Fang Hong
Xinxiang Central Hospital, Xinxiang City, Henan Province, PR China.
Pak J Pharm Sci. 2017 May;30(3(Suppl.)):939-942.
This study aims to observe the tumble status for senior patients with cerebrovascular disease, and to analyze the balance and gait condition in order to provide the basis for clinical prevention and nursing care. A total of 48 senior patients with cerebrovascular disease were investigated with the Tinetti balance and gait evaluation, and the relation between tumble occurrence and balance ability was interrogated. The total score of balance evaluation value and gait value for 89.1% of the senior patients with cerebrovascular disease was fewer than 19 points, which indicated a risk of tumble. The majority of patients could not complete the immediate standing balance well, turning stand balance, mild chest-pushed balance and eyes-closed standing balance. The occurrence of immediate standing balance and turning stand balance fewer than three times was less frequent than the occurrence of tumble for one time, which had significant difference (P<0.05). The senior patients with cerebrovascular disease and immediate standing balance and turning stand balance could easily tumble many times, which was crucial for the nursing staff to carry out preventive strategies. Detailed observations of balance and gait function for senior patients were described, which provided a promising basis for designing appropriate nursing measures.
本研究旨在观察老年脑血管疾病患者的跌倒状况,分析其平衡和步态情况,为临床预防及护理提供依据。采用Tinetti平衡与步态评估法对48例老年脑血管疾病患者进行调查,探讨跌倒发生与平衡能力的关系。89.1%的老年脑血管疾病患者平衡评估值与步态值总分低于19分,提示有跌倒风险。多数患者不能很好地完成即时站立平衡、转身站立平衡、轻度推胸平衡和闭目站立平衡。即时站立平衡和转身站立平衡完成次数少于3次的发生率低于跌倒1次的发生率,差异有统计学意义(P<0.05)。老年脑血管疾病患者即时站立平衡和转身站立平衡完成情况差时易多次跌倒,这对护理人员实施预防策略至关重要。文中描述了对老年患者平衡和步态功能的详细观察结果,为制定合适的护理措施提供了有力依据。