住院患者跌倒风险与中医体质的相关性  

Correlation between fall risk and Traditional Chinese Medicine constitution of inpatients

作　　者：王蓓[1] 石婷婷 李佳凝 吴均媛 张宁[2] 高梅[2] 章细霞[5] WANG Bei;SHI Tingting;LI Jianing;WU Junyuan;ZHANG Ning;GAO Mei;ZHANG Xixia(Department of Nursing,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210028;Department of medical examination center,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210028;Department of Health Education,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210028;Department of Urology Surgery,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210028;Department of Gastroenterology,Affiliated Hospital of Integrated Traditional Chinese and Western Medicine Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210028)

机构地区：[1]南京中医药大学附属中西医结合医院、江苏省中医药研究院、江苏省中西医结合医院护理部,江苏南京210028 [2]南京中医药大学附属中西医结合医院、江苏省中医药研究院、江苏省中西医结合医院体检中心,江苏南京210028 [3]南京中医药大学附属中西医结合医院、江苏省中医药研究院、江苏省中西医结合医院健康教育科,江苏南京210028 [4]南京中医药大学附属中西医结合医院、江苏省中医药研究院、江苏省中西医结合医院泌尿外科,江苏南京210028 [5]南京中医药大学附属中西医结合医院、江苏省中医药研究院、江苏省中西医结合医院消化科,江苏南京210028

出　　处：《中西医结合护理》2021年第6期6-9,共4页Chinese Journal of Integrative Nursing

基　　金：江苏省医院管理创新研究重大课题立项项目(JSYGY-1-2019-467)。

摘　　要：目的探索住院患者跌倒风险与中医体质的关系,为降低住院患者跌倒风险的发生提供参考依据。方法采用《中医体质分类与判定量表》对医院高危跌倒患者的体质类型进行评价,调查住院跌倒风险及中医体质情况,采用单因素与多元逐步回归分析跌倒风险与中医体质的相关性。结果Spearman相关性分析显示,跌倒危险评分与平和质的得分呈显著负相关(P<0.05),与其余8种偏颇体质类型呈显著正相关(P<0.05);平和质是降低跌倒风险的因素,气虚质、气郁质、阴虚质、阳虚质、血瘀质是增加跌倒风险的因素。结论纠正偏颇体质,提升体质平和状态,可有助于降低住院患者跌倒风险。Objective To explore the relationship between fall risk and Traditional Chinese Medicine(TCM)constitution of inpatients,and provide reference for reducing the occurrence of fall risk among inpatients.Methods The TCM constitution classification and determination scale was used to evaluate the physique types of patients with high risk falls in hospital,to investigate the risk of falls in hospital and the physical condition of TCM,and to analyze the correlation be⁃tween fall risk and TCM physique by single factor and multiple stepwise regression.Results Spearman correlation analysis showed that the fall risk score was significantly negatively correlat⁃ed with the score of peace quality(P<0.05)and positively correlated with the other 8 biased phy⁃sique types(P<0.05).Peace quality was the factor to reduce the risk of fall,and Qi deficiency,Qi depression,Yin deficiency,Yang deficiency and blood stasis were the factors to increase the risk of fall.Conclusion Correcting biased physique and improving physical peace can help to re⁃duce the risk of falling inpatients.

关 键 词：中医体质 跌倒 住院患者 中医护理 

分 类 号：R241.9[医药卫生—中医诊断学]