摘要
目的探讨心内科老年患者应用以跌倒风险指导的分级干预联合步态平衡训练的作用。方法选择2018年8月至2021年1月驻马店市中心医院心内科老年患者100例,根据随机数表法将其分为对照组和观察组,每组50例。对照组接受常规护理及步态平衡训练,研究组基于对照组接受以跌倒风险指导的分级干预。对比两组患者跌倒风险程度、跌倒发生率、跌倒伤害率、日常生活活动能力评分(ADL)、平衡与步态评定量表(Tinetti)、“起立-行走”计时测试(TUGT)及健康调查表(SF-36)各项生活质量评分。结果观察组跌倒风险高风险发生率(2.00%)低于对照组(24.00%)(P<0.05);观察组跌倒发生率(2.00%)、跌倒伤害率(2.00%)均低于对照组跌倒发生率(16.00%)、跌倒伤害率(14.00%)(P<0.05);观察组ADL、TUGT评分低于对照组,观察组Tinetti评分高于对照组(P<0.05);观察组生理功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能及精神健康等生活质量评分均优于对照组(P<0.05)。结论在心内科老年患者中应用以跌倒风险指导的分级干预联合步态平衡训练,可提高患者平衡能力,增强其抗跌倒能力,降低跌倒的发生率和伤害率。
Objective To explore the effect of graded intervention and gait balance training guided by fall risk in elderly patients in Department of Cardiology.Methods A total of 100 elderly patients in the Department of Cardiology in Zhumadian Central Hospital from August 2018 to January 2021 were selected and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group received routine nursing and gait balance training,while the observation group received graded intervention guided by fall risk based on the control group.The fall risk,fall incidence,fall injury rate,activity of daily living score(ADL),balance and gait assessment scale(Tinetti),“standing up-walking”timing test(TUGT)and health questionnaire(SF-36)were compared between the two groups.Results The high risk rate of falling in the observation group was(2.00%)lower than that in the control group(24.00%)(P<0.05).The fall incidence and injury rate in the observation group(2.00%,2.00%)were lower than those in the control group(16.00%,14.00%)(P<0.05).The ADL,TUGT score of observation group were lower than those of control group,and the Tinetti score in observation group was higher than the control group(P<0.05).The quality of life scores of physiological function,physical function,physical pain,general health,energy,social function,emotional function and mental health in the observation group were better than those in the control group(P<0.05).Conclusion The application of graded intervention guided by fall risk combined with gait balance training in elderly patients in department of cardiology can improve patients’balance ability,enhance their anti-fall risk and reduce the incidence and injury rate of falls.
作者
李双青
宋书磊
刘丹
LI Shuangqing;SONG Shulei;LIU Dan(Inpatient Service Center,Zhumadian Central Hospital,Zhumadian 463000,China;Department of Cardiology,Zhumadian Central Hospital,Zhumadian 463000,China)
出处
《河南医学研究》
CAS
2022年第2期369-372,共4页
Henan Medical Research
关键词
跌倒风险
分级干预
步态平衡训练
fall risk
grading intervention
gait balance training
