首页|跌倒风险评估理论指导下的分层康复护理在预防帕金森病患者跌倒的效果分析

跌倒风险评估理论指导下的分层康复护理在预防帕金森病患者跌倒的效果分析

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目的 探讨跌倒风险评估理论指导下的分层康复护理在预防帕金森病患者跌倒中的效果.方法 随机选取2021年8月—2023年8月徐州医科大学附属医院收治的90例帕金森病患者为研究对象,根据不同护理方法分为对照组和研究组,各45例.对照组实施常规康复护理干预,研究组实施跌倒风险评估理论指导下的分层康复护理措施.对比两组心理状态、预防跌倒知信行水平、步态功能及跌倒事件发生率.结果 护理前,两组心理状态评分对比,差异无统计学意义(P>0.05);护理后,两组心理状态评分低于护理前,研究组低于对照组,差异均有统计学意义(P均<0.05).护理前,两组预防跌倒知信行水平评分对比,差异无统计学意义(P>0.05);护理后,两组预防跌倒知信行水平评分高于护理前,研究组高于对照组,差异均有统计学意义(P均<0.05).护理前,两组步态功能对比,差异无统计学意义(P>0.05);护理后,两组步态功能优于护理前,研究组优于对照组,差异均有统计学意义(P均<0.05).研究组跌倒事件总发生率为2.22%(1/45),低于对照组的17.78%(8/45),差异有统计学意义(χ2=4.444,P=0.035).结论 在预防帕金森病患者跌倒中应用跌倒风险评估理论指导下的分层康复护理,可有效改善患者心理状态,提升其预防跌倒知信行水平及步态功能,进而有效减少患者发生跌倒等不良事件.
Analysis of the Effect of Stratified Rehabilitation Nursing under the Guid-ance of Fall Risk Assessment Theory in the Prevention of Falls in Patients with Parkinson's Disease
Objective To explore the effect of stratified rehabilitation nursing under the guidance of fall risk assess-ment theory in preventing falls in patients with Parkinson's disease.Methods A total of 90 patients with Parkinson's disease admitted to the Affiliated Hospital of Xuzhou Medical University from August 2021 to August 2023 were ran-domly selected as the research objects.According to different nursing methods,they were divided into control group and study group,with 45 cases in each group.The control group was given routine rehabilitation nursing intervention,and the study group was given stratified rehabilitation nursing under the guidance of fall risk assessment theory.The psychological state,knowledge,attitude and practice level of fall prevention,gait function and incidence of fall events were compared between the two groups.Results Before nursing,there was no significant difference in psychological state score between the two groups(P>0.05).After nursing,the psychological state scores of the two groups were lower than those before nursing,and the study group was lower than the control group,the differences were statistically sig-nificant(all P<0.05).Before nursing,there was no significant difference in the scores of knowledge,attitude and prac-tice of fall prevention between the two groups(P>0.05);after nursing,the scores of knowledge,attitude and practice of fall prevention in the two groups were higher than those before nursing,and the scores in the study group were higher than those in the control group,the differences were statistically significant(all P<0.05).Before nursing,there was no significant difference in gait function between the two groups(P>0.05);after nursing,the gait function of the two groups were better than those before nursing,and the study group was better than the control group,the differences were statistically significant(all P<0.05).The total incidence of falls in the study group was 2.22%(1/45),which was lower than 17.78%(8/45)in the control group,and the difference was statistically significant(χ2=4.444,P=0.035).Conclusion The application of stratified rehabilitation nursing under the guidance of fall risk assessment theory in the prevention of falls in patients with Parkinson's disease can effectively improve the psychological state of patients,im-prove their level of knowledge,belief and behavior in the prevention of falls and gait function,and thus effectively re-duce the incidence of falls and other adverse events.

Parkinson's diseaseFall risk assessment theoryStratified rehabilitation nursingMental stateKnow the faithGait function

吕莲莲、赖建惠、韩晓玉

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徐州医科大学附属医院神经内科,江苏 徐州 221000

帕金森 跌倒风险评估理论 分层康复护理 心理状态 知信行 步态功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(33)