Full
Outline
To understand the epidemiological characteristics of falls among elderly patients with chronic diseases in the community, analyze the correlation between diabetes and fall outcomes, and provide a basis for identifying key intervention targets, reducing fall incidence, and developing fall intervention strategies.
A total of 1 198 elderly patients aged 60 and above were randomly selected from the chronic disease health management system as study subjects. Univariate and multivariate logistic regression analyses were employed to examine influencing factors of falls, as well as the association with diabetes.
Over the past year, the incidence of falls among elderly patients with chronic diseases was 25.96%, and the proportion of individuals at high risk of falls was 27.30%. Univariate analysis revealed that elderly patients with chronic diseases who had diabetes, poorer self-rated health status and sleep quality, reduced self-care and balance abilities, more severe depression, use of walking aids, a history of fractures, and abnormal gait exhibited significantly higher rates of falls (P<0.05). Multivariable logistic regression analysis showed that type 2 diabetes(OR=1.61, 95% CI: 1.14-2.27) was an independent risk factor for falls in older adults, good balance ability(OR=0.82, 95% CI: 0.75-0.89) was a protective factor(P<0.05), and depression(OR=1.28, 95% CI: 1.06-1.53) and history of previous fracture(OR=1.97, 95% CI: 1.44-2.71) were risk factors.
Elderly patients with diabetes in the community exhibit a higher incidence of falls and a greater proportion of fall risk. They should be paid close attention as a key population and it is essential to incorporate comprehensive assessments into their chronic disease management. Additionally, particular attention must be given to individuals with a history of fractures, impaired balance ability, or depression, through reinforced health education, rehabilitation, and psychological support, to mitigate fall risk ultimately.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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