双重任务训练预防脑卒中患者跌倒的效果研究  

Study on the Effect of Dual-task Training in Preventing Falls in Stroke Patients

作　　者：都丽丽[1] 李明贞[2] 李佳昊 魏伟[4] 邵鹏[4] 林娟[5] 柳海英[1] DU Lii;LI Mingzhen;LI Jiahao;WEI Wei;SHAO Peng;LIN Juan;LIU Haiying(Department of Nursing,Yantaishan Hospital,Yantai,Shandong Province,264008 China;Department of Neurol‐ogy,Yantaishan Hospital,Yantai,Shandong Province,264008 China;School of Public Health and Management,Bin‐zhou Medical College,Yantai,Shandong Province,264008 China;Department of Neurological Rehabilitation,Yan‐taishan Hospital,Yantai,Shandong Province,264008 China;Department of Education,Yantaishan Hospital,Yantai,)

机构地区：[1]烟台市烟台山医院护理部,山东烟台264008 [2]烟台市烟台山医院神经内科,山东烟台264008 [3]滨州医学院公共卫生与管理学院,山东烟台264008 [4]烟台市烟台山医院神经康复科,山东烟台264008 [5]烟台市烟台山医院教育科,山东烟台264008

出　　处：《系统医学》2023年第9期64-68,共5页Systems Medicine

基　　金：山东省烟台市科技局科研计划项目(2020YD045)。

摘　　要：目的 探讨双重任务训练对预防脑卒中患者跌倒发生的效果。方法 选取2020年1月—2021年1月烟台市烟台山医院康复科收治的70例脑卒中患者为研究对象,以随机数表法分为对照组和观察组,各35例。对照组进行单一任务训练,观察组进行双重任务训练,出院后跟踪随访1年,比较两组患者跌倒发生情况。结果 干预后,两组患者各项步态参数均优于干预前,且观察组各项步态参数指标均优于对照组,差异有统计学意义(P<0.05)。干预后观察组FES-I评分显著低于对照组,差异有统计学意义(P<0.05)。出院1年内观察组跌倒发生率(8.57%)低于对照组(31.43%),差异有统计学意义(χ^(2)=5.714,P<0.05)。结论 双重任务训练可预防脑卒中患者跌倒的发生,有助于其参与日常生活活动。Objective To explore the effect of dual-task training in preventing the occurrence of falls in stroke pa‐tients.Methods Seventy stroke patients admitted to the Rehabilitation Department of Yantai Mountain Hospital from January 2020 to January 2021 were selected as research objects,and were divided into control group and observation group,according to the random table with 35 cases in each group.The control group received single task training,while the observation group received dual task training.After discharge,they were followed up for 1 year to compare the incidence of falls between the two groups of patients.Results After intervention,all gait parameters of the two groups of patients were better than before intervention,and the observation group had better gait parameter indicators than the control group,the difference was statistically significant(P<0.05).After intervention,the FES-I score of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Within one year of discharge,the incidence of falls in the observation group(8.57%)was lower than that in the control group(31.43%),the difference was statistically significant(χ^(2)=5.714,P<0.05).Conclusion Dual-task training can prevent the occurrence of falls in stroke patients and help them participate in activities of daily living.

关 键 词：脑卒中 双重任务训练 简易国际跌倒效能量表 跌倒 

分 类 号：R743[医药卫生—神经病学与精神病学]