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使用静脉输液杆行走时的方向变化研究:有停止和无停止转弯方法的比较。

Examining directional changes when walking with an intravenous pole: A comparison of turning methods with and without stopping.

作者信息

Hachigasaki Reiko

机构信息

Department of Nursing, Faculty of Health Science, Toho University, Chiba, Japan.

出版信息

Jpn J Nurs Sci. 2020 Oct;17(4):e12352. doi: 10.1111/jjns.12352. Epub 2020 Jun 30.

Abstract

AIM

This study aimed to examine safer turning methods by focusing on and comparing gait and turn methods in relation to stopping when executing a turn while walking with an intravenous (IV) pole.

METHODS

The study participants included 33 healthy men. A situation was recreated in which an IV drip was placed in the peripheral vein of the left forearm of the participants and the IV pole was maneuvered using the left hand. A series of six movements was executed, including turn left and right, stopping. Gait was measured (by observing turning motion, stride, walking speed and head tilt angle), and subjective assessments were performed.

RESULTS

Compared with walking normally, walking with an IV pole and executing turns resulted in a decrease in the walking speed, an increase in the time required for walking, a decrease in the stride and a forward tilting in the head angle. Turning left without stopping was mostly accompanied by a spin turn, and the probability of the pole legs coming into contact with participants' legs (15.2%) was higher than that in other assessed movements of walking with a pole. In the subjective assessment, turning left without stopping displayed a lower sense of security (p < .05) than turning left with stopping.

CONCLUSIONS

When turning while using an IV pole, the pole itself poses a risk of falling. Therefore, momentary stopping and checking the safety of one's footing is a preventive measure against falling.

摘要

目的

本研究旨在通过关注和比较在手持静脉输液杆行走时转弯并停止时的步态和转弯方式,来探究更安全的转弯方法。

方法

研究参与者包括33名健康男性。模拟一种情景,即给参与者的左前臂外周静脉放置静脉滴注,并使用左手操作静脉输液杆。执行一系列六个动作,包括向左和向右转、停止。测量步态(通过观察转弯动作、步幅、行走速度和头部倾斜角度),并进行主观评估。

结果

与正常行走相比,手持静脉输液杆行走并转弯会导致行走速度降低、行走所需时间增加、步幅减小以及头部角度向前倾斜。不停止向左转弯大多伴随着旋转转弯,输液杆腿与参与者腿部接触的概率(15.2%)高于其他评估的手持输液杆行走动作。在主观评估中,不停止向左转弯的安全感低于停止向左转弯(p < 0.05)。

结论

使用静脉输液杆转弯时,输液杆本身存在掉落风险。因此,短暂停止并检查立足点的安全性是预防跌倒的一种措施。

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