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

中文关键词: 老年  膝关节骨性关节炎  跌倒效能  影响因素

英文关键词: elderly  knee osteoarthritis  fall efficacy  influencing factor

中文摘要:

      目的 评估老年膝关节骨性关节炎(KOA)患者跌倒效能,并探讨其影响因素,为制定相应的措施提供依据.方法 回顾性分析2020年4月-2023年4月中国人民解放军空军第九八六医院收治的86例老年KOA患者的临床资料.采用一般资料问卷、修订版跌倒效能量表(MFES)、Berg平衡量表及视觉模拟评分(VAS)进行问卷调查,采用多元线性回归模型分析影响老年KOA患者跌倒效能的影响因素.结果 86例老年KOA患者MFES评分为(91.29±18.47)分,跌倒效能处于中等水平,其中上下楼梯条目评分最低,为(4.91±2.50)分;更衣条目评分最高,为(7.85±1.09)分.不同Kellgren-Lawrence分级(K-L分级)、骨质疏松、膝关节疼痛程度、平衡功能、近半年内存在跌倒史、步行辅助器具的老年KOA患者的MFES评分比较,差异均有统计学意义(P＜0.05).多元线性回归显示,K-L分级、骨质疏松、膝关节疼痛程度、平衡功能、近半年内存在跌倒史、步行辅助器具是影响老年KOA患者跌倒效能的独立因素(P＜0.05).结论 老年KOA患者跌倒效能处于中等水平,其与多种因素密切相关,临床上应制定相应的措施,以提高跌倒效能.

英文摘要:

      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.