上海市普陀区二三级医院跌倒住院老年病例生存质量及影响因素分析

摘要/Abstract

摘要： 目的了解上海市普陀区跌倒住院老年病例生存质量,并探讨其影响因素,为提高跌倒住院老年人的生存质量提供科学依据。方法通过伤害住院监测系统导出2022年1—12月在上海市普陀区二三级医院首次因跌倒住院的病例,对符合要求的1 182例病例基于简明健康调查（the MOS 36-item short from health survey,SF-36）量表设计的问卷进行调查。结果跌倒住院老年病例出院6个月后的躯体健康、心理健康及总生存质量得分分别为（51.53±22.94）、（57.98±21.21）和（54.76±21.39）分,躯体健康、心理健康及总生存质量得分合格率分别为35.20%、44.40%和41.90%。比较不同性别各维度生存质量得分情况,男性得分均高于女性,除社会活力、社会功能、精神健康外,男女得分差异均有统计学意义（均P<0.05）。多因素logistic回归分析结果显示,性别、是否定期复诊、做家务、睡眠及运动情况均是跌倒住院老年病例出院6个月后生存质量的影响因素。结论上海市普陀区二三级医院跌倒住院老年病例出院康复6个月后的生存质量整体较差,除了针对影响因素采取干预措施提高生存质量外,还应加强对老年人跌倒预防,避免严重跌倒伤害的发生。

关键词: 跌倒, 住院, 老年病例, 生存质量

Abstract: Objective To investigate the quality of life of elderly hospitalized cases with falls in Putuo District of Shanghai,and explore its influencing factors,so as to provide scientific basis for improving the quality of life of elderly hospitalized cases with falls. Methods The patients hospitalized for the first time due to falls in the second and third level hospitals in Putuo District of Shanghai from January to December 2022 were derived from the injury hospitalization monitoring system,and 1 182 eligible cases were investigated based on the questionnaire designed by the MOS 36-item short from health survey（SF-36） scale. Results The scores of physical health,mental health and total quality of life of elderly hospitalized cases with falls six months after discharge were （51.53±22.94）,（57.98±21.21） and （54.76±21.39）points,respectively. The passing rates of physical health,mental health and total quality of life scores were 35.20%,44.40% and 41.90%,respectively. Comparing the scores of quality of life in different dimensions of different genders,the scores of males were higher than those of females. Except for social vitality,social function and mental health,the differences in scores between males and females were statistically significant（all P<0.05）. The results of multivariate logistic regression analysis showed that gender,regular follow-up visits,housework,sleep and exercise were the factors affecting the quality of life of elderly hospitalized cases after six months of discharge. Conclusion The quality of life of elderly hospitalized patients with falls in the second and third level hospitals in Putuo District of Shanghai is generally poor after half a year of rehabilitation. In addition to taking intervention measures to improve the quality of life,fall prevention should be strengthened to avoid the occurrence of serious fall injuries.

Key words: Fall, Hospitalization, Elderly case, Quality of life

中图分类号:

R181.3⁺7

朱小霞, 胡嫣平, 吴春香. 上海市普陀区二三级医院跌倒住院老年病例生存质量及影响因素分析. [J]职业与健康, 2024, 40(19): 2674-2678.

ZHU Xiaoxia, HU Yanping, WU Chunxiang. Analysis on quality of life and influencing factors of elderly hospitalized cases of fall in the second and third level hospitals in Putuo District of Shanghai. [J]OCCUPATION AND HEALTH, 2024, 40(19): 2674-2678.

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