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老年脑血管病住院患者跌倒发生率的影响因素研究。

Research on the influence factors of the fall efficiency of the hospitalized geriatric patients with cerebrovascular diseases.

作者信息

Li Weili, Cheng Ruilian

机构信息

Nursing department, Zhengzhou People's Hospital, Zhengzhou, China.

出版信息

Pak J Pharm Sci. 2016 Nov;29(6 Suppl):2343-2348.

Abstract

To investigate the fall efficiency and its influence factors of the hospitalized geriatric patients with cerebrovascular diseases. The Modified Fall Efficacy Scale (MFES), Morse Fall Risk Assessment Scales (MFS), Berg Balance Scale (BBS) and Tinetti Gait Analysis (TGA) were adopted and the combined ways of questionnaires and observation were utilized to investigate the 113 hospitalized geriatric patients with cerebrovascular diseases. The fall efficiency of the geriatric patients with cerebrovascular diseases were 7.85±2.57 scores. The two projects "walking up and down stairs" and "taking public transport means" have got the lowest scores; The two projects "stretching out the hand to the box or the drawer for taking something" and "sitting up and down to the chair" have got the highest scores. It was found that there were three factors which had significant influences on the fall efficiency, they were myodynamia of the right upper extremity, Berg balance functions and gait. For the sake of helping the geriatric patients with cerebrovascular diseases to establish the self-confidence of preventing the falls, the medical workers need to take further psychological counseling for the patients and befittingly and specifically to improve the fall efficiency of patients so as to effectively prevent the occurring of the fall on the basis of improving the balance ability and gait of patients.

摘要

探讨老年脑血管病住院患者的跌倒效能及其影响因素。采用改良跌倒效能量表(MFES)、莫尔斯跌倒风险评估量表(MFS)、伯格平衡量表(BBS)和蒂内蒂步态分析(TGA),运用问卷调查与观察相结合的方式,对113例老年脑血管病住院患者进行调查。老年脑血管病患者的跌倒效能得分为7.85±2.57分。“上下楼梯”和“乘坐公共交通工具”两个项目得分最低;“伸手到箱子或抽屉拿东西”和“从椅子上坐起和坐下”两个项目得分最高。结果发现,对跌倒效能有显著影响的因素有3个,分别为右上肢肌力、伯格平衡功能和步态。为帮助老年脑血管病患者建立预防跌倒的信心,医护人员需对患者进行进一步的心理疏导,并针对性地提高患者的跌倒效能,以便在改善患者平衡能力和步态的基础上,有效预防跌倒的发生。

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