摘要
目的调查住院脑血管病老年患者的跌倒效能及其影响因素。方法采用修订版跌倒效能量表(MFES)、Morse跌倒危险评估量表(MFS)、Berg平衡功能量表(BBS)及步态评估量表(TGA)等,利用调查问卷与观察测评相结合的方式,对113例住院脑血管病老年患者进行调查。结果脑血管病老年患者跌倒效能为(7.85±2.57)分。得分最低的项目为"上下楼梯"和"乘坐公共交通工具";得分最高的项目为"伸手到箱子或抽屉里拿东西"和"从椅子上起落"。3个因素对跌倒效能有显著影响:右上肢肌力、Berg平衡功能、步态等。结论为了帮助脑血管病老年患者树立预防跌倒的自信能力,医护人员需要在改善患者平衡能力和步态的基础上,进一步对患者进行心理疏导,适宜地、有针对性地提高患者的跌倒效能,从而有效地预防跌倒的发生。
Objective To investigate the level, and influencing factors of falls efficacy among older hospitalized patients with cerebrovascular disease（CVD）. Methods Totally 113 hospitalized older patients with CVD were investigated using the Modified Falls Efficacy Scale（MFES）,Morse Fall Scale（MFS）,Berg Balance Scale（BBS）and Tinetti Gait Analysis（TGA）. Results The average score of falls efficacy was 7.85±2.57. The scores were lowest in the items of walking up and down stairs and taking bus,and highest in the items of taking something from a box or a drawer and sitting down and standing up from a chair. The patients＇ muscle strengthen of right upper limb,Berg balance score and gait score were factors influencing their falls efficacy. Conclusion In order to help the older patients with CVD build self-confidence on preventing accidental falls,nurses and physicians should take measures to improve the patients＇ balance and gait,and provide psychological counseling for them.
出处
《中华护理杂志》
CSCD
北大核心
2013年第2期147-150,共4页
Chinese Journal of Nursing
关键词
脑血管障碍
老年人
意外跌倒
影响因素
Cerebrovascular Disorders
Aged
Accidental Falls
Influencing Factors
