埃塞俄比亚医学上诊断为视力障碍的成年人中与跌倒相关的损伤及其预测因素:一项观察性横断面研究

IF 1.2 Q3 ORTHOPEDICS
Advances in Orthopedics Pub Date : 2021-02-27 eCollection Date: 2021-01-01 DOI:10.1155/2021/6686068
Moges Gashaw, Biruk Adie Admass
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引用次数: 0

摘要

背景:跌倒相关损伤是视力障碍者意外伤害和过早死亡的常见原因。到目前为止,生活在低收入和中等收入国家的经医学诊断为视力障碍的人对跌倒相关伤害的了解很少。因此,本研究是初步尝试评估跌倒相关损伤及其影响因素的成人医学诊断视力障碍的个体。方法:2018年3月至7月进行了一项基于机构的横断面研究,总样本量为337名研究参与者。研究对象采用系统随机抽样方法招募。使用IBM Statistical Package for Social Sciences version 23,采用单变量和多变量二元逻辑回归模型分析来识别跌倒相关损伤的预测因子。结果:共有320名成人视力障碍患者参与了本研究。这项研究的发现如下:24.7% (95% CI: 20.0-29.4%)视力受损的成年人经历过一次或多次跌倒相关损伤。多变量分析确定的跌倒相关损伤的主要预测因素为视力损害严重程度:中度(AOR, 2.91;95% CI: 1.23 - 6.87),严重(AOR, 3.58;95% CI: 1.26-10.17),视力损害原因:白内障(AOR, 10.63;95% CI: 2.49 - 45.26),糖尿病视网膜病变(AOR, 15.35;95% CI: 2.51-93.96)、服药(AOR, 6.35;95% CI: 2.93-13.75),有家庭支持(AOR, 2.13;95% CI: 1.08 - 4.19)和抑郁(AOR: 3.82, 95% CI: 1.27-11.45)。结论:软组织损伤是研究参与者报告的最常见的跌倒相关损伤。视力损害的严重程度、视力损害的原因、服用一种或多种药物、是否有家庭支持以及是否患有抑郁症是发生跌倒相关伤害的重要预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Injury Related to Fall and Its Predictors among Medically Diagnosed Adults with Visual Impairment in Ethiopia: An Observational Cross-Sectional Study.

Injury Related to Fall and Its Predictors among Medically Diagnosed Adults with Visual Impairment in Ethiopia: An Observational Cross-Sectional Study.

Background: Fall-related injury is the common cause of unintentional injury and premature death among people with visual impairment. So far, the knowledge about fall-related injuries among medically diagnosed visual impairment people living in low- and middle-income countries is scarce. Hence, this study is a preliminary attempt to assess the fall-related injury and its determinants among adult people with medically diagnosed visual impairment individuals.

Methods: An institutional-based cross-sectional study was conducted from March to July 2018 with a total sample size of 337 study participants. The study participants were recruited by using a systematic random sampling method. Univariable and multivariable binary logistic regression model analysis was used to identify predictors of fall-related injuries with IBM Statistical Package for Social Sciences version 23.

Results: A total of 320 adults with visual impairments participants have participated in this study. The finding of this study was reported as follows: 24.7% of (95% CI: 20.0-29.4%) adults with visual impairments experienced one or more fall-related injuries. The main predictors of fall-related injuries identified by multivariate analysis were severity of visual impairment: moderate (AOR, 2.91; 95% CI: 1.23 - 6.87), severe (AOR, 3.58; 95% CI: 1.26-10.17), cause of visual impairment: cataract (AOR, 10.63; 95% CI: 2.49 - 45.26), diabetic retinopathy (AOR, 15.35; 95% CI: 2.51-93.96), taking medication (AOR, 6.35; 95% CI: 2.93-13.75), having family support (AOR, 2.13; 95% CI: 1.08 - 4.19), and depression (AOR 3.82, 95% CI: 1.27-11.45).

Conclusion: Soft tissue injuries were the most common fall-related injuries reported by the study participants. The severity of visual impairment, the cause of visual impairment, taking one or more medication, having family support, and having depression were significant predictors of fall-related injuries.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
36
审稿时长
21 weeks
期刊介绍: Advances in Orthopedics is a peer-reviewed, Open Access journal that provides a forum for orthopaedics working on improving the quality of orthopedic health care. The journal publishes original research articles, review articles, and clinical studies related to arthroplasty, hand surgery, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.
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