首页|基于目标策略的风险管理对降低急诊眩晕患者跌倒风险的价值

基于目标策略的风险管理对降低急诊眩晕患者跌倒风险的价值

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目的 探讨基于目标策略的风险管理对降低急诊眩晕患者跌倒风险的价值.方法 前瞻性纳入2021年3月至2023年3月86例医院急诊眩晕患者进行随机对照研究.通过随机数字表法将其分为观察组与对照组,各43例.对照组患者接受常规干预措施,观察组在对照组基础上接受基于目标策略的风险管理干预,两组均连续干预30 d.对比干预前、干预30 d后跌倒风险[眩晕残障程度评定量表(DHI)、Morse跌倒风险评估量表(MFS)]、平衡能力[简明平衡评价系统测试量表(mini-BESTest)、Berg平衡量表(BBS)].结果 干预后,两组DHI、MFS评分下降,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组mini-BESTest、BBS评分均上升,且观察组高于对照组,差异有统计学意义(P<0.05).结论 基于目标策略的风险管理可有效提高急诊眩晕患者平衡能力,降低跌倒风险.
Value of Risk Management Based on Target Strategy to Reduce the Risk of Falls in Emergency Dizziness Patients
Objective To explore the value of risk management based on target strategy to reduce the risk of falls in emergency dizziness patients.Methods A prospective randomized controlled study was conducted on 86 emergency dizziness patients from March 2021 to March 2023.They were divided into an observation group and a control group using a random number table method,with 43 cases in each group.The control group received routine intervention measures,while the observation group received risk management interventions based on target strategies on the basis of the control group.Both groups received continuous intervention for 30 days.Fall risk[Dizziness handicap inventory(DHI),Morse fall risk scale(MFS)],balance ability[mini-balance evaluation systems test(Mini-BESTest),Berg balance scale(BBS)]were compared before and 30 days after intervention.Results After intervention,the DHI and MFS scores of the two groups decreased,and the observation group was lower than the control group,with a statistical significant difference(P<0.05).After intervention,the mini-BESTest and BBS scores of both groups significantly increased,and the observation group was higher than the control group,with a statistical significant difference(P<0.05).Conclusion Risk management based on target strategies can effectively improve the balance ability of emergency dizziness patients and reduce the risk of falls.

dizzinessfall risktarget strategyrisk management model

张龙、赵芳芳、边丽、马长青

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河南中医药大学第一附属医院急诊科,河南郑州 450000

眩晕 跌倒风险 目标策略 风险管理模式

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)