有跌倒史的住院患者再次跌倒的影响因素分析

发布时间：2018-11-11 18:10

【摘要】：目的分析有跌倒史的住院患者发生再次跌倒的危险因素,为跌倒预防提供参考。方法回顾性收集209例跌倒患者病例资料,对其中112例再次跌倒患者的相关因素进行分析。结果不同年龄、损伤程度、头晕、步态平衡、肢体乏力/疼痛、视力、特殊用药种类,以及是否合并高血压、糖尿病、神经系统疾病、骨质疏松的患者再次跌倒发生率比较,差异有统计学意义(P0.05,P0.01)。Logistic回归分析显示,年龄大、步态不稳、合并神经系统疾病是患者再次跌倒的危险因素(P0.05,P0.01)。结论有跌倒史的住院患者发生再次跌倒受多种因素的影响。在评估患者跌倒风险时,应重视患者的跌倒病史,尤其对年龄大、步态不稳及合并神经系统疾病的患者应加强防跌倒宣教,做好前瞻性的预防措施,避免患者再次跌倒。
[Abstract]:Objective to analyze the risk factors of refall in inpatients with history of fall, and to provide reference for prevention of fall. Methods the data of 209 cases of falls were collected retrospectively and the related factors of 112 cases were analyzed. Results patients with different age, degree of injury, dizziness, gait balance, limb fatigue / pain, visual acuity, kinds of special medication, and patients with hypertension, diabetes, nervous system disease, osteoporosis were compared. The difference was statistically significant (P0.05P0.01). Logistic regression analysis showed that the elderly, unstable gait and complicated nervous system diseases were the risk factors for patients to fall again (P0.05, P0.01). Conclusion multiple factors influence the occurrence of refall in patients with history of fall. In assessing the risk of falls, we should pay attention to the history of falls, especially for the elderly, unstable gait and patients with nervous system diseases should strengthen the prevention and education of falls, and do a good job of forward-looking preventive measures to prevent patients from falling again.
【作者单位】：广东省人民医院/广东省医学科学院护理部;
【基金】：广东省科学技术厅2013年度省企业技术研发与升级改造专项资金项目(2013B021800187)
【分类号】：R472

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