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題名：探討老人髖部骨折相關危險因子之病歷對照研究
書刊名：護理雜誌
作者：黃珮茹／李淑杏
作者(外文)：Huang, Pei-ju／Lee, Shu-hsin
出版日期：2012
卷期：59:6
頁次：頁45-54
主題關鍵詞：髖部骨折；老人；危險因子；Hip fracture；Elderly；Risk factor
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 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:9
  • 點閱點閱:156
背景：臺灣地區人口於2008年時，65歲以上老年人口佔10.4%。國內健保每年花在老人髖部骨折之住院費為13億，佔所有骨折的1／5，且每年約增加2.8%髖部骨折人口，加上髖部骨折後老人一年內的死亡率高達8.4－36%，故老人髖部骨折這議題是不容忽視的。目的：利用病歷對照研究方法，以病歷回溯及電話訪問方式收集受試者資料，藉以探討老人的性別、年齡、身體質量指數、生活型態、及疾病史等等是否為髖部骨折的相關危險因子。方法：病歷對照研究，採病歷回溯及電話問卷方式收集資料，收集其人口學資料、生活型態、疾病藥物史等髖部骨折相關危險因素。結果：髖部骨折組之平均年齡大於非髖部骨折組；身體質量指數低於非髖部骨折組，且均有顯著差異（p <.05）。而病患的性別、生活中有無飲酒、有無運動習慣、有無腦中風病史、有無糖尿病病史、高血壓病史、憂鬱症病史及過去是否曾經骨折都是髖部骨折的重要危險因子（p < .05）。結論／實務應用：經由研究結果了解髖部骨折之相關危險因子，並提供預防及衛生教育之參考依據，從根本處著手來降低髖部骨折之發生機率，以減少醫療及社會成本支出且提升老人的日常生活品質。
Background: The elderly (≥ 65 years of age) accounted for 10.4% of Taiwan's population in 2008. Hip-fracture-related hospitalizations cost the National Health Insurance Bureau around NT$1.3 billion annually. Hip fractures currently account for one-fifth of all fractures, and this proportion has been rising by 2.8 % annually. Hip fracture-associated mortality has been reported as 8.4-36% during the first post-fracture year. Hip fractures in the elderly is an issue that deserves further elucidation and study.Purpose: We investigated whether variables including gender, age, body mass index, lifestyle, and medical history were risk factors for elderly hip fractures.Methods: We used a case control study and collected data via retrospective chart review and telephone questionnaires. Hip fracture risk factor data collected included demographic, lifestyle, and medical history data.Results: Results showed average age in the hip fracture group as significantly higher than the non-hip fracture group and body mass index as significantly lower in the hip fracture than the non-hip fracture group (p< .05). Gender, history of alcoholism, exercise habits, history of stroke, diabetes mellitus, hypertension, depression, and past fractures were identified as significant hip fracture risk factors.Conclusions / Implications for Practice: This study identified critical hip fracture risk factors in the elderly. Results provide a reference for prevention and health education. Reducing hip fractures, in addition to improving daily life quality for elderly individuals, can significantly reduce medical and social expenses.
期刊論文
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25.Vestergaard, P.、Rejnmark, L.、Mosekilde, L.(2005)。Relative fracture risk in patients with diabetes mellitus, and the impact of insulin and oral antidiabetic medication on relative fracture risk。Diabetologia，48(1)，1292-1299。  new window
26.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。new window  延伸查詢new window
27.洪秀娟、楊榮森、曹昭懿(20050100)。臺灣髖部骨折之流行病學。臺灣醫學，9(1)，29-38。  延伸查詢new window
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圖書
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其他
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2.行政院衛生署(2010)。98年度死因統計表，http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now。  new window
3.Kanis, J. A.(2008)。WHO fracture risk assessment tool，http://www.shef.ac.uk/FRAX/tool.jsp?lang=cht。  new window
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圖書論文
1.Williams, M. A.(2001)。Human development and aging。ACSM's resource manual for guidelines for exercise testing and prescription。Baltimore, MD：Lippincott, Williams and Wilkins。  new window
 
 
 
 
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