Mısır Sharkia Valiliğinin kırsal kesiminde yaşlılar arasında düşmeler

Yıl 2018, Cilt: 16 Sayı: 3, 214 - 222, 24.12.2018

Amel Elwan Mohammed Eman Elshahat Orabi Howida Hennery

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

Öz

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

Anahtar Kelimeler

Yaşlı, prevelans, düşmeler, risk faktörleri, Tinetti ölçeği

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

Öz

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.

Anahtar Kelimeler

Elderly, prevalence, falls, risk factors

Kaynakça

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