预防性护理对老年急性脑梗死患者意外跌倒的减少作用  

Effect of preventive nursing on reducing accidental falls in elderly patients with acute cerebral infarction

作　　者：张芳 穆媛媛[2] ZHANG Fang;MU Yuanyuan(Mianxian Hospital,Hanzhong 724207;Hanzhong People's Hospital,Hanzhong 723000,China)

机构地区：[1]陕西省勉县医院,陕西汉中724207 [2]汉中市人民医院,陕西汉中723000

出　　处：《临床医学研究与实践》2022年第22期195-198,共4页Clinical Research and Practice

摘　　要：目的分析预防性护理对老年急性脑梗死患者意外跌倒的减少作用。方法选取我院2018年1月至2019年12月收治的100例老年急性脑梗死患者作为研究对象,按照入院时间将其分为对照组(2018年1月至2018年12月)和试验组(2019年1月至2019年12月),各50例。对照组给予常规护理,试验组给予预防性护理。比较两组的认知功能、平衡能力、躯体功能、不良事件发生情况、跌倒风险及对护士护理质量的评分。结果入院时,两组的简明精神状态量表(MMSE)、Tinetti平衡与步态量表(Tinetti POMA)、躯体能力测试(PPT)评分比较,差异无统计学意义(P>0.05);出院时,两组的MMSE、Tinetti POMA、PPT评分均升高,且试验组高于对照组,差异具有统计学意义(P<0.05)。试验组的不良事件总发生率显著低于对照组,差异具有统计学意义(P<0.05)。入院时,两组的Hendrich评分比较,差异无统计学意义(P>0.05);出院时,两组的Hendrich评分均降低,且试验组低于对照组,差异具有统计学意义(P<0.05)。试验组对护士优质服务、专业水平、服务态度、制度实施、履行职责的评分均高于对照组,差异具有统计学意义(P<0.05)。结论予以老年急性脑梗死患者预防性护理能够有效减少不良事件的发生,降低患者跌倒发生风险,值得临床进一步推广应用。Objective To analyze the effect of preventive nursing on reducing accidental falls in elderly patients with acute cerebral infarction.Methods A total of 100 elderly patients with acute cerebral infarction admitted in our hospital from January 2018 to December 2019 were selected as the research objects,and the patients were divided into control group(January 2018 to December 2018)and experimental group(January 2019 to December 2019)according to the time of admission,with 50 cases in each group.The control group was given routine nursing,and the experimental group was given preventive nursing.The cognitive function,balance ability,physical function,occurrence of adverse events,fall risk and nursing quality score for nurses were compared between the two groups.Results At admission,there were no significant difference in the mini-mental state examination(MMSE),Tinetti performance oriented mobility assessment(Tinetti POMA)and physical performance test(PPT)scores between the two groups(P>0.05);at discharge,the MMSE,Tinetti POMA and PPT scores in the two groups increased,those in the experimental group were higher than the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in the experimental group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).At admission,there was no significant difference in the Hendrich score between the two groups(P>0.05);at discharge,the Hendrich score in both groups decreased,that in the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The scores to nurses'quality service,professional level,service attitude,system implementation and performance of duties in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Preventive nursing for elderly patients with acute cerebral infarction can effectively reduce the occurrence of adverse even

关 键 词：预防性护理 老年 急性脑梗死 意外跌倒 

分 类 号：R473[医药卫生—护理学]