住院老年患者参与跌倒预防知识、态度、行为现状及相关因素分析  

Influencing factors of knowledge,attitude and practice in fall prevention among elderly inpatients

作　　者：陈妙虹[1] 许玲秀 沈曼璇[1] 李琴 周瑾[2] 卢少萍[3] 饶红英[2] 黄小琼[4] 方海云[1] Chen Miaohong;Xu Lingxiu;Shen Manxuan;Li Qin;Zhou Jin;Lu Shaoping;Rao Hongying;Huang Xiaoqiong;Fang Haiyun(The First Affiliated Hospital of Sun Yat-sen University,Guangzhou,510080;Guangzhou First People's Hospital,Guangzhou,510180;Guangdong Provincial People's Hospital,Guangzhou,510080;Dongguan People's Hospital,Dongguan,523059,China)

机构地区：[1]中山大学附属第一医院,广东广州510080 [2]广州市第一人民医院,广东广州510180 [3]广东省人民医院,广东广州510080 [4]东莞市人民医院,广东东莞523059

出　　处：《现代临床护理》2021年第3期15-22,共8页Modern Clinical Nursing

基　　金：广东省护理学会基金项目,项目编号为BE2019757。

摘　　要：目的了解住院老年患者参与跌倒预防知识、态度和行为现状及其相关因素,为制定有针对性的跌倒预防方案提供依据。方法采用便利抽样法,选取2019年10月—12月在广东省9家三级甲等综合医院住院的205例老年患者作为研究对象,采用一般资料调查表和住院老年患者参与跌倒预防知信行量表进行横断面的调查。应用多元线性回归分析探讨影响住院老年患者参与跌倒预防知识、态度、行为的主要因素。结果住院老年患者参与跌倒预防知信行量表总分及其知识维度、态度维度、行为维度得分分别为(103.24±16.91)分及(32.90±7.04)分、(28.22±5.62)分、(42.11±6.94)分。多元线性回归分析结果显示,文化程度、排尿是否正常、是否使用助行器是影响老年住院患者参与跌倒预防知识的主要影响因素(P<0.05);是否使用助行器是影响老年住院患者参与跌倒预防态度的主要影响因素(P<0.05);性别、是否使用助行器是影响老年住院患者参与预防跌倒行为的主要影响因素(P<0.05)。结论住院老年患者参与跌倒预防知信行总体处于中等偏上水平,其参与跌倒预防知识有待提高;使用助行器情况同时影响老年住院患者参与跌倒预防知识、态度、行为。医护人员需善于发现患者对安全知识了解的意愿,针对不同文化程度和不同性别的患者,特别需关注使用助行器的患者,积极进行安全相关知识宣教,增强患者安全意识与参与行为,使患者主动参与到跌倒预防的工作中来。Objective To investigate the knowledge,attitude and practice(KAP)among the elderly inpatients to participate in the fall prevention and the influencing factors so as to provide a basis for developing a targeted fall prevention procedure.Methods A total of 205 hospitalised elderly patients from 9 hospitals in Guangdong Province were enrolled in the investigation with a self-designed general information questionnaire and inpatient KAP questionnaire for the purpose of investigation in a scale of fall prevention.Results The total score and score of each dimension in participation in the KAP fall prevention were 103.24±16.91,32.90±7.04,28.22±5.62 and 42.11±6.94,respectively.Multiple linear regression analysis showed that education,dysuria and use of a walking aid were the main influencing factors which affect the elderly inpatients to participate in the awareness of fall prevention(P<0.05).The use of a walking aid was the main influencing factor to affect the attitude towards the participation in the fall prevention(P<0.05).Gender and the use of a walking aid were the main influencing factors that affected the practice in participation in the fall prevention(P<0.05).Conclusions.The KAP of the elderly inpatients to participate in fall prevention is at average and walking with a walking aid affects the KAP in participating in fall prevention.Further improvement of fall prevention is necessary.

关 键 词：住院患者 老年人 跌倒 预防 

分 类 号：R47[医药卫生—护理学]