Health Problems and Factors Contributing to Accident in Elderly, Makha Sub-District, Nontai District, Nakhon Ratchasima Province

Abstract

Abstract

          A cross - sectional descriptive research aimed to study health problems and related factors of accident in elderly people who live in Makha Sub-district, Non Thai District, Nakhon Ratchasima Province. 236 of 686 elderly people with aged 60 years and over were estimated by a proportion sample size calculation formular in case of know population. Two forms were used for data collection between January to May 2021, interview and environmental forms. Descriptive statistics such as percentage, mean, standard deviation, minimum and maximum were used for general characteristics explanation. In case of bivariate correlation, Chi-square and Fisher-exact test were analyzed. Moreover, when there were multi-factor correlation, multiple logistic regression with Odds Ratio (OR _adj) with 95% confidence interval were done

            The results revealed that health problem situation of elderly people was congenital disease (48.73%). Three main conditions were found as hypertension (73.04%), Hyperlipidemia (41.74%) and diabetes mellitus (26.09%). Focused on accident over one year apart, during daily activities accident was found as a majority crisis (77.78%) with two main causes, falling (42.22%) and cutting wound from sharp objects (33.33%). Turned to correlation analysis, six factors were found with statistical significance. First, lower – weight in 60-69 years  (OR_adj=7.43, 95%CI = 1.64 - 33.57, p-value=0.009). Second, Moderate physical health condition (OR_adj =0.05, 95%CI=0.01-0.62, p-value=0.019). Third, not exercising (OR_adj =0.05, 95%CI=0.01-0.62, p-value=0.019). Fourth, pet caring in house area (OR_adj =3.65, 95%CI=1.04-12.84, p-value=0.044). Fifth, rough floor around house area in 70-79 years old group (OR_adj =0.20, 95%CI=0.05-0.91, p-value=0.037) and finally factor, steep walkway around house area in 80 years and over group (OR_adj =8.83, 95%CI=1.37-57.12, p-value=0.022)

            Suggestion; nutritional health promotion and exercise for elderly people should be boosted. In additions, in house and surrounded area be needed to regulate for accidental prevention in elderly people.

Keywords : Factors Related, Accident, Elderly