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对于既往患过脊髓灰质炎的患者,是否有必要采取预防跌倒的干预措施?

Is Intervention to Prevent Falls Necessary in Prior Polio Patients?

作者信息

Skough Vreede Katarina, Broman Lisbet, Borg Kristian

机构信息

Division of Rehabilitation Medicine, Danderyd University Hospital and the Department of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.

出版信息

J Rehabil Med Clin Commun. 2020 Feb 27;3:1000023. doi: 10.2340/20030711-1000023. eCollection 2020.

Abstract

OBJECTIVE

To investigate whether intervention to prevent falls is necessary in prior polio patients, by identifying the frequency, circumstances and consequences of falls among patients in Sweden with prior polio.

SUBJECTS

Patients with prior polio diagnosis.

METHODS

A falls history questionnaire was completed by patients with prior polio visiting the outpatient clinic at the Department of Rehabilitation Medicine, Danderyd University Hospital, Stock-holm, Sweden, or participating in group activities organized by the patient organization.

RESULTS

A total of 80 patients answered the questionnaire; 32 men and 48 women. Eighty-one percent ( = 63/77) of respondents walked outdoors, but rarely more than 1 km, or only inside and near the house. Three-quarters of patients had fallen one or more times over the past year and one-quarter of patients had fallen 5 times or more. The falls often occurred during daytime in an environment known to the patient. Sixty-nine percent ( = 40/58) of respondents had been injured due to falling during the past year. The most common injuries were minor injuries.

CONCLUSION

Falls are common in patients in Sweden with prior polio. Interventions to prevent falls in people with prior polio are therefore clinically relevant.

摘要

目的

通过确定瑞典既往患小儿麻痹症患者跌倒的频率、情况及后果,调查对既往患小儿麻痹症患者进行预防跌倒干预是否必要。

对象

既往诊断为小儿麻痹症的患者。

方法

瑞典斯德哥尔摩丹德吕德大学医院康复医学科门诊就诊的既往患小儿麻痹症患者或参与患者组织举办的集体活动的患者填写跌倒病史问卷。

结果

共有80名患者回答了问卷,其中男性32名,女性48名。81%(63/77)的受访者在户外行走,但很少超过1公里,或仅在房屋附近及屋内行走。四分之三的患者在过去一年中跌倒过一次或多次,四分之一的患者跌倒过5次或更多次。跌倒常发生在白天患者熟悉的环境中。69%(40/58)的受访者在过去一年中因跌倒而受伤。最常见的损伤为轻伤。

结论

瑞典既往患小儿麻痹症的患者中跌倒很常见。因此,对既往患小儿麻痹症的人进行预防跌倒的干预具有临床意义。

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Falls, fear of falling, self-reported impairments, and walking limitations in persons with late effects of polio.
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