Current situation and influencing factors of self-awareness of falls in elderly patients with primary glaucoma

doi:10.3761/j.issn.0254-1769.2026.04.010

Abstract

Abstract:

Objective To understand the current status of self-awareness of falls in elderly patients with primary glaucoma and analyze its influencing factors，so as to provide a reference for the implementation of targeted interventions. Methods Using the convenience sampling method，235 elderly patients with primary glaucoma who visited the ophthalmology outpatient department and were hospitalized in the ward of a tertiary grade A hospital in Zhengzhou from January 2024 to January 2025 were selected as survey subjects. The survey was conducted using the General Information Questionnaire，Self-Awareness of Falls in the Elderly Scale，Fear of Falling Questionnaire-Reversed，Pittsburgh Sleep Quality Index，and the Social Support Rating Scale. Multiple linear regression analysis was used to explore the influencing factors of fall self-awareness in elderly patients with primary glaucoma. Results A total of 226 valid questionnaires were retrieved，with a recovery rate of 96.17%. The total score of self-awareness of falls in elderly patients with primary glaucoma was（65.31±15.55） points. The results of multiple linear regression analysis showed that age，disease duration，visual acuity，visual field defect，a history of falls in the past year，fear of falls，sleep quality，and social support were the influencing factors of fall self-awareness in patients（P<0.05），which could explain 55.4% of the variation. Conclusion Elderly patients with primary glaucoma have a relatively high awareness of falls. Nursing staff should conduct targeted health education and safety guidance on fall prevention based on their influencing factors to prevent falls.

Key words: Aged, Primary Glaucoma, Falls, Root Cause Analysis, Nursing Care

摘要：

目的了解老年原发性青光眼患者跌倒警觉度现状并分析其影响因素，为医护人员制订针对性干预策略提供参考。方法采用便利抽样法，于2024年1月—2025年1月选取郑州市某三级甲等医院眼科门诊就诊及病房住院的235例老年原发性青光眼患者作为调查对象，采用一般资料调查表、跌倒警觉度量表、修订版跌倒恐惧量表、匹兹堡睡眠质量指数、社会支持评定量表进行调查。采用多重线性回归分析探讨老年原发性青光眼患者跌倒警觉度的影响因素。结果回收有效问卷226份，有效问卷回收率为96.17%。老年原发性青光眼患者跌倒警觉度总分为（65.31±15.55）分，多重线性回归分析结果显示，年龄、病程、视力情况、视野缺损、近1年跌倒史、跌倒恐惧、睡眠质量、社会支持是患者跌倒警觉度的影响因素（P<0.05），可解释55.40%的变异。结论老年原发性青光眼患者跌倒警觉度较高，护理人员应根据其影响因素进行针对性防跌倒健康教育和安全指导，以预防跌倒发生。

关键词: 老年人, 原发性青光眼, 跌倒, 影响因素分析, 护理

JIN Guanzhen, LIU Yanjin, JIN Bo, WANG Yanyan, ZHANG Ling, LIU Fangfang. Current situation and influencing factors of self-awareness of falls in elderly patients with primary glaucoma[J]. Chinese Journal of Nursing, 2026, 61(4): 506-512.

金冠珍, 刘延锦, 金波, 王彦艳, 张玲, 刘芳芳. 老年原发性青光眼患者跌倒警觉度现状及影响因素研究[J]. 中华护理杂志, 2026, 61(4): 506-512.

Figures/Tables 4

Table 1 General information of elderly patients with primary glaucoma and univariate analysis results of self-awareness of falls（n=226）

Table 2 Correlation analysis results of self-awareness of falls，fall fear，sleep quality and social support in elderly patients with primary glaucoma（n=226）

Table 3 Assignment methods for independent variables

Table 4 Results of multiple linear regression analysis of factors influencing self-awareness of falls in elderly patients with primary glaucoma（n=226）

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