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題名:三重地區獨居老人健康狀況及害怕跌倒相關因素調查研究
書刊名:臺灣老人保健學刊
作者:黃明碧林金定 引用關係陳麗美
作者(外文):Huang, Min-biLin, Jin-dingChen, Li-mei
出版日期:2011
卷期:7:2
頁次:頁135-156
主題關鍵詞:獨居老人害怕跌倒跌倒Elderly people living aloneFear of fallingFalling
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:4
  • 共同引用共同引用:52
  • 點閱點閱:117
本研究以新北市三重區(原台北縣三重市)獨居老人為對象,探討其健康狀況及害怕跌倒之相關因素,完成問卷調查共有131人。以男性佔多數,平均年齡為78.89 歲。健康狀況方面,有84%的老人至少罹患一種慢性疾病,且罹患的疾病當中以高血壓、眼睛疾病、關節炎為最多。在日常生活量表及工具性量表評估方面,以上下樓梯及準備三餐困難性較高。會害怕跌倒的有87人(66.4%),最近三個月曾跌倒有23人(17.6%)。與害怕跌倒達統計顯著差異性變項為:性別、婚姻、自覺健康、罹患疾病、最近三個月曾經跌倒、蹲下站起、彎腰拿東西、走路平穩性、走路使用輔助器、視力、ADL、IADL等。影響害怕跌倒的危險因素為最近三個月曾經跌倒(OR=6.65; 95% CI=1.03-43.07)以及目前罹患疾病(OR=4.43; 95%CI=1.03-19.13)。研究建議未來針對如何預防獨居老人跌倒,需加強環境安全評估外,尚需加強老人慢性疾病防治、老人健康促進及增強平常生活活動情形等重要策略規劃,以便落實於獨居老人日常生活當中,作為獨居老人跌倒之預防。
Health status and factors related to fear of falling among elderly people living alone in Sanchong community of New Taipei City (formerly Taiwan County) were explored in this study. There were 131 individuals with an average age of 78.89 years had completed questionnaires. Most of them are male. 84% of them suffered from at least one kind of chronic disease, of which, hypertension, eye diseases and arthritis were the most prevalence illnesses among the respondents. Going up and down the stairs and preparing the meals were the two most difficult tasks among their ADL and IADL assessments. There were 87 cases (66.4%) expressed that they were afraid of fall and 23 cases (17.6%) did experience a fall within last three months. Single variance analyses revealed gender, marital status, perceived health status, suffering from disease currently, experience of fall within the last three months, squat and stand up, bend over to get something, walking stability, walking with aids, visual acuity, ADL, and IADL were found statistically significant related to the fear of falling. Multi-variance analysis found that experience of fall during last three months (OR=6.65; 95% CI=1.03-43.07) and current suffering from disease (OR=4.43; 95% CI=1.03-19.13) were the two most influence risk factors for fear of falling. The study suggests initiating chronic disease management and health promotion strategies to prevent fall occurrence among elderly people who live alone in the community.
期刊論文
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2.陳施妮、孫嘉玲(20081000)。獨居老人健康、生活功能與跌倒概況分析。長期照護雜誌,12(3),249-265。  延伸查詢new window
3.Scheffer, A. C.、Schuurmans, M. J.、van Dijk, N.、van der Hooft, T.、de Rooij, S. E.(2008)。Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons。Age and Ageing,37(1),19-24。  new window
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5.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。  延伸查詢new window
6.黃少君、陳曾基、周碧瑟(20050400)。石牌地區老年人跌倒累積發生率及其相關因素之探討。臺灣公共衛生雜誌,24(2),136-145。new window  延伸查詢new window
7.劉俐蓉、沈希哲(20080200)。都會社區獨居及慢性病老人跌倒之預測因子。北市醫學雜誌,5(1),86-101。  延伸查詢new window
8.徐淑貞、張蓓貞、戎瑾如(2008)。獨居老人習得智謀對憂鬱與生活品質影響之探討。醫護科技學刊,10(2),88-98。new window  延伸查詢new window
9.張靜琪、葉莉莉、張玉鈴、許蕙美(19991200)。臺南市北區獨居老人之經濟狀況、居住安全及其對福利資源使用與需求初探。社區發展季刊,88,305-315。new window  延伸查詢new window
10.Tinetti, M. E.、Baker, D. I.、McAvay, G.(1994)。A Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community。New England Journal of Medicine,331,821-827。  new window
11.連雅棻、黃惠滿、蘇貞瑛(20080700)。社區獨居老人人格韌性、社會支持與生活滿意度相關性研究。長期照護雜誌,12(1),162-178。  延伸查詢new window
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13.徐慧娟、吳淑瓊、江東亮(19961200)。跌倒對社區老人健康生活品質的影響。中華公共衛生雜誌,15(6),525-532。new window  延伸查詢new window
14.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。new window  延伸查詢new window
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16.莊艷妃、宋惠娟、林麗萍(2005)。偏遠礦區老人健康醫療資源使用之調查研究。慈濟護理雜誌,34-41。  延伸查詢new window
17.傅麗蘭、楊政峰(1999)。獨居老人跌倒情形、步態、居家環境及身體評估。中華民國物理治療學會雜誌,24,53-61。  延伸查詢new window
18.蒲秀瑾(2003)。老年人跌倒的流行病學和危險因子的評估和預防。台灣老年醫學會會訊,51,10-12。  延伸查詢new window
19.Rubenstein, L. Z.(2006)。Fall in older people:Epidemiology, risk factors and strategies for prevention。Age and Ageing,35(2),37-41。  new window
20.Murphy, S. L.、Dubin, J. A.、Gill, T. M.(2003)。The development of fear of falling among community-living older women: Predisposing factor and frequent fall events。The Journals of Gerontology Series A: Biological Sciences and Medical Sciences,58(10),943-947。  new window
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研究報告
1.行政院衛生署(1999)。民國八十五年臺灣地區中老年保健與生涯規劃調查報告。  延伸查詢new window
2.內政部統計處(2008)。老人狀況調查性別統計分析。台北。  延伸查詢new window
學位論文
1.黃秋華(2001)。台北市獨居老人使用社會福利服務之研究(碩士論文)。東海大學。  延伸查詢new window
2.黃麗玲(2000)。社區獨居老人身體、心理及社會功能之探討(碩士論文)。高雄醫學大學。  延伸查詢new window
3.楊惠如(2005)。社區獨居老人健康狀況與長期照護需求研究(碩士論文)。美和技術學院,屏東縣。  延伸查詢new window
4.鄭喜文(2005)。獨居老人休閒活動與社會關係對其心理狀況影響之研究--以宜蘭縣列冊獨居老人為例(碩士論文)。慈濟大學。  延伸查詢new window
5.楊伶惠(2007)。多重因子策略介入於社區老人害怕跌倒之成效。長庚大學,桃園縣。  延伸查詢new window
圖書
1.內政部統計處(2000)。老人狀況調查報告。台北:內政部統計處。  延伸查詢new window
2.行政院衛生署(2006)。中華民國95 年衛生統計。台北。  延伸查詢new window
其他
1.行政院經濟建設委員會(2008)。中華民國臺灣97年至145年人口推計報告,台北市:行政院經濟建設委員會。,http://www.cepd.gov.tw/ml.aspx?sNo=0000455, 。  延伸查詢new window
 
 
 
 
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