首页|老年人多次跌倒经历体验和预防需求的质性研究

老年人多次跌倒经历体验和预防需求的质性研究

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目的 了解老年人多次跌倒的经历及其心理体验。方法 采用现象学研究法,2022年3-12月选取12例有多次跌倒(1年内跌倒≥2次)经历的我院住院/门诊老年人进行半结构访谈,采用Giorgi质性研究资料分析法进行分析。结果 提炼出4个类别,共7个主题。(1)跌倒情境描述:同一人的多次跌倒情境呈现相似性;在发生方向改变或位置移动时易跌倒。(2)跌倒心理体验:对跌倒的重视程度的变化;担心增加照护者负担;忧虑跌倒对日常生活能力的影响。(3)受访者对于跌倒原因的感知。(4)对预防跌倒的需求。结论 应关注多次跌倒老年人的方向改变和位置转移问题,加强患者改变体位动作的任务训练,未来健康教育的重点在于提高老年人对于跌倒风险的全面认知,建议防跌倒项目应综合考虑老年人的动机、能力和机会进行开发和宣传。
Qualitative study on the experience and prevention demand of recurrent falls in the elderly
Objective To understand the experience and psychological activity of repeated falls in the elderly.Methods Using the phenomenological research method,12 elderly inpatients/outpatients with multiple falls(≥2 falls within one year)were selected for semi-structured interviews from March to December 2022.Giorgi qualitative re-search data analysis method was used for data analysis.Results A total of 4 categories were extracted,and there were 7 themes.(1)Description of falling situations:Multiple falling situations of the same person were similarity;It was easy to fall when there was a change in direction or movement in position.(2)Psychological experience of falls:Changes in the level of emphasis placed on falls;Worried about increasing the burden on caregivers;Worried about the impact of falls on daily living abilities.In addition,the respondents'perceptions of the causes of falls and their needs for preventing falls were also summarized.Conclusion More attention should be paid to the problems of direc-tion change and position transfer in the elderly with multiple falls,and the task training of changing patients position movement should be strengthened.In the future,health education should focus on improving the comprehensive cog-nition of the elderly on the risk of falling,and it is suggested that fall prevention programs should be developed and publicized by considering the motivation,capability,and opportunities of older adults.

elderlyfallexperiencequalitative research

王斗、张炜、纪伟、胡洁琼、赵乐妍

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首都医科大学附属北京友谊医院老年医学科,北京 100050

老年人 跌倒 体验 质性研究

北京市医院管理局临床医学发展专项(扬帆计划)重点医学专业项目中华医学会杂志社护理学科研究课题北京友谊医院科研启动资金护理专项

ZYLX202102CMAPH-NRI2021050yyqdkt2020-38

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(10)
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