CAJ | 학술논문

目的：探讨延续性护理在老年跌倒患者二级预防中的应用效果。方法选取2012年4-12月收治的老年跌倒患者180例，按照患者出院后居住地分配至观察组79例和对照组83例。两组患者除接受已诊断疾病的常规护理外，住院期间给予防跌倒护理，出院前给予出院指导，出院后将患者转诊至居住地所属社区健康服务中心，纳入慢性疾病管理组进行管理。观察组在此基础上出院1年内给予延续性护理。比较两组患者跌倒1年内的再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数。结果在跌倒1年内再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数方面，观察组低于对照组，差异有统计学意义（P＜0.05）。结论延续性护理可以降低老年跌倒患者跌倒1年内的再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数。
목적：탐토연속성호리재노년질도환자이급예방중적응용효과。방법선취2012년4-12월수치적노년질도환자180례，안조환자출원후거주지분배지관찰조79례화대조조83례。량조환자제접수이진단질병적상규호리외，주원기간급여방질도호리，출원전급여출원지도，출원후장환자전진지거주지소속사구건강복무중심，납입만성질병관리조진행관리。관찰조재차기출상출원1년내급여연속성호리。비교량조환자질도1년내적재질도발생솔、재질도발생차수화재질도조성상해인수。결과재질도1년내재질도발생솔、재질도발생차수화재질도조성상해인수방면，관찰조저우대조조，차이유통계학의의（P＜0.05）。결론연속성호리가이강저노년질도환자질도1년내적재질도발생솔、재질도발생차수화재질도조성상해인수。
Objective To explore the effect of extended nursing in secondary prevention of fall in elderly patients. Methods From April to December 2012, 180 elderly hospitalized patients experiencing with falls were divided into observation group ( n=79) and control group (n=83) according to their residence. In addition to routine nursing, nursing of fall prevention during hospitalization and prevention guidance before discharge were provided for patients. After discharge, patients in observation group were included into chronic disease management group in community health center for one-year extended nursing. Recurrent rate, recurrent frequency and recurrent injury of fall in both groups were recorded. Results There were lower recurrent rate and recurrent frequency and less recurrent injury in observation group (P<0.05). Conclusion Extended nursing is effective for lowering recurrent rate, recurrent frequency and recurrent injury of fall within one year for elderly patients.