社区直立性低血压老年患者跌倒风险及平衡力调查分析  

Investigation and analysis on risk factors of falls and balance force in elderly patients with orthostatic hypotension in community

作　　者：陆红[1] 钱湘云[2] 耿桂灵[3] 陈春梅[4] 黄春雨[5] 黄金燕[6] Lu Hong Qian Xiangyun Geng Guiling Chen Chunmei Huang Chunyu Huang Jinyan(Department of Rehabilitation, the Third Hospital of Nantong Affiliated to Nantong University, Nantong 220000, China Nursing Department, the Third Hospital of Nantong Affiliated to Nantong University, Nantong 226006, China Department of Cardiology, the Third Hospital of Nantong Affiliated to Nantong University, Nantong 226006, China Geriatrics Department, the Third Hospital of Nantong Affiliated to Nantong University, Nantong 226006, China Nursing School of Nantong University, Nantong 226001, China Nantong First People＇s Hospital in Jiangsu Province, Nantong 226001, China)

机构地区：[1]南通大学附属南通第三医院康复科,226006 [2]南通大学附属南通第三医院护理部,226006 [3]南通大学护理学院,226001 [4]江苏省南通市第一人民医院,226001 [5]南通大学附属南通第三医院心内科,226006 [6]南通大学附属南通第三医院老年科,226006

出　　处：《中华现代护理杂志》2017年第13期1724-1729,共6页Chinese Journal of Modern Nursing

基　　金：教育部人文社会科学研究一般项目（14YJAZH022）;南通市卫生局青年科技项目（WQ2014032）

摘　　要：目的 对社区直立性低血压老年患者跌倒危险因素进行调查分析,以有针对性地降低跌倒风险.方法 采用老年人跌倒风险评估工具、老年人平衡力测试表对社区直立性低血压老年患者进行调查分析.结果 189名直立性低血压老年患者跌倒风险（6.78＆#177;5.49）分,平衡能力（5.42＆#177;5.23）分,不同职业的老年人跌倒风险评分,不同性别、婚姻状况的静态平衡能力差异具有统计学意义（P〈0.05）,跌倒风险与平衡力呈正相关（r=0.637,P〈0.01）.结论 社区直立性低血压老年患者存在较高的跌倒风险和平衡能力问题,社区应开展综合性的干预措施,改善社区及家居环境,加强平衡能力训练,减少跌倒风险.Objective To investigate the risk factors of falls and balance force in community elderly patients with orthostatic hypotension,so as to prevent from fall risk.Methods The elderly fall risks assessment tool and the elderly balance force test table were investigated in community elderly patients with orthostatic hypotension in community.Results The average score in fall risk assessment of 189 elderly patients with orthostatic hypotension in community was （6.78＆#177;5.49）and the average score in balance ability was（5.42＆#177;5.23）, and there were statistically significant differences in occupation, gender and marital status（P〈0.05）.The fall risk assessment was positively correlated with the balance ability（r=0.637,P〈 0.01）.Conclusions The elderly patients with orthostatic hypotension in community have a higher risk of falls and balance problems, so the community should carry out comprehensive measures to improve the environment of community and home, strengthen the balance ability training,and reduce the risk of falls.

关 键 词：老年人 低血压 直立性 意外跌倒 平衡力 

分 类 号：R473.2[医药卫生—护理学]