中国全科医学2013，Vol.16Issue(5)：575-578,4.DOI:10.3969/j.issn.1007-9572.2013.02.071
综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价
Comprehensive Nursing Intervention for Prevention of Accidental Falls of Community Elderly Patients with Hypertension or Diabetes
摘要
Abstract
Objective To study the effectiveness of comprehensive nursing intervention in prevention of accidental falls of community elderly patients with hypertension or diabetes. Methods One hundred elderly patients with hypertension or diabetes collected from March to September in 2012, were divided randomly into control and intervention groups, 50 in each. Intervention group were given comprehensive nursing intervention such as interventions of drug, exercise, diet, environment and daily life, health education, monthly home visit. The fall incidence, cognitive rate of fall risk factors, fall preventing behaviors were evaluated after 6 months. Results ( 1 ) Before intervention, the fall incidence was 18. 0% ( 9/50 ) in control group, 24. 0% ( 12/50 ) in intervention group, the difference was not significant ( x2 = 0. 542, P > 0. 05 ), but after intervention, 26. 0% ( 13/50 ), 8. 0% ( 4/50 ), respectively, the difference was significant ( x2 =5. 741, P <0. 05 ). There was no significant difference between pre - and post - intervention in control group ( x2 = 0. 932, P > 0. 05 ), but was in intervention group ( x =4. 762, P <0. 05 ). ( 2 ) Before intervention, there ware no significant differences in cognitive rate of fall risk factors between 2 groups ( P >0. 05 ), but there were after intervention ( P <0. 05 ). There was no significant difference in cognitive rate of fall risk factors between pre - and post - intervention in control group ( P > 0. 05 ), but there was in intervention group ( P <0. 05 ). ( 3 ) There was no significant difference in fall preventing behaviors between 2 groups before intervention ( P > 0. 05 ), but after intervention there was except in regular physical examination and installing handrails in bathrooms and toilets ( P < 0. 05 ); In control group, there was no significant difference between pre - and post - intervention ( P > 0. 05 ), but there was in intervention group except in regular physical examination, installing handrails in bathrooms and toilets, and holding handrails when going up - or down - stairs ( P <0. 05 ). Conclusion Comprehensive nursing intervention can improve effectively the fall cognitive levels of community elderly patients with hypertension or diabetes, to impel them to take measures to prevent occurrence of accidental falls. Community medical staff should carry out actively comprehensive nursing intervention to improve the survival quality of elderly patients.关键词
老年人/高血压/糖尿病/意外跌倒/社区保健护理Key words
Aged/ Hypertension/ Diabetes mellitus/ Accidental falls/ Community health nursing分类
医药卫生引用本文复制引用
毛晓润,杜文娟,徐月贞,陈瑞明,巩存涛,焦娜娜,李新辉..综合护理干预预防社区老年高血压或糖尿病患者跌倒的效果评价[J].中国全科医学,2013,16(5):575-578,4.基金项目
兵团科技攻关计划项目"老年慢性病社区规范化护理技术研究"(2010GG48) （2010GG48）
人力资源和社会保障部2010年留学回国人员科技活动项目"老年慢性病病人社区规范化护理技术研究"(2010LX002) （2010LX002）
