保健医学研究与实践2025，Vol.22Issue(4)：24-29,6.DOI:10.11986/j.issn.1673-873X.2025.04.04
老年2型糖尿病合并认知衰弱患者跌倒预防知信行现状及影响因素分析
A survey on KBP levels on fall prevention and their influencing factors in elderly patients with type 2 diabetes combined with cognitive frailty
摘要
Abstract
Objective To investigate the current status of knowledge,beliefs,and practices(KBP)of fall prevention among eld-erly patients with type 2 diabetes mellitus(T2DM)combined with cognitive frailty,and to analyze the factors influencing their KBP to inform clinical prevention and intervention strategies.Methods A total of 108 elderly T2DM patients with cognitive frailty who attended a hospital in Xi'an from March 2021 to March 2024 were surveyed using a general information question-naire,a fall prevention KBP questionnaire,and the Falls Efficacy Scale-International(FES-I).Multiple linear regression analy-sis was performed to identify factors associated with KBP levels among these participants.Results The mean total score on the fall prevention KBP questionnaire was 75.99±4.67,with subscale scores for fall prevention knowledge,beliefs,and be-haviors of 28.77±3.26,20.34±2.74,and 26.88±3.06,respectively.The mean FES-I total score was 40.16±2.66.Pear-son correlation analysis revealed that the subscale and total scores of KBP were positively correlated with the subscale and total scores of FES-I(P<0.05).Univariate analysis showed no significant differences in KBP scores by gender or marital status(P>0.05),but significant differences by age,educational level,monthly family income,living situation,fall history,and re-ceipt of fall prevention health education(P<0.05).Multiple linear regression analysis identified age,educational level,monthly family income,fall history,receipt of fall prevention health education,and FES-I score as significant predictors of KBP levels(P<0.05),accounting for 58.74%of the variance.Conclusion Elderly T2DM patients with cognitive frailty ex-hibit moderate levels of KBP on fall prevention,which are influenced by age,education,monthly family income,fall history,receipt of health education,and selfefficacy for falls.Clinical staff should target these factors in tailored interventions to boost KBP levels on fall prevention in this population.关键词
2型糖尿病/认知衰弱/老年人/跌倒/知信行/多元线性回归Key words
Type 2 diabetes mellitus/Cognitive frailty/Elderly/Falls/Knowledge beliefs practices/Multiple linear regression分类
医药卫生引用本文复制引用
张孟馨,司文,刘乔,高阿娟,崔遥遥,陈奕清,常莎莎,刘静静..老年2型糖尿病合并认知衰弱患者跌倒预防知信行现状及影响因素分析[J].保健医学研究与实践,2025,22(4):24-29,6.基金项目
陕西省自然科学基础研究计划项目(2020JM-327). （2020JM-327）
