社区老年人STEADI跌倒防范策略的实施  

Implementation of STEADI fall prevention strategy for the elderly in community

作　　者：袁佑芳 丁福[1] 李亚玲[2] Yuan Youfang;Ding Fu;Li Yaling(Nursing Department,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院护理部,重庆400016 [2]重庆医科大学附属第一医院老年病科,重庆400016

出　　处：《护理学杂志》2020年第15期88-91,共4页Journal of Nursing Science

基　　金：重庆市技术创新与应用示范项目(社会民生类一般项目)(cstc2018jscx-msybX0124);重庆医科大学智慧医学项目(ZHYX2019003)。

摘　　要：目的降低社区老年人跌倒发生率。方法采取多阶段整群抽样的方法,应用STEADI相关工具和自制的老年人足问题图册,筛查894名社区老年人跌倒风险和足问题,在此基础上根据STEADI跌倒风险分级干预策略,对社区老年人跌倒危险因素进行分层级、跨学科干预6个月。结果社区老年人跌倒低风险705人(78.9%),中风险175人(19.6%),高风险14人(1.6%)。老年人存在足部问题790人,其中存在与跌倒密切相关的足部疼痛和足部结构问题者333人(42.2%)。干预前发生跌倒135人(15.1%),干预后发生跌倒51人(6.2%,随访818人),跌倒发生率显著低于干预前(P<0.01)。结论STEADI跌倒防范策略有利于降低社区老年人跌倒发生率,可用于社区老年人跌倒的防范。Objective To reduce the incidence of fall among the elderly in the community.Methods A multi-stage cluster sampling method was used to select 894 community older adults,whose fall risks and foot problems were screened utilizing STEADI related tools and a self-made atlas.Based on this,the older adults received stratified and interdisciplinary intervention for 6 months accor-ding to the STEADI fall risk classification intervention strategy.Results Totally 705(78.9%)older adults in the community were low-risk for fall,175(19.6%)were middle-risk,and 14(1.6%)were high-risk.A total of 790 elderly people suffered from foot problems,and 333(42.2%)of them experienced the foot pain and foot structure problems which closely related to fall.Totally 135(15.1%)elderly people fell before the intervention,the number was 51(6.2%,818 follow-up)after the intervention,the incidence of fall was significantly lower than that before the intervention(P<0.01).Conclusion The STEADI fall prevention strategy is conducive to reducing the incidence of fall for the elderly in the community,which can be used to prevent fall for the elderly in community.

关 键 词：社区 老年人 STEADI工具包 足问题 护理干预 跌倒 危险因素 

分 类 号：R473.2[医药卫生—护理学]