu, A. Y.(2005)。Incidence and predictors of falls in the Chinese elderly。Ann Acad Med Singapore,34,60-72。
9.
Yoo, I. Y.(2011)。Analysis of multi-variate recurrent fall risk factors in elderly people using Residential Assessment Instrument--Home Care: comparisons between single and recurrent fallers。Journal of Korean Academy of Nursing,41(1),119-128。
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O'Loughlin, J. L.、Robitaille, Y.、Boivin, J. F.、Suissa, S.(1993)。Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly。American Journal of Epidemiology,137(3),342-354。
11.
陳一銘、黃信彰、陳亮恭、陳德源、藍忠孚(20080400)。Risk Factors for Falls among Elderly Men in a Veterans Home。中華醫學會雜誌,71(4),180-185+CA31。
延伸查詢
12.
林茂榮、蔡素蘭、陳淑雅、曾信嘉(20020200)。臺灣中部某鄉村社區老人跌倒之危險因子。臺灣公共衛生雜誌,21(1),73-82。
延伸查詢
13.
P Alcalde Tirado(2010)。Fear of falling。Rev Esp Geriatr Gerontol,45,38-44。
14.
Murphy, SL.、Williams, CS.、Gill, TM.(2002)。Characteristics associated with fear of falling and activity restriction in community-living older persons。J Am Geriatr Soc,50,516-520。
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Mannm, WC.、Locher, S.、Justiss, MD.、Wu, S.、Tomita, M.(2005)。A comparison of fallers and non-fallers in the frail elderly。Technology & Disability,17,25-32。
16.
Zanocchi, M.、Ponzetto M,、Francisetti F, et al(2004)。The dependence medical index (DMI): validation and comparison with the activity daily living and the instrumental activity daily living。Minerva Med,95,143-151。
17.
Yokoya, T.、Demura S.、Sato S.(2007)。Relationships between physical activity, ADL capability and fall risk in community-dwelling Japanese elderly population。Environ Health Prev Med,12,25-32。
18.
Overcash, J.(2007)。Prediction of falls in older adults with cancer: a preliminary study。Clin Transl Oncol,9,99-105。
19.
陳施妮、孫嘉玲(2008)。獨居老人健康、生活功能與跌倒概況分析。長期照護雜誌,12,249-265。
延伸查詢
20.
Bloch, F.、Thibaud, M.、Duguè, B.、Brèque, C.、Rigaud, AS.、Kemoun, G.(2010)。Episodes of falling among elderly people: a systematic review and meta-analysis of social and demographic pre-disposing characteristics。Clinics (Sao Paulo),65,895-903。
21.
Marcella Mun-San Kwan、Jacqueline C T Close、Alfred Kwok Wai Wong、Stephen R Lord(20110301)。Falls incidence, risk factors, and consequences in Chinese people: a systematic review。J Am Geriatr Soc,59(3),536-543。
22.
Delbaere, K.、Close, JCT.、Sachev PS, et al(201009)。A multifcatorial approcho to understanding fall risk in older people。J Am Geriatr Soc,58(9),1679-1685。
23.
Ferrer, A.、Formign, F.、Plama-Ripoll, O.、Tobella, MA.、Gil, A.、Rujol, R.(2012)。Risk of falls in 85-year-olds is associated with functional and cognitive status: the Octabaix study。Arch Gerontol Geriatr,54(2),352-356。
24.
Muir, SW.、Begr, K.、Chesworth, BM.、Klar, N.、Speechley, M.(2010)。Modifiable risk factors identify people who transition from non-fallers to fallers in community-dwel1ing older adults: a prospective study。Physiother Can,62(4),358-367。
其他
1.
行政院衛生署。民國98年死因統計上/下冊統計表,http://www.doh.gov.tw/statistic/index.htm, 2010/11/25。
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2.
行政院衛生署國民健康局。有一跌,十跌有三傷,防跌保健康,http://www.bhp.doh.gov.tw/bhpent/poral/PressShow.aspx?No=20071225386, 2010/03/30。
延伸查詢
3.
Todd C, Skelton D。What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls?,http://www.euro.who.int/document/E82552.pdf., 2009/08/22。
4.
行政院衛生署國民健康局。中老年身心社會生活狀況長期追蹤調查系列調查簡介,http://www.bhp.doh.gov.tw/BHPnet/Portal/Them_Show.aspx?Subject=200712270002&Class=2&No=200712270015, 2010/06/25。
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