查詢結果分析
來源資料
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題 名 | 跌倒意外事件的流行病學分析=The Epidemiological Analysis of Falling Accidents |
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作 者 | 葉兆斌; 周明智; 林榮一; 王世名; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 5:2 2003[民92.] |
頁 次 | 頁96-109 |
分類號 | 412.41 |
關鍵詞 | 跌倒; 髖部骨折; 預防措施; Fall accident; Hip fracture; Prevention; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:社會上,因跌倒而受傷是最主要存在人群之間的健康問題。故而,根據統計,跌倒而受傷是急診病患中佔最多的原因之一。國外的研究報告也指出,他們的急診病患中佔最多的原因之一。國外的研究報告也指出,他們的急診病患中因跌倒而受傷且送急診的有10%以上。此外,在原因方面,除了車禍成受傷,從高處跌落更是造成死亡及殘?的主因。跌倒並不似其他的一些傷害,它可能發生在任何年?,從小孩到老人者可能;而且,跌倒所造成的成本效益是無法評估的,因此造成醫療的沉重負擔。 方法:這個研究觀察在中山醫學的附設醫院急診部就醫的跌倒病患,為期12個月,以前瞻研究法蒐集包括痊癒者及急診中死亡者的資料做探討研究分析。 結果:本次研究共收集了319個病患的資料,男性162人,女性157人。我們發現:小孩子比較容易有撕裂傷及頭部外傷,老人則多為骨折尤其以髖骨骨折為主。而主要死因是多發生在頭部及胸部的創傷(死亡率約在1.6%)。其中,我們發現如果以同一個高度來講,在裡跌倒發生的情形最多,而老人最常發生的地方是浴室裡(31%),嬰幼兒則最常發生在客廳(22%):若以不同高度來比較,反而是從樓梯上或階梯跌倒是最常見的。所,我們的路方向由以下幾點來進行交叉分析及探討:受傷發生的時間地點:病人的年齡與性別:受傷的程度、部位及嚴重度與結果:個人生活習慣及相關環境因素的影響。 結論:經由以上研究結果歸納總結,有以下幾點建議,供大家做為降低跌倒受傷事件的防範之道: 1. 首先要教育一般民眾有關跌倒的知識,使其瞭解跌倒的危險因子,並對其做適當的預防措施,如:裝置防滑、輔助欄杆。 2. 足夠的運動(尤其是老年人)。 3. 居家安全預防措施觀念的宣導 (如改善浴室、樓梯的安全)。 |
英文摘要 | Objectives: The injuries due to falling accident are the major health problems in our society. According to statistics data shows that one of the most causes of patients to visit the emergency department is fall accidents. It accounts for about 10% or even more in overseas study report. Moreover, the high-level falling accident is the major cause of accidental deaths. And disabilities after motor vehicle crash in most countries. Unlike other types of trauma, it may occur in all age groups ranging from infants to elders. The cost –effectiveness is to high to make estimation further and it will become the heavy burdens of medical service. Methods: the method of this study is to observe all patients due to fall accidents over a 12 months’ period in the emergency department of Chung Shan Medical University Hospital (CSMUH). The survivors and deaths databases were collected prospectively from CSMUH’s emergency department for analysis. Results: There were 319 patients in this study, include of 162 males and 157 females. Our findings show that laceration and head injuries predominated in children victims. Hip fracture predominated in the old patients’ fracture accidents. Head and chest injures were the major cause of deaths (The morality rate is 1.6%). About the fall accidents occur in the same level at home, accidents in bathroom are the most common cause in the old age group (31%) and the fall accident sin guest room are prevalent in babies and children (22%). However, fall from stairs or steps are the most common place in difference levels. Therefore, our study is to analyze and discuss something about the accidents’’ time and place; the age and sex of patients; the degree, location and outcome of injuries: the influence factors of personal life habits and relating environment factors. Conclusions: According to our study results, we have several suggests in order to prevent fall accidents: 1. Educations and safety trainings for all ages especially the elder; prevention such as stairs & bathroom designs (such as the equipments of the auxiliary balustrade and the skid cushion) and risk control may be the most effective polities to reduce falls. 2. Enough exercise (especially the older) 3. To popularize the concepts of home safety precaution (ex. To improve the safety of bathroom and staircase) |
本系統中英文摘要資訊取自各篇刊載內容。