CAJ | 학술논문

目的：评估综合干预方法对存在跌倒危险住院老年患者的防治效果。方法356例住院老年患者按照随机数字表法分为两组，每组178例。全部患者予入院常规护理评估和预防跌倒健康教育，干预组同时予综合干预。分别于入院时和出院时用预防跌倒知识调查问卷评价其对预防跌倒知识的了解程度和预防跌倒的态度和行为等。结果入院时，两组患者的预防跌倒知识等评分差异无统计学意义(P>0．05)。各组患者出院时的预防跌倒知识等评分均高于入院时，对照组预防跌倒知识等评分明显低于干预组，差异有统计学意义(P<0．05)。另外，住院期间均未见发生跌倒病例，出院后6个月内，对照组发生跌倒例数(15例)明显多于干预组(4例)，差异有统计学意义(P<0．05)。结论综合干预方法可提高住院老年患者预防跌倒知识的水平，降低老年患者在日常生活中的跌倒发生率，可供陪护及老年患者等借鉴。
목적：평고종합간예방법대존재질도위험주원노년환자적방치효과。방법356례주원노년환자안조수궤수자표법분위량조，매조178례。전부환자여입원상규호리평고화예방질도건강교육，간예조동시여종합간예。분별우입원시화출원시용예방질도지식조사문권평개기대예방질도지식적료해정도화예방질도적태도화행위등。결과입원시，량조환자적예방질도지식등평분차이무통계학의의(P>0．05)。각조환자출원시적예방질도지식등평분균고우입원시，대조조예방질도지식등평분명현저우간예조，차이유통계학의의(P<0．05)。령외，주원기간균미견발생질도병례，출원후6개월내，대조조발생질도례수(15례)명현다우간예조(4례)，차이유통계학의의(P<0．05)。결론종합간예방법가제고주원노년환자예방질도지식적수평，강저노년환자재일상생활중적질도발생솔，가공배호급노년환자등차감。
Objective To evaluate the effect of comprehensive intervention methods on precaution of falling in elderly patients. Methods A total of 356 elderly patients recruited were randomly divided into two groups ( the control and experimental groups) , with 178 in each group. The control group adopted routine nursing, and comprehensive intervention methods were applied in the experimental group. All patients received the fall knowledge questionnaire at admission and discharge. Results At admission, the fall knowledge score did not show significant differences (P>0. 05) between the experimental and control groups. At discharge, there was a significant increase (P<0. 05) in the fall knowledge score in each group compared to that at admission;the falling knowledge score in control group was significantly lower than that in experimental group (P<0. 05). 6 months after discharge following-up, 4 cases fell in the experimental group, while 15 cases fell in the control group. The incidence of falling in the experimental group was lower than that in the control group ( P<0. 05 ) . Conclusion Comprehensive intervention methods can effectively reduce the incidence of falling in elderly patients, which can be used by nursing staff and the aged.