龙氏量表测量的脑卒中患者跌倒与日常生活活动之间的关联：一项横断面研究
Association Between Falling and Activities of Daily Living Measured by the Longshi Scale in Patients Poststroke: A Cross-sectional Study.
作者信息
Li Dongxia, Zha Fubing, Wang Yulong
机构信息
Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
出版信息
J Nurs Care Qual. 2023;38(2):E25-E31. doi: 10.1097/NCQ.0000000000000679. Epub 2022 Dec 3.
BACKGROUND
Activities of daily living comprise an important risk factor for falls among patients who have suffered a stroke.
PURPOSE
To investigate the incidence of falls in patients with stroke, categorized by their Longshi grades (bedridden, domestic, community), and to explore their risk factors for falls.
METHODS
A cross-sectional descriptive design was used. Patients completed a survey during face-to-face interviews.
RESULTS
Of the 869 participants, 15.7% experienced a fall. Those in the domestic Longshi group had the highest rate of falls. Approximately 30% experienced either a moderate or severe injury as a result of falling. In addition, being older than 70 years was significantly correlated with fall risk. Intermediate Longshi grades, from moderately dependent to slightly dependent, were also positively correlated with falls.
CONCLUSION
Patients with stroke in the domestic Longshi group have a higher rate of falls. The risk of falling increased significantly in those with intermediate Longshi grades.
背景
日常生活活动是中风患者跌倒的一个重要风险因素。
目的
按龙氏分级（卧床、居家、社区）对中风患者的跌倒发生率进行调查，并探讨其跌倒的风险因素。
方法
采用横断面描述性设计。患者在面对面访谈期间完成一项调查。
结果
在869名参与者中，15.7%的人发生过跌倒。居家龙氏组的跌倒发生率最高。约30%的人因跌倒而受到中度或重度伤害。此外，年龄大于70岁与跌倒风险显著相关。从中度依赖到轻度依赖的中间龙氏分级也与跌倒呈正相关。
结论
居家龙氏组的中风患者跌倒发生率较高。龙氏分级处于中间水平的患者跌倒风险显著增加。
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