帕金森病患者居家环境跌倒的影响因素分析  

Analysis of factors influencing falls in the home environment of Parkinson's disease patients

作　　者：王艳秋 宋文静[1] 陈晓侠[1] WANG Yanqiu;SONG Wenjing;CHEN Xiaoxia(Jiangsu Institute of Nuclear Medicine,Wuxi,214063,China)

机构地区：[1]江苏省原子医学研究所附属江苏省江原医院,江苏省无锡市214063

出　　处：《护理实践与研究》2023年第7期995-1000,共6页Nursing Practice and Research

摘　　要：目的分析帕金森病患者居家环境中发生跌倒的影响因素,为针对性预防干预提供参考依据。方法选取2021年10月—2022年4月医院就诊的帕金森病患者105例,调查其一般资料、运动功能、非运动症状、跌倒效能、居家环境跌倒风险及心理焦虑和抑郁情况。将在过去半年时间内发生过居家环境中跌倒的43例患者作为跌倒组(病例组),未发生过跌倒的62例患者为非跌倒组(对照组)。采用单因素分析及多因素Logistic回归分析,筛选帕金森病患者跌倒发生的影响因素。结果单因素分析结果显示,两组患者在病程、疾病分级、异动症状、TUGT时间、Berg评分、跌倒效能评分、居家环境跌倒风险评分以及心理抑郁评分上比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,病程、TUGT时间是帕金森病患者跌倒发生的影响因素(P<0.05)。结论病程和TUGT时间是帕金森病患者跌倒发生的独立影响因素,病程长、起立-行走时间长的患者跌倒发生的风险相对较高。Objective To analyze the factors influencing the occurrence of falls in the home environment of patients with Parkinson's disease,and to provide a reference basis for targeted prevention interventions.Methods 105 patients with Parkinson's disease admitted to the hospital from October 2021 to April 2022 were selected to investigate their general information,motor function,non-motor symptoms,fall efficacy,risk of falling in the home environment,and psychological anxiety and depression.43 patients who had a fall in the home environment within the past 6 months were included as the fall group(case group)and 62 patients who did not have a fall were included as the non-fall group(control group).Univariate analysis and multivariate Logistic regression analysis were used to screen the factors influencing the occurrence of falls in patients with Parkinson's disease.Results The results of the univariate analysis showed that there were statistically significant differences(P<0.05)between the two groups in terms of duration of disease,disease classification,agitation symptoms,TUGT time,Berg score,fall efficacy score,home environment fall risk score and psychological depression score.Multi-factor logistic regression analysis showed that duration of illness and TUGT time were the influencing factors in the occurrence of falls in Parkinson's disease(P<0.05).Conclusion The duration of disease and TUGT time were independent factors influencing the occurrence of falls in patients with Parkinson's disease,and the risk of falls was relatively higher in patients with longer duration of disease and longer rise-walk time.

关 键 词：帕金森病 居家环境 跌倒 影响因素 跌倒风险 

分 类 号：R473.5[医药卫生—护理学]