跌倒风险评估及多学科团队干预对住院阿尔茨海默病患者跌倒的作用评价  

Effects of multidisciplinary team intervention on falls in hospitalized patients with Alzheimer's disease

作　　者：李文杰[1] 李沫[1] 郝智慧[1] 母海艳[1] 吕继辉[1] 

机构地区：[1]北京老年医院精神心理二科,100095

出　　处：《实用老年医学》2016年第4期350-352,共3页Practical Geriatrics

基　　金：首都医学发展科研基金项目(2009-3160)

摘　　要：目的探讨对住院阿尔茨海默病患者进行跌倒风险评估及多学科团队干预的意义。方法选择2014年1~12月于北京老年医院精神心理科住院的能独立行走或借助工具行走的阿尔茨海默病患者152例作为干预组,均接受跌倒风险评估及多学科团队干预;选择2013年1~12月于北京老年医院同科住院的能独立行走或借助工具行走的阿尔茨海默病患者139例作为对照组,均未接受跌倒风险评估及多学科团队干预;比较2组跌倒发生率和产生医疗纠纷的例数。结果干预组住院期间跌倒发生率低于对照组（4.60%比11.51%,P〈0.05）;干预组住院期间跌倒相关医疗纠纷发生例数低于对照组。结论进行跌倒风险评估及多学科团队干预能有效减少住院阿尔茨海默病患者跌倒发生率,减少相关医疗纠纷的发生。Objective To explore the value of Falls Risk Assessment（ FRA） and Multidisciplinary Team Interventions（ MTI） used in hospitalized patients with Alzheimer＇s disease（ AD）. Methods 152 subjects with AD admitted to the Dementia Unit of Beijing Geriatric Hospital from January to December in 2014 were enrolled as the intervention group,who underwent FRA and MTI on basis of routine treatments after the admission. 139 subjects with AD admitted to the same Unit from January to December in 2013 were enrolled as the control group,who just received routine treatments. All these subjects were able to walk independently or with the aid of tools. The incidence rate of fall during the hospital stay and the number of disputes because of falls were compared between the two groups. Results The incidence rate of fall during hospitalization in intervention group was significantly less than that of the control group（ 4. 60% vs11. 51%,P0. 05）. The number of fall-related disputes of the intervention group was less than that of the control group.Conclusions FRA and MTI can effectively reduce the incidence rate of fall in hospitalized AD patients,and can reduce related medical disputes.

关 键 词：跌倒 阿尔茨海默病 多学科团队 

分 类 号：R473.74[医药卫生—护理学]