The 5th Asian Regional conference on Safe Communities
影响老年人居家安全相关因素探讨
林美珠 1主任 陈姿伶2讲师 曾宁旖3 理事长
（1台北市文山区健康服务中心 2台北护理学院 3忠顺社区发展协会，中国台湾）
【摘要】 为评估社区内老年人居家环境安全程度，台北市文山区健康服务中心采用台北市政府卫生局研发的居家安全访问表对文山区忠顺社区65岁以上老年人进行了访问，并以滚雪球方式询问有意愿者参与问卷调查及结果研究。研究认为：居家安全是营造社区安全重要的一环，居家环境中不平的地毯、电线、绳索、家具、儿童玩具、光滑的地板、湿滑的浴厕室及室内光线过暗或过亮等，都容易造成老年人跌倒。研究还认为，男性、独居的老年人是推行居家安全中最需要被注意的群体。文山区健康服务中心将加强对居家环境安全相关知识的宣传，改善社区老年人的社会网络，通过受过培训的志愿者上门服务来提高老年人的居家安全。
【关键词】 居家安全 调查 跌倒 伤害预防
Factors Related to Seniors' Home Safety – A Case in Jhongshun
Borough, Wenshan District, Taipei City, Taiwan
Mei-Chu Lin1, Tsi-Ling Chen2, Ning-Chi Tseng3
(1 Director, Wenshan District Health Center, 2 Lecturer, National Taipei College of Nursing, 3 President,
Jhongshun Community Development Committee, Taipei City, Taiwan, China)
Abstract: Background: Past studies indicated that 10%~20% of seniors have experienced falls. Studies also show most falls occur in the bathroom, followed by the living room. Therefore, home safety is crucial for preventing senior fall.
Method: Using the "Home Safety Visitation Check-list" developed by the Department of Health, the senior nursing students of the Department of Nursing, NTCN, conducted actual household visits. Using the snowball sampling method, seniors who are 65 years of age or older in Jhongshun Borough of Wenshan District were asked to participate in the survey. The visits took place in October- November of 2008, and 124 valid questionnaires were collected. The data was analyzed using SPSS 14.
Findings: The study results showed that 60% of the respondents thought home safety referred to issues such as fire and theft. The most concerned space was in the bathroom (76%). The risk hazards are: toilet, sink, or bathtub without handrails. The door handle is not T-shaped, and no anti-slippery chairs. The logistic regression analysis revealed that people who are older (OR=5.5), less educated (OR=2.1), and not living with sons/daughters (OR=22.8) have more home safety
423
The 5th Asian Regional conference on Safe Communities
hazards in their surroundings. It is also statistically significant that males have more home safety hazards than females.
Conclusion and Suggestion: "Home safety" is an important component of a safe community. Factors of home safety such as uneven carpet, power cords, ropes, furniture, children's toys, slippery floor, wet bathroom, and overly bright or dark indoors could all result in senior falls. In this study, we have determined that male seniors who live alone are the group that needs more assistance in terms of home safety. Also, most of the public's knowledge regarding "home safety" is limited to immediate physical threats such as fire or theft instead of the home environment that we depend on everyday. More education regarding home safety environment, improving seniors' social network, and fully enhancing seniors' home safety environment by trained home safety volunteers’ home visits are recommended.
Key words: home safety, investigate, fall, injury prevention
Background
Home safety is significantly correlated to senior falls. Past studies indicated that 10%~20% of seniors have experienced falls. Studies also show most falls occur in the bathroom, followed by the living room. Senior fall is a burden on a nation's resources and medical expenses as well as a family's financial and physical/mental stress (Lin & Wang, 2004). Therefore, home safety is crucial for preventing senior fall. To address this issue, we examined factors related to seniors' home safety in hope that providing information for the government's future policies as well as raising the public's consciousness. Method
Using the "Home Safety Visitation Check-list" developed by the Department of Health, the senior nursing students of the Department of Nursing, NTCN, conducted actual household visits. Using the snowball sampling method, seniors who are 65 years of age or older in Jhongshun Borough of Wenshan District were asked to participate in the survey. The visits took place in October- November of 2008, and 124 valid questionnaires were collected. The data was analyzed using SPSS 14.
Table 1 What Home Safety Is
N＝124
1. Home safety refers to the prevention of fire or theft. 2. Home safety refers to home environmental safety that covers the entire household
surrounding.
60% 40%
424
The 5th Asian Regional conference on Safe Communities
Table 2 Top 5 Bathroom Risk Factors
Findings
Toilet without handrailsSink without handrails handrails
Non-T shaped 54% door-handles No anti-slippery chairs
50% N＝12466% 64%
Bathtub without 55%
To test sample representativeness, the study subjects’ age were compared with the age of the seniors in Wenshan District in 2007 using Chi-square. The result (X2=3.84, p=0.28) indicating there was no significant difference. The study results showed that 60% of the respondents thought home safety referred to issues such as fire and theft (Table 1). Most of the spaces that failed to meet home safety were in the bathroom (76%). The risk hazards are: toilet, sink, or bathtub without handrails. The door handle is not T-shaped, and no anti-slippery chairs (Table 2). The logistic regression analysis revealed that people who are older (OR=5.5), less educated (OR=2.1), and not living with their children (OR=22.8) have more home safety hazards in their surroundings. It is also statistically significant that males have more home safety hazards than females (Table 3).
Table 3 Regression Analysis of Senior Home Safety Variable
Failed home safety
OR 95%CI p value age 5.5 0.70-5.96 0.05＊ gender 0.2 family type
22.8
1.29-9.29 0.1 1.46-3.23
＜0.001＊＊＊
level of 2.1 0.84-2.3 0.03＊ education
*p＜.05, **p＜.01, ***p
Conclusion and Suggestion
"Home safety" is an important component of a safe community. Factors of home safety such as uneven carpet, power cords, ropes, furniture, children's toys, slippery floor, wet bathroom, and overly bright or dark indoors could all result in senior falls. In this study, we have determined that male seniors who live alone are the group that needs most assistance in terms of home safety. Also,
425
The 5th Asian Regional conference on Safe Communities
most of the public's knowledge regarding "home safety" is limited to immediate physical threats such as fire or theft instead of the home environment that we depend on everyday. More education regarding home safety environment, improving seniors' social network, and fully enhancing seniors' home safety environment by trained home safety volunteers’ home visits are recommended
426
影响老年人居家安全相关因素探讨
作者：作者单位：
林美珠， 陈姿伶， 曾宁旖
林美珠(台北市文山区健康服务中心)， 陈姿伶(台北护理学院)， 曾宁旖(忠顺社区发展协会，中国台湾)
本文读者也读过(7条)
1. 李志菊.张建凤.王芳云.王惠明.江梅.汪星 护理干预对社区空巢老年人居家环境安全的影响[期刊论文]-全科护理2011,09(29)2. 安贞街道办事处 安贞安全社区空巢老年人居家安全问题及对策[会议论文]-20093. 蒋莹 老年人常见安全问题与护理对策[期刊论文]-健康天地2010,04(11)
4. 朱亮.马本和 老年人家居环境安全性设计应用[期刊论文]-吉林广播电视大学学报2011(8)5. 游丽惠.黄百慧.丘文祥.林秀亮.张秀薇 台北市老人的居家安全环境调查与改善[会议论文]-20096. 王丹花 老年人居家环境设计浅析[期刊论文]-美与时代（下半月）2008(1)
7. 许红璐.成守珍.严凤娇.Xu Honglu.Cheng Shouzhen.Yan Fengjiao 广州市老年人髋部骨折术后居家环境改进需求调查分析[期刊论文]-现代临床护理2007,6(1)
本文链接：http://d.g.wanfangdata.com.cn/Conference_7169437.aspx
The 5th Asian Regional conference on Safe Communities
影响老年人居家安全相关因素探讨
林美珠 1主任 陈姿伶2讲师 曾宁旖3 理事长
（1台北市文山区健康服务中心 2台北护理学院 3忠顺社区发展协会，中国台湾）
【摘要】 为评估社区内老年人居家环境安全程度，台北市文山区健康服务中心采用台北市政府卫生局研发的居家安全访问表对文山区忠顺社区65岁以上老年人进行了访问，并以滚雪球方式询问有意愿者参与问卷调查及结果研究。研究认为：居家安全是营造社区安全重要的一环，居家环境中不平的地毯、电线、绳索、家具、儿童玩具、光滑的地板、湿滑的浴厕室及室内光线过暗或过亮等，都容易造成老年人跌倒。研究还认为，男性、独居的老年人是推行居家安全中最需要被注意的群体。文山区健康服务中心将加强对居家环境安全相关知识的宣传，改善社区老年人的社会网络，通过受过培训的志愿者上门服务来提高老年人的居家安全。
【关键词】 居家安全 调查 跌倒 伤害预防
Factors Related to Seniors' Home Safety – A Case in Jhongshun
Borough, Wenshan District, Taipei City, Taiwan
Mei-Chu Lin1, Tsi-Ling Chen2, Ning-Chi Tseng3
(1 Director, Wenshan District Health Center, 2 Lecturer, National Taipei College of Nursing, 3 President,
Jhongshun Community Development Committee, Taipei City, Taiwan, China)
Abstract: Background: Past studies indicated that 10%~20% of seniors have experienced falls. Studies also show most falls occur in the bathroom, followed by the living room. Therefore, home safety is crucial for preventing senior fall.
Method: Using the "Home Safety Visitation Check-list" developed by the Department of Health, the senior nursing students of the Department of Nursing, NTCN, conducted actual household visits. Using the snowball sampling method, seniors who are 65 years of age or older in Jhongshun Borough of Wenshan District were asked to participate in the survey. The visits took place in October- November of 2008, and 124 valid questionnaires were collected. The data was analyzed using SPSS 14.
Findings: The study results showed that 60% of the respondents thought home safety referred to issues such as fire and theft. The most concerned space was in the bathroom (76%). The risk hazards are: toilet, sink, or bathtub without handrails. The door handle is not T-shaped, and no anti-slippery chairs. The logistic regression analysis revealed that people who are older (OR=5.5), less educated (OR=2.1), and not living with sons/daughters (OR=22.8) have more home safety
423
The 5th Asian Regional conference on Safe Communities
hazards in their surroundings. It is also statistically significant that males have more home safety hazards than females.
Conclusion and Suggestion: "Home safety" is an important component of a safe community. Factors of home safety such as uneven carpet, power cords, ropes, furniture, children's toys, slippery floor, wet bathroom, and overly bright or dark indoors could all result in senior falls. In this study, we have determined that male seniors who live alone are the group that needs more assistance in terms of home safety. Also, most of the public's knowledge regarding "home safety" is limited to immediate physical threats such as fire or theft instead of the home environment that we depend on everyday. More education regarding home safety environment, improving seniors' social network, and fully enhancing seniors' home safety environment by trained home safety volunteers’ home visits are recommended.
Key words: home safety, investigate, fall, injury prevention
Background
Home safety is significantly correlated to senior falls. Past studies indicated that 10%~20% of seniors have experienced falls. Studies also show most falls occur in the bathroom, followed by the living room. Senior fall is a burden on a nation's resources and medical expenses as well as a family's financial and physical/mental stress (Lin & Wang, 2004). Therefore, home safety is crucial for preventing senior fall. To address this issue, we examined factors related to seniors' home safety in hope that providing information for the government's future policies as well as raising the public's consciousness. Method
Using the "Home Safety Visitation Check-list" developed by the Department of Health, the senior nursing students of the Department of Nursing, NTCN, conducted actual household visits. Using the snowball sampling method, seniors who are 65 years of age or older in Jhongshun Borough of Wenshan District were asked to participate in the survey. The visits took place in October- November of 2008, and 124 valid questionnaires were collected. The data was analyzed using SPSS 14.
Table 1 What Home Safety Is
N＝124
1. Home safety refers to the prevention of fire or theft. 2. Home safety refers to home environmental safety that covers the entire household
surrounding.
60% 40%
424
The 5th Asian Regional conference on Safe Communities
Table 2 Top 5 Bathroom Risk Factors
Findings
Toilet without handrailsSink without handrails handrails
Non-T shaped 54% door-handles No anti-slippery chairs
50% N＝12466% 64%
Bathtub without 55%
To test sample representativeness, the study subjects’ age were compared with the age of the seniors in Wenshan District in 2007 using Chi-square. The result (X2=3.84, p=0.28) indicating there was no significant difference. The study results showed that 60% of the respondents thought home safety referred to issues such as fire and theft (Table 1). Most of the spaces that failed to meet home safety were in the bathroom (76%). The risk hazards are: toilet, sink, or bathtub without handrails. The door handle is not T-shaped, and no anti-slippery chairs (Table 2). The logistic regression analysis revealed that people who are older (OR=5.5), less educated (OR=2.1), and not living with their children (OR=22.8) have more home safety hazards in their surroundings. It is also statistically significant that males have more home safety hazards than females (Table 3).
Table 3 Regression Analysis of Senior Home Safety Variable
Failed home safety
OR 95%CI p value age 5.5 0.70-5.96 0.05＊ gender 0.2 family type
22.8
1.29-9.29 0.1 1.46-3.23
＜0.001＊＊＊
level of 2.1 0.84-2.3 0.03＊ education
*p＜.05, **p＜.01, ***p
Conclusion and Suggestion
"Home safety" is an important component of a safe community. Factors of home safety such as uneven carpet, power cords, ropes, furniture, children's toys, slippery floor, wet bathroom, and overly bright or dark indoors could all result in senior falls. In this study, we have determined that male seniors who live alone are the group that needs most assistance in terms of home safety. Also,
425
The 5th Asian Regional conference on Safe Communities
most of the public's knowledge regarding "home safety" is limited to immediate physical threats such as fire or theft instead of the home environment that we depend on everyday. More education regarding home safety environment, improving seniors' social network, and fully enhancing seniors' home safety environment by trained home safety volunteers’ home visits are recommended
426
影响老年人居家安全相关因素探讨
作者：作者单位：
林美珠， 陈姿伶， 曾宁旖
林美珠(台北市文山区健康服务中心)， 陈姿伶(台北护理学院)， 曾宁旖(忠顺社区发展协会，中国台湾)
本文读者也读过(7条)
1. 李志菊.张建凤.王芳云.王惠明.江梅.汪星 护理干预对社区空巢老年人居家环境安全的影响[期刊论文]-全科护理2011,09(29)2. 安贞街道办事处 安贞安全社区空巢老年人居家安全问题及对策[会议论文]-20093. 蒋莹 老年人常见安全问题与护理对策[期刊论文]-健康天地2010,04(11)
4. 朱亮.马本和 老年人家居环境安全性设计应用[期刊论文]-吉林广播电视大学学报2011(8)5. 游丽惠.黄百慧.丘文祥.林秀亮.张秀薇 台北市老人的居家安全环境调查与改善[会议论文]-20096. 王丹花 老年人居家环境设计浅析[期刊论文]-美与时代（下半月）2008(1)
7. 许红璐.成守珍.严凤娇.Xu Honglu.Cheng Shouzhen.Yan Fengjiao 广州市老年人髋部骨折术后居家环境改进需求调查分析[期刊论文]-现代临床护理2007,6(1)
本文链接：http://d.g.wanfangdata.com.cn/Conference_7169437.aspx