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老年脑卒中患者社会支持及跌倒恐惧与跌倒风险的关系

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目的 探讨老年脑卒中患者社会支持、跌倒恐惧、跌倒风险现状及三者之间的关系。方法 采用便利抽样法选取2021年12月—2022年3月辽宁中医药大学附属医院的脑卒中住院患者为研究对象,采用一般资料调查表、跌倒风险评估表、简明国际跌倒效能感量表及社会支持评定量表进行横断面调查。采用Pearson相关性分析探究老年脑卒中患者社会支持、跌倒恐惧及跌倒风险的相关性,采用AMOS24。0构建老年脑卒中患者社会支持、跌倒恐惧及跌倒风险结构方程模型,分析三者之间的关系。结果 共发放问卷251份,收回有效问卷246份,有效回收率为 98。01%。老年脑卒中患者社会支持得分(29。60±7。74)分、跌倒恐惧得分(21。02±4。23)分、跌倒风险得分(31。33±8。30)分。结构方程模型结果显示:社会支持对跌倒恐惧有直接负向作用(β=-0。533,P<0。05),对跌倒风险有直接负向作用(β=-0。640,P<0。05)和间接负向作用(β=-0。146,P<0。05),跌倒恐惧对跌倒风险有直接正向作用(β=0。284,P<0。05)。结论 老年脑卒中患者社会支持对跌倒风险和跌倒恐惧具有重要的抑制作用,跌倒恐惧对跌倒风险具有重要的促进作用。
Relationship between social support,fear of falling and fall risk in elderly stroke patients
Objective To explore the status quo of social support,fear of falling and risk of falling in elderly stroke patients and the relationship among them.Methods Stroke inpatients in the Affiliated Hospital of Liaoning Univer-sity of TCM from December 2021 to March 2022 were selected by convenience sampling method.General data question-naire,fall risk assessment scale,the international fall efficacy scale and the social support rating scale were used for cross-sectional investigation.Pearson correlation analysis was used to explore the correlation between social support,fear of fall-ing and fall risk in elderly stroke patients.AMOS24.0 was used to construct a structural equation model of social support,fear of falling and fall risk in elderly stroke patients to analyze the relationship among the three.Results A total of 251 questionnaires were distributed and 246 valid questionnaires were returned,with an effective recovery rate of 98.01%.The scores of social support,fear of falling and risk of falling in elderly stroke patients were 29.60±7.74,21.02±4.23 and 31.33±8.30.Structural equation model results showed that:Social support had a direct negative effect on fear of falling(β=-0.533,P<0.05)and a direct negative effect(β=-0.640,P<0.05)and an indirect negative effect(β=-0.146,P<0.05)on fear of falling.Fear of falling had a direct positive effect on risk of falling(β=0.284,P<0.05).Conclusion Social support for elderly stroke patients has an important inhibitory effect on the risk of falling and the fear of falling,while the fear of falling has an important promotional effect on the risk of falling.

strokefall risksocial supportfear of fallingagedstructural equation model

蒋丹、刘伟、马景双、王艳杰、李魏、张政

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辽宁中医药大学护理学院,辽宁 沈阳 110847

脑卒中 跌倒风险 社会支持 跌倒恐惧 老年人 结构方程模型

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(6)