Mısır Sharkia Valiliğinin kırsal kesiminde yaşlılar arasında düşmeler

Year 2018, , 214 - 222, 24.12.2018

Amel Elwan Mohammed , Eman Elshahat Orabi Howida Hennery

https://doi.org/10.20518/tjph.500228

Abstract

Amaç: Düşmeler yaşlıları etkileyen en önemli halk
sağlığı sorunlarından biridir ve yaşlılarda ciddi sonuçlara yol açabilir. Bu
çalışma ile yaşlı bireyler arasında düşme prevelansını ve ilişkili risk
faktörlerinin araştırılması amaçlandı. Yöntem:
Kesitsel tipte planlanan çalışma Mısır’ın Sharki ilinin kırsal bölgesinde
60 yaşında 408 yaşlı üzerinde yapıldı. Çalışmaya katılanlara yapılandırılmış
veri formu, antropometrik ölçümler, denge ve yürüyüş için Tinette ölçeği
uygulandı. Bulgular: Yaşlılar
arasında düşme prevelansı yüksektir (%62). Düşmelerin yarısı kapalı alanda
oldu, bunların da çoğunluğu banyo (%38.2), merdivenlerde (%22.8) ve bodrumda
(%21.1) idi. Düşme ve kayma düşmelerin çoğunun nedeni idi. Bulgular ilaç
kullanımının yanısıra farklı kronik hastalıklarla yüksek riskli Tinetti skoru
(OR=12.3) arasında önemli bir ilişki olduğunu göstermektedir. Sonuç: Düşmeler yaşlılar arasında sık
görülen bir problem olmasına karşın, burada önlenebilir risk faktörleri
bulunmaktadır. Toplum ve aile hekimleri geriatric bakım programlarını uygulama,
risk faktörlerinin tanımlanması ve düşmelerin taranması yoluyla düşmeleri
önleme ve yönetmede önemli bir role sahiptir.

Yaşlı,
prevelans, düşmeler, risk faktörleri, Tinetti öçeği

Keywords

Yaşlı, prevelans, düşmeler, risk faktörleri, Tinetti ölçeği

Falls among the elderly in rural areas of the Sharkia Governorate, Egypt

Abstract

Objective: Falls are one of the greatest public health problems affecting
the elderly and can lead to serious consequences. To estimate the prevalence of
falls among elderly individuals and to identify the associated risk factors. Methods: A cross sectional study was
conducted on 408 elderly persons aged 60 years and older in rural areas of the
Sharkia governorate, Egypt. All participating persons were subjected to a
structured interview questionnaire, Anthropometric measurements and Tinetti
scale for balance and gait. Results:
The prevalence of falls is high among the elderly (62%). Half of the falls
occurred indoors, mostly in bathroom (38.2%), on stairs (22.8%) and in the
bedroom (21.1%). Traffic falls occurred in (36.2%) of fallers. Slipping and
dizziness were the most common causes of falls. The results showed a
significant relationship between different types of chronic diseases, as well
as medication use, and a high risky tinetti score (OR=12.3) Conclusion: Although falls are a
frequent problem among elderly, there are preventable risk factors. Community
and family physicians have an important role in the prevention and management
of falls through the applications of geriatric care programs, identification of
risk factors and screening for falls.

Keywords

Elderly, prevalence, falls, risk factors

References

• 1. Al-Faisal W,“Falls Prevention for Older Persons” World Health Organization, 2015. (on line) Available at:www.who.int/ageing/projects/EMRO.pdf. 2. Central Agency for Public Mobilization and Statistics: Arab Republic of Egypt (CAPMAS),“A Press Statement on Sunday 30/9/2012 on the occasion of International Day of Older Persons",(on line) 2012. Available at: http://www.capmas.gov.eg/pepo/269_e.pdf. Accessed January 12, 2015. 3. Muchane E, Anena E,“A general perspective of falls amongst the elderly – A Literature review study”,(on line) Degree Thesis. Human Ageing Services, 2012. Available at: https://www.theseus.fi/.../THESIS%20WORK.%20Eunic...accessed. May 13, 2015. 4. Institute for Health Metrics and Evaluation, “GBD Compare”, (on line). Available at: http://www.healthmetricsandevaluation.org/gbd. Accessed May 25, 2015. 5. Williams J, Kowal B, Hestekin H, O’Driscoll T, PeltzerK , Yawson A, Biritwum RMaximova T, Rodríguez A“Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-income countries: results from the WHO Study on global ageing and adult health (SAGE)”,(on line)BMC Med. Vol. 13, pp.147, 2015. Available at:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495610/. Accessed June 20, 2015. 6. Jagnoor J, Keay L, Jaswal N, Kau r M, Ivers R, “A qualitative study on the perceptions of preventing falls as a health priority among older people in Northern India’, Inj Prev.2014;(20):29-34. 7. World Health Organization, “WHO global report on falls prevention in older age”, Geneva: World Health Organization, 2008. 8. Day L, Fildes B, Gordon I, Fitzharris M, Flamer H, Lord S. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ 200;325(736):128-133. 9. Haines T, Russell T,Brauer S, Urry S, Jasiewicz J, Condie P. Effectiveness of a video based excersise program to reduce falls and improve health related quality of life among older adults discharged from hospital: A pilot randomized controlled trial. Clin Rehabil. 2009;23(11:973-985. 10. Katz S, Akpom C. Index of ADL: A standardized measure of biological and psychological functions. International J Health Sci. 1976;6:123-140. 11. Ciaschini PM, Straus SE, Dolovich LR, et al. Community-based intervention to optimise falls risk management: a randomised controlled trial. Age Ageing. 2009;38(6):724-30. 12. Tinetti M, Richman D, Powell L “falls efficacy as a measure of fear of falling”, journals of Gernatology, 1990.(on line) Available at: http:/www.wales.nhs.uk/sites3/ documents/501/Tinetti. Accessed March 24, 2014. 13. CDC, “Iimportant facts about falls”, 2016. (on line) Available at http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html. Accessed Feb24, 2016. 14. Elgahsh E “identification of risk factors of falling amongelderly people in Menofia”, Msc thesis. Faculty of nursing Menofia University, 2010. 15. Makhlouf M andAyoub A “falls among institutionalized elderly in Alexandria Egypt”, public health assoc.2009;75(5):507-528. 16. Kamel MH, Abdulmajeed AA, Ismail Sel-S. Risk factors of falls among elderly living in urban Suez-Egypt. Pan Afr Med J. 2013;14:26. 17. Tinetti M“factors associated with serious injury during falls by ambulatory nursing home residents”, American geriatric society. 2010; (35)644-648. 18. chu L ,chi I and chiu A “incidence and predictors of falls in Chinese elderly”, Ann Acad Med. Singapore. 2005;(34)60-72. 19. Herman M, Gallaghe E and Hausdorff J “Executive control deficits as a prodrome to falls in healthy older adults”, Biool Sci Med Sci. 2010; 65(10):1086-10. 20. Bongue B, Dupre C, Beauchet O“A screening tool with five risk factors was developed for fall risk prediction in community dwelling elderly”, J Clin Epidemiol. Vol. 2011; 64(10): 1154-1160. 21. Santos S,Silvia M and Depinoh L “Risk of falls in the elderly: an integrative review based on the North American nursing Association”, Rev Esc Enferm USP2, 2012. 22. Demura S, Sato S and Yamaj S “Examination of validity of risk assessment items for screening of high fall risky elderly among the healthy community dewelling Japanese population”, Arch Geriatrics. 2011;53(1):41-45. 23. Badia S“Developing guidelines for preventing falls among elderly at home in rural area of Zagazig district At Sherkia Governorate”, Thesis. Faculty of Nursing Zagazig University, 2013. 24. Dionyssioitis, “Analyzing the problem of falls among older people”, International Journal of General Medicine, 2012;(5):805-813.