CAJ | 학술논문

目的：探讨帕金森患者跌倒发生情况及其相关因素。方法由专人对100例帕金森患者进行回顾性分析，了解其跌倒发生情况及其相关因素。结果帕金森患者住院期间跌倒事件发生率为46.0%；单因素分析结果：男性患者、药物因素致头晕、有跌倒史及住院期间无陪护组患者发生跌倒明显高于未跌倒组，组间比较，均P＜0.05，差异具有统计学意义；Logistic回归分析显示，男性患者、药物因素致头晕、有跌倒史是帕金森患者住院期间跌倒事件发生的危险因素（均P＜0.05）。结论帕金森患者住院期间跌倒事件发生率较高，男性患者、药物因素致头晕及入院前有跌倒史为帕金森患者住院期间发生跌倒的高危因素。在患者入院前应进行跌倒风险性评估，根据患者跌倒发生的原因，采取跌倒风险管理和跌倒危险分级管理，减少患者跌倒事件的发生。
목적：탐토파금삼환자질도발생정황급기상관인소。방법유전인대100례파금삼환자진행회고성분석，료해기질도발생정황급기상관인소。결과파금삼환자주원기간질도사건발생솔위46.0%；단인소분석결과：남성환자、약물인소치두훈、유질도사급주원기간무배호조환자발생질도명현고우미질도조，조간비교，균P＜0.05，차이구유통계학의의；Logistic회귀분석현시，남성환자、약물인소치두훈、유질도사시파금삼환자주원기간질도사건발생적위험인소（균P＜0.05）。결론파금삼환자주원기간질도사건발생솔교고，남성환자、약물인소치두훈급입원전유질도사위파금삼환자주원기간발생질도적고위인소。재환자입원전응진행질도풍험성평고，근거환자질도발생적원인，채취질도풍험관리화질도위험분급관리，감소환자질도사건적발생。
Objective To study the incidences of falls in patients with Parkinson's disease and analyze the related factors.Methods The clinic data of 100 Parkinson's patients were retrospectively analyzed to investigate the fall incidence and the related factors.Results The fall incidence was 46.0%during hospitalization in the patients with Parkinson's disease.The single factor analysis showed that the falls incidence were higher in male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization than those in the non-fall group(P<0.05).Logistic regression analysis showed that male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization were risk factors for Parkinson's patients during hospitalization.(all P<0.05). Conclusions The high risk factors for the falls in Parkinson's patients include male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization.Therefore,the assessment of the risk factors for falls should be done so as to carry out fall factors control and fall risks classification management for the purpose of reducing falls.