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題名:以系統性文獻回顧探討臺灣居家老年人跌倒之相關或危險因素
書刊名:臺灣公共衛生雜誌
作者:陳美芳林家綾蔡宗廷朱素鳳 引用關係洪淑玲顏碧汝黃國儀 引用關係蔡錦墩
作者(外文):Chen, Mei-fangLin, Chia-linTsai, Chung-tingChu, Su-fengHung, Shu-lingYen, Bi-juHuang, Kuo-yiTsai, Jin-duen
出版日期:2013
卷期:32:5
頁次:頁403-423
主題關鍵詞:系統性文獻回顧老人跌倒Systematic reviewElderlyFall
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(3) 博士論文(1) 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:55
  • 點閱點閱:175
本文目的是採系統性文獻回顧法,統整國內居家老年人跌倒之相關或危險因素。搜尋台灣期刊論文索引系統等七個中英文資料庫。經收案與排除條件審核後,共30篇文章符合篩選標準。結果發現有一半以上的研究指出居家老年人跌倒之相關或危險因素有(1)生物因素,包括自評健康差、跌倒危險因子數目多、疾病症狀多、疾病數目多、身體功能惡化、大小便失禁、步態不穩、活動功能差或平衡愈差、日常生活活動或工具性日常生活功能不佳、腰圍愈粗、血中白蛋白愈低、憂鬱、愈害怕跌倒、有跌倒史等。(2)行為因素,包括跌倒預防知識、行為與服用多種藥物等。(3)環境因素,包括支持性環境愈低、臥室、浴室、樓梯安全性差、雜物堆積、昏暗的燈光等。然而,只有少部分的研究發現社經因素,包括婚姻狀況、教育程度與獨居等,與跌倒相關。此結果可做為防範社區老人跌倒之參考。
The purpose of this article was to review the risk factors related to falling among the home-dwelling elderly in Taiwan. The literature search included seven medical databases in either Chinese or English, including the Periopath index to Taiwan's periodic literature. Thirty studies that met the inclusion criteria for this study were reviewed. The results showed the risk factors related to falling included: (1) Biological factors: poor self-reported health, multiple signs and symptoms of disease, a number of diseases, poor physical function, unstable of gait, poor balance, stool or urinary incontinence, dysfunction in ADLs or IADLs, higher waistline, lower albumin, depression, fear of falling, and a history of falling. (2) Behavioral factors: lack of knowledge about ways to prevent falling and taking multiple medications. (3) Environmental factors: poor supportive environment, poor location of bedrooms and the safety of bedroom bathrooms and stairs, accumulation of debris, smooth ground, and dim lighting. Only a few studies found that social and economic factors, including marital status, level of education, and living alone were significantly associated with falling. The results may serve a reference for preventing falling among the home-dwelling elderly.
期刊論文
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2.Harlein, J.、Dassen, T.、Halfens, R. J.、Heinze, C.(2009)。Fall risk factors in older people with dementiaor cognitive impairment: a systematic review。J Adv Nurs,65,922-933。  new window
3.Choi, Y. S.、Lawler, E.、Boenecke, C. A.、Ponatoski, E. R.、Zimring, C. M.(2011)。Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review。Journal of Advanced Nursing,67(12),2501-2524。  new window
4.胡名霞、鄭素芳、吳淑瓊(20010400)。Number and Characteristics of Falls in Older Adults-Differences in Recall by a Bi-monthly Telephone Survey and a Personal Interview。物理治療,26(2),59-67。  new window
5.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。  new window
6.張軒睿、張尹凡、楊宜青、陳全裕、張秦松、杜嘉煒、趙育箴、謝裕弘、吳至行(20100200)。老化社區之老年女性跌倒及相關危險因子之流病調查。臺灣老年醫學暨老年學雜誌,5(1),50-61。  延伸查詢new window
7.蔡志政、林婷如、邱思慈、蔡櫻蘭(20100900)。中老年女性體適能年齡與跌倒風險之相關研究。運動生理暨體能學報,10,37-47。new window  延伸查詢new window
8.Lin, C. H.、Liao, K. C.、Pu, S. J.、Chen, Y. C.、Liu, M. S.(2011)。Associated factors for falls among the community dwelling older people assessed by annual geriatric health examinations。PLoS One,6,18976。  new window
9.Kwan, M. M.、Lin, S. I.、Chen, C. H.、Close, J. C.、Lord, S. R.(2011)。Minimal chair height standing ability is independently associated with falls in Taiwanese older people。Arch Phys Med Rehabil,92,1080-1085。  new window
10.楊博仁、林惠文、楊宜瑱、陳俊傑、陳宣志、汪正青、顏啟華、徐千剛、李孟智(20120200)。臺灣地區老人跌倒之預測因子探討。臺灣老年醫學暨老年學雜誌,7(1),65-80。  延伸查詢new window
11.Kwan, M. M.、Lin, S. I.、Close, J. C.、Lord, S. R.(2012)。Depressive symptoms in addition to visual impairment, reduced strength and poor balance predict falls in older Taiwanese people。Age Ageing,41(5),606-612。  new window
12.Harris, J. E.、Eng, J. J.、Marigold, D. S.、Tokuno, C. D.、Louis, C. L.(2005)。Relationship of balance and mobility to fall incidences in people with chronic stroke。Physical Therapy,85(2),150-158。  new window
13.Rapp, K.、Becker, C.、Cameron, I. D.、Konig, H. H.、Buchele, G.(2012)。Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes。J Am Med Dir Assoc,13,187。  new window
14.鄺冬梅、蔡夙穎、許紋銘、程景煜、劉榮宏、周碧瑟(20080900)。Visual Impairment and Falls in the Elderly: The Shihpai Eye Study。中華醫學會雜誌,71(9),467-472+CA85。  延伸查詢new window
15.陳曉容、黃子庭(20020300)。老人因跌倒而就醫的健康照護需要及其相關因素之探討--前趨研究。長庚護理,13(1)=37,1-10。new window  延伸查詢new window
16.黃惠璣(20040600)。A Checklist for Assessing the Risk of Falls among the Elderly。The Journal of Nursing Research,12(2),131-142。new window  new window
17.江瑞坤、鄭宇翔、陳欣欣、陳淑娟、蔡坤維(20060200)。雲嘉老人跌倒之研究。臺灣老年醫學雜誌,1(3),174-181。  延伸查詢new window
18.張念慈、楊南屏、李建賢、周碧瑟(20080800)。單次跌倒與反覆跌倒之盛行率與相關因素探討--以都會區老人為例。臺灣公共衛生雜誌,27(4),330-340。new window  延伸查詢new window
19.鄭秀瑮、蔡仲弘(20120200)。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。臺灣公共衛生雜誌,31(1),21-30。new window  延伸查詢new window
20.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
21.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
22.梁偉成、紀煥庭、胡名霞、林茂榮(20050600)。社區老人跌倒機轉與傷害嚴重度。物理治療,30(3),105-115。  延伸查詢new window
23.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
24.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
25.黃慧芬、陳姿怡、楊凱婷、林茂榮(20060500)。跌倒老人健康相關生活品質及心理害怕。臺灣老年醫學雜誌,1(4),246-259。  延伸查詢new window
26.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
27.傅麗蘭、楊政峰(19990300)。獨居老人跌倒情形、步態、居家環境及身體功能評估。中華民國物理治療學會雜誌,24(2),1-10。  延伸查詢new window
28.Rubenstein, L. Z.、Josephson, K. R.(2002)。The epidemiology of falls and syncope。Clinics in Geriatric Medicine,18(2),141-158。  new window
29.秦毛漁、盧德發、吳美惠(20080600)。社區老人跌倒相關因素之探討。護理雜誌,55(3),39-48。new window  延伸查詢new window
30.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
31.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
研究報告
1.行政院經濟建設委員會(2010)。2010年至2060年台灣人口推計。  延伸查詢new window
學位論文
1.柯秀寬(2012)。台灣老人跌倒盛行率與危險因子探討(碩士論文)。南開科技大學,南投。  延伸查詢new window
2.游凱宇(1999)。台灣地區老人自評睡眠品質與跌倒之相關研究(碩士論文)。亞洲大學,台中。  延伸查詢new window
3.詹莉君(2003)。老人跌倒的危險因子:長期追蹤研究(碩士論文)。亞洲大學,台中。  延伸查詢new window
4.陳怡如(2006)。台北市老人身體活動、功能性體適能與跌倒之模式分析(博士論文)。臺灣大學,臺北。  延伸查詢new window
5.夏語婷(2008)。南台灣某鄉三個社區中老年人跌倒相關因素(碩士論文)。國立臺灣師範大學,臺北。  延伸查詢new window
6.洪麗玲(2010)。社區老人跌倒相關因素模式之研究(博士論文)。國立臺灣師範大學,臺北。  延伸查詢new window
7.黃郁婷(2010)。台灣老人跌倒狀況之危險因子分析:縱貫式世付研究(碩士論文)。長榮大學,台南。  延伸查詢new window
8.鄧雅文(2006)。山地鄉社區居家老人跌倒相關危險因子之研究--以花蓮縣卓溪鄉為例(碩士論文)。慈濟大學,花蓮。  延伸查詢new window
圖書
1.詹火生(2011)。主要國家因應人口老化社會福利政策之研究。臺北:行政院經濟建設委員會。  延伸查詢new window
2.Cooper, H.(2009)。Research synthesis and meta-analysis: A step-by-step approach。Thousand Oaks, CA:Sage。  new window
其他
1.衛生福利部。民國101年死因結果摘要表,http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=13690&s=1, 2013/06/18。  new window
2.Minister of Public Works and Government Services Canada(2013)。Healthy aging prevention of unintentional injuries among seniors,http://publications.gc.ca/collections/Collection/H39-612-2002-6E.pdf, 2013/05/01。  new window
 
 
 
 
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