老年医学与保健2024，Vol.30Issue(4)：1140-1144,5.
老年膝关节骨性关节炎患者跌倒效能评估及影响因素探究
Evaluation of falling efficacy and investigation of influencing factors in elderly patients with knee osteoarthritis
张英 1薛升奎 1李超 1武辉2
作者信息
- 1. 中国人民解放军空军第九八六医院军队人员医疗中心,陕西西安 710054
- 2. 中国人民解放军空军第九八六医院骨科,陕西西安 710054
- 折叠
摘要
Abstract
Objective To evaluate the fall efficacy in elderly patients with knee osteoarthritis(KOA),explore its influ-encing factors,and provide the basis for formulating the corresponding measures.Methods The clinical data of 86 elderly pa-tients with KOA admitted to Hospital 986 of Chinese People's Liberation Army Air Force from April 2020 to April 2023 were retrospectively analyzed.The general data questionnaire,Modified Fall Efficacy Scale(MFES),Berg Balance Scale and Visu-al Analogue Scale(VAS)were used to investigate the patients.The influencing factors of fall efficacy were analyzed by multi-ple linear regression model.Results The MFES score of 86 elderly KOA patients was(91.29±18.47)points and the fall ef-ficacy was at a moderate level.In the MFES score,the item score of walking up and down stairs was the lowest[(4.91±2.50)points],and the item score of dressing was the highest rating[(7.85±1.09)points].There were significant differ-ences in MFES scores among elderly KOA patients with different Kellgren-Lawrence grading(K-L grading),osteoporosis,knee pain degree,balance function,fall history in the past six months and walking assistive devices(P＜0.05).Multiple line-ar regression model showed that K-L grading,osteoporosis,knee pain degree,balance function,fall history in the past six months and walking assistive devices were all independent influencing factors for fall efficacy in elderly patients with KOA(P＜0.05).Conclusion The fall efficacy of elderly KOA patients is at a moderate level,which is closely related to many factors.Clinically,corresponding measures should be formulated to improve patients'fall efficacy.关键词
老年/膝关节骨性关节炎/跌倒效能/影响因素Key words
elderly/knee osteoarthritis/fall efficacy/influencing factor引用本文复制引用
张英,薛升奎,李超,武辉..老年膝关节骨性关节炎患者跌倒效能评估及影响因素探究[J].老年医学与保健,2024,30(4):1140-1144,5.
