以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (22): 11-14.doi: 10.16460/j.issn1008-9969.2022.22.011

Previous Articles     Next Articles

Factors Influencing Risk of Falls in Elderly People with Sleep Disorders in Nursing Homes

GUO Xue-qi1, GU Yi-fan1, YANG Jiao1, HU Hui-ju2, LI Hui-yuan1, WU Jian-hui3, TANG Qi-qun1   

  1. 1. School of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China;
    2. Disease Control and Prevention Center of Lunan District, Tangshan 063000, China;
    3. School of Public Health,North China University of Science and Technology,Tangshan 063210, China
  • Received:2022-07-11 Online:2022-11-25 Published:2022-12-07

Abstract: Objective To understand the factors influencing the risk of falls among elderly people with sleep disorders in nursing homes. Methods Convenience sampling was used to select the elderly (≥60) with sleep disorders in 7 nursing homes in Hebei province and they were surveyed by using general information questionnaire, Morse Fall Scale, Death Anxiety Scale and General Comfort Questionnaire. Results Among the 445 elderly people with sleep disorders in nursing homes, high risk of falling was observed in 220(49.4%) cases. Logistic regression analysis showed that high comfort, no walker and no lower limb disease were protective factors for the fall risk of elderly people with sleep disorders in nursing institutions (P<0.05), while using of hypnotics and high death anxiety were risk factors(P<0.05). Conclusion Elderly people with sleep disorders in nursing homes are with higher risk of falling. Active communication, psychological counseling, and health education are conducive to reducing the risk of falls.

Key words: elderly people, nursing home, sleep disorders, risk of falls

CLC Number: 

  • R592
[1] 胡惠菊,韩静,唐启群,等.天津、唐山养老机构老年人跌倒现况及其影响因素研究[J]. 现代预防医学,2021,48(11):2018-2021,2045.
[2] 张晗,齐士格,崔露,等.中国社区老年人跌倒及跌倒后受伤情况分析[J]. 中国公共卫生,2021,37(11):1590-1593.DOI:10.11847/zgggws1133277.
[3] 郭晓贝,王颖,杨雪柯,等.门诊老年患者跌倒风险因素及安全管理策略的研究进展[J]. 护理学杂志,2020,35(1):111-113.DOI:10.3870/j.issn.1001-4152.2020.01.111.
[4] Yoshimoto Y, Honda H,Take K,et al.Sleep Efficiency Affecting the Occurrence of Falls among the Frail Older Adults[J]. Geriatr Nurs,2021,42(6):1461-1466.DOI:10.1016/j.gerinurse.2021.10.001.
[5] 赵晶,陈长香.唐山市社区高龄老人跌倒风险与睡眠质量及其自我行为关系[J]. 中国公共卫生,2020,36(7):1006-1009.DOI:10.11847/zgggws1118918.
[6] 郭雪琪,李慧源,唐启群,等.427名养老机构高龄老人老化期望现状及影响因素分析[J]. 护理学报,2022,29(14):53-57.DOI:10.16460/j.issn1008-9969.2022.14.053.
[7] 周君桂. 中文版Morse跌倒评估量表用于住院老年患者跌倒风险评估的初步研究[D]. 广州:南方医科大学,2010.DOI:10.7666/d.y1770034.
[8] 杨红. 死亡焦虑量表的跨文化调适及其应用的研究[D]. 北京:北京中医药大学, 2011.
[9] 朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J]. 中国实用护理杂志,2006,22(13):57-59.DOI:10.3760/cma.j.issn.1672-7088.2006.13.034.
[10] 寻庆美. 中医三联法联合舒适护理对AECOPD有创机械通气患者的效果干预研究[D]. 济南: 山东中医药大学,2018.
[11] 洪壮. 泰安市老年人睡眠与跌倒的相关性研究[D]. 济南:山东大学,2021.
[12] Cauley JA, Hovey KM, Stone KL, et al.Characteristics of Self-reported Sleep and the Risk of Falls and Fractures:The Women’s Health Initiative(WHI)[J]. J Bone Miner Res,2019,34(3):464-474.DOI:10.1002/jbmr.3619.
[13] 张惠,张彬,章羽.铜陵市社区居家养老老年人跌倒预防知识需求及跌倒风险影响因素研究[J]. 长治医学院学报,2020, 34(6):412-418.DOI:10.3969/j.issn.1006-0588.2020.06.003.
[14] 周双,孔佳禾,宗宇桐,等.老年人药源性跌倒风险研究与干预进展[J]. 中国医院药学杂志,2022,42(1):98-103.DOI:10.13286/j.1001-5213.2022.01.19.
[15] 丁贤彬,杨弦弦,高旸,等.重庆市老年人多次跌倒发生率及相关因素分析[J]. 实用预防医学, 2022,29(2):149-152.DOI:10.3969/j.issn.1006-3110.2022.02.006.
[16] Thies SB, Bates A, Costamagna E, et al.Are Older People Putting Themselves at Risk When Using Their Walking Frames[J]. BMC Geriatr,2020,20(1):90.DOI:10.1186/s12877-020-1450-2.
[17] 陆翘楚,付辰晨,李沁芳,等.中国中老年人跌倒现状及其影响因素分析[J]. 广东医学,2022, 43(2):241-247.DOI:10.13820/j.cnki.gdyx.20213051.
[18] Rashedi V, Ebrahimi B, Sharif M,et al.Death Anxiety and Life Expectancy among Older Adults in Iran[J]. J Caring Sci,2020,9(3):168-172.DOI:10.34172/jcs.2020.025.
[19] 马钊,王建军,刘庆梅,等.两种四格移步试验方法用于预测老年衰弱患者跌倒风险的效能比较[J]. 中国康复医学杂志, 2022, 37(2):214-217. DOI:10.3969/j.issn.1001-1242.2022.02.012.
[20] 陈芳.药学服务干预对社区老年高血压患者血压、用药依从性及生活质量的影响[J]. 中国医药科学, 2020,10(17):118-120;197.DOI:10.3969/j.issn.2095-0616.2020.17.031.
[21] 黄嘉慧,徐嘉颖,李祎鋆.音乐康复护理对抑郁症患者不良情绪的影响效果分析[J]. 齐齐哈尔医学院学报,2018,39(13):1607-1608.DOI:10.3969/j.issn.1002-1256.2018.13.051.
[1] TAN Qiu-yu, DENG Yi-xin, JI Wan-qian, WANG Dong-hua. Chain-mediated effect of self-stereotyping and subjective memory complaints between self-perceived aging and fear of dementia among rural elderly people [J]. Journal of Nursing, 2025, 32(1): 56-61.
[2] XUE Rong, ZHANG Kai-li, CHEN Bao-yun, MA Rong-hui, ZHANG Yu-xin. Multidimensional frailty development trajectory and its influencing factors in middle-aged and elderly stroke patients [J]. Journal of Nursing, 2024, 31(6): 6-12.
[3] DENG Yue, HU Yu-fan, WANG Ran, ZHANG Yuan-xing, WANG Fang, YUAN Ping, CHEN Lu. Qualitative studies on experience and needs of elderly patients receiving telemedicine care: a Meta-integration [J]. Journal of Nursing, 2024, 31(5): 50-55.
[4] YANG Xiao-yan, WANG Jing, YANG Ya-ping. Knowledge, attitudes, and behaviors of nurses in Shanghai nursing homes regarding incontinence-associated dermatitis: a qualitative study [J]. Journal of Nursing, 2024, 31(24): 18-22.
[5] DENG Lan-xin, ZHANG Yu, LI Min-rui, GAO Yu-lin. Cross-lagged analysis of cognitive function and physical frailty changes in elderly residents of nursing homes [J]. Journal of Nursing, 2024, 31(23): 8-12.
[6] HAO Yang, QIN Yan-mei, MAO Mei-qi, ZHAO Ya-ning, LIU Yao, HAN Ying. Influencing factors of cognitive frailty in community-dwelling elderly individuals based on Bayesian network model [J]. Journal of Nursing, 2024, 31(19): 12-18.
[7] OU Yang-li, SHEN Jun, LI Miao, PENG Ying, LIAO Xiao-yan, ZHANG Hong, CHEN Li-yu. Best evidence summary for influencing factors of proactive health in disabled elderly people [J]. Journal of Nursing, 2024, 31(1): 58-63.
[8] SUN Xiao-wei, WANG Yan, MIN Chun-yan, DUAN Fei, XIAO Jiang-qin. Status quo and influencing factors of life space in elderly patients with chronic obstructive pulmonary disease:a 322-case study [J]. Journal of Nursing, 2023, 30(8): 1-6.
[9] LI Hui-yuan, GUO Xue-qi, TANG Qi-qun, HU Hui-ju, YANG Jiao, CHEN Yao. Role of Subjective Cognitive Decline Questionnaire 21 in cognitive assessment of elderly people in nursing homes [J]. Journal of Nursing, 2023, 30(8): 12-16.
[10] REN Ying, YU Wei-hua, ZHANG Li, ZHENG Jun-jun, DENG Man, YANG Xia, ZHANG Yu-xi. Current status of life space level of community elderly people and its influencing factors [J]. Journal of Nursing, 2023, 30(7): 11-15.
[11] REN Pan, CHEN Xiao-ju, ZENG Jing, LIAO Ming-shu, RONG Huan, ZHONG Hong-yue, LI Li. Construction of home-care service standard of social support institutions for elderly people with dementia in Chengdu City from perspective of long-term care insurance [J]. Journal of Nursing, 2023, 30(4): 11-15.
[12] REN Ying, YU Wei-hua, ZHANG Li. Current status of reversible cognitive frailty of elderly people in medical-nursing combined care institutions and its influencing factors [J]. Journal of Nursing, 2023, 30(23): 6-11.
[13] CAO Xiao-xia, YANG Zhi-lan, CUI Li-ping, GENG Hui, JU Wei-fang. Current status and influencing factors of mild cognitive impairment in 1 064 elderly people in rural areas of Shanxi [J]. Journal of Nursing, 2023, 30(22): 7-12.
[14] ZHOU Qiao, WU Jun-qi, ZHANG Cui-e, YOU Jun, XU Xiang-hua. Construction and application of group-based acceptance and commitment therapy for elderly stroke survivors [J]. Journal of Nursing, 2023, 30(19): 7-12.
[15] ZHOU Fei-yang, DENG Lu, LONG Ke-yu, YANG Ting-ting, XIE Lin-lin, LV Qing, GUO Chun-bo. Risk prediction model for cognitive frailty in elderly: a systematic review [J]. Journal of Nursing, 2023, 30(19): 45-50.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!