低血糖症合并症状性颈动脉狭窄老年患者跌倒的心理信念与行为的评价  

Application of fall efficacy scale for evaluation of psychology and behavior of elderly hypoglycemia patients with symptomatic carotid artery stenosis

作　　者：闫雅凤[1] 侯惠如[2] 郝建玲[1] 席佳楠[1] 姚静[1] 

机构地区：[1]解放军总医院南楼内分泌科,北京100853 [2]解放军总医院南楼护理部,北京100853

出　　处：《中华现代护理杂志》2011年第21期2499-2501,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨低血糖症合并症状性颈动脉狭窄老年患者预防跌倒的心理信念和行为，比较各组别之间对跌倒的心理信念和行为差异。方法对我院408例年龄〉60岁的老年低血糖症、症状性颈动脉狭窄患者，使用跌倒效能量表进行预防跌倒心理测试评估，分别按有无低血糖症发生、有无颈动脉狭窄短暂脑缺血症状（TIA）及有无跌倒史分组，采用SPSS17．0统计软件进行统计学分析。结果有无发生低血糖症分组、有无发生颈动脉狭窄脑缺血性症状分组、有无跌倒史分组之间跌倒效能量表评分不同，差异均有统计学意义（P〈0．01）。结论细分症状性组别，实施预防跌倒预警干预，进行预防跌倒意识和行为的教育是预防高危跌倒人群的有效心理干预措施。Objective To discuss the psychology and behavior of elderly hypoglycemia patients with symptomatic carotid artery stenosis, and compare the differences in psychology and behavior between groups. Methods Measurement and assessment with fall efficacy scale on psychology towards prevention of fall among 408 elderly hypoglycemia patients （ 〉 60 years old） with symptomatic carotid artery stenosis were taken; They were divided for hypoglycemia history, carotid artery stenosis and ischemia sympton, and fall history; SPSS 17.0 software was applied to do statistical analysis. Results There is significant difference on fall efficacy scale score between groups with and without hypoglycemia, carotid artery stenosis and ischemia sympton, and fall history （P 〈0. 01 ）. Conclusions Subdividing symptomatic groups, applying preventive intervention procedure on prevention of fall, education on psychology and behavior towards prevention of fall are the effective psychological intervention measures on prevention of fall.

关 键 词：低血糖 颈动脉狭窄 跌倒 预防 老年患者 

分 类 号：R743.3[医药卫生—神经病学与精神病学]