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脑卒中门诊患者跌倒预防知识与行为的相关性

The Correlation Between Fall Prevention Knowledge and Behavior in Stroke Outpatients.

作者信息

Huang Yanxia, Wu Chanchan, Peng Huiping, Chen Qiaogen, Fan Xiujun, Xiao Lilan, Song Baiyan, Wan Lihong

出版信息

J Neurosci Nurs. 2020 Apr;52(2):61-65. doi: 10.1097/JNN.0000000000000494.

Abstract

BACKGROUND

Stroke outpatients have a high risk of falling. However, fall prevention measures in the community are insufficient to effectively reduce the fall rate among outpatients with stroke. We aimed to determine the correlation between fall prevention knowledge and behavior among outpatients with stroke and provide new strategies for community fall prevention.

METHODS

We recruited 124 patients with stroke who were followed up in the outpatient department of a tertiary hospital in Zhuhai, China. Patients were assessed using a general information questionnaire, a fall prevention knowledge questionnaire for patients with stroke, and the Stroke Fall Prevention Behavior Scale. IBM SPSS 22.0 software was used for statistical analysis.

RESULTS

The median fall prevention knowledge was 82.76 (68.97, 93.10) points, out of 100. The mean (SD) score for fall prevention behavior was 2.90 (0.52; range, 1-4) points. Fall prevention knowledge scores were positively related to those fall prevention behavior (Spearman r = 0.454, P < .01).

CONCLUSION

Levels of fall prevention knowledge among outpatients with stroke were adequate, and this population had medium to high levels of fall prevention behavior. Better knowledge was accompanied with better prevention of falls. However, whether enriching the knowledge could lead to improvement of fall prevention is still undetermined.

摘要

背景

脑卒中门诊患者跌倒风险高。然而,社区中的跌倒预防措施不足以有效降低脑卒中门诊患者的跌倒率。我们旨在确定脑卒中门诊患者跌倒预防知识与行为之间的相关性,并为社区跌倒预防提供新策略。

方法

我们招募了124例在中国珠海某三级医院门诊随访的脑卒中患者。使用一般信息问卷、脑卒中患者跌倒预防知识问卷和脑卒中跌倒预防行为量表对患者进行评估。采用IBM SPSS 22.0软件进行统计分析。

结果

跌倒预防知识中位数为82.76(68.97,93.10)分(满分100分)。跌倒预防行为的平均(标准差)得分为2.90(0.52;范围1 - 4)分。跌倒预防知识得分与跌倒预防行为呈正相关(Spearman秩相关系数r = 0.454,P <.01)。

结论

脑卒中门诊患者的跌倒预防知识水平充足,该人群具有中高水平的跌倒预防行为。知识水平越高,跌倒预防效果越好。然而,丰富知识是否能改善跌倒预防仍不确定。

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