آسیب‌های مرتبط با سقوط در سالمندان کاشان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 استادیار اپیدمیولوژی، گروه اپیدمیولوژی و آمار، دانشکده بهداشت، دانشگاه علوم پزشکی کاشان، کاشان، ایران

2 استاد اپیدمیولوژی، گروه اپیدمیولوژی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 دانشیار ارتوپدی، دانشکده آموزش علوم پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

4 استادیار طب سالمندان، گروه داخلی بیمارستان آیت‌الله طالقانی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

هدف:
سقوط در سالمندان باعث انواع آسیب‌ها شده و منجر به وابستگی، کاهش خودکار‌آمدی، افسردگی، محدودیت فعالیت روزانه، بستری در بیمارستان و یا پذیرش در خانه سالمندان و تحمیل هزینه به فرد و جامعه می‌شود. مطالعه حاضر با هدف تعیین نوع صدمات ناشی از سقوط در سالمندان کاشان انجام شده است.
روش بررسی:
در این مطالعه مقطعی، کلیه افراد60 سال و بالاتر که به علت سقوط در سال 1390 در بیمارستان شهید بهشتی کاشان بستری‌شده بودند، بررسی شدند. کدهای علل خارجیw00 تا w19 بر اساس ICD-10 مربوط به سقوط از سیستم اطلاعات سلامت بیمارستان انتخاب و پس از فراهم شدن دسترسی به پرونده‌ها، متغیرهای دموگرافیک، علل خارجی سقوط و نوع آسیب استخراج گردید. داده‌ها با استفاده از نرم‌افزار SPSS تحلیل شد. ارتباط مدت بستری با متغیر‌های زمینه‌ای به ‌وسیله آزمون‌های کای اسکوئر؛ تی تست و آنووا و یا معادل ناپارامتریک آن بررسی شد. سطح معنی‌داری 05/0 در نظر گرفته شد.
یافته ها:
تعداد251 نفر سالمند60 سال و بالاتر مورد بررسی قرار گرفتند که تعداد 127 نفر 50/6% زن و124 نفر 49/4% مرد بودند. میانگین سن بیماران 7/3 ±76/82 سال بود. شایع‌ترین علت خارجی، زمین خوردن در سطح هم‌تراز با 196 نفر 78% بود. شکستگی اندام‌های فوقانی با 109 مورد 44/1%، شکستگی اندام‌های تحتانی با 73 مورد 28/9% و صدمات سربا40 مورد 15/9%، شایع‌ترین نوع آسیب بود. میانگین مدت بستری 4/5± 5/68 روز بود.
نتیجه‌گیری:
فراوان‌ترین آسیب به ترتیب شکستگی‌های اندام فوقانی، اندام تحتانی و صدمات مغزی است که باعث بیشترین مدت بستری و بالاترین هزینه بستری در سالمندان می گردد.

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