脑卒中康复期住院患者跌倒影响因素分析及人文关怀策略研究  

Analysis of influencing factors and research on humanistic care strategies for falls in inpatients during the rehabilitation period of stroke

作　　者：候林林 刘玉凡 曹雪宁 张莹[1] 杨峰[1] HOU Linlin;LIU Yufan;CAO Xuening;ZHANG Ying;YANG Feng(Department of Rehabilitation Medicine,the Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,China)

机构地区：[1]西安交通大学第二附属医院康复医学科,陕西西安710004

出　　处：《中国医学伦理学》2024年第11期1353-1359,共7页Chinese Medical Ethics

摘　　要：目的探讨脑卒中康复期住院患者跌倒发生的影响因素,并研究人文关怀策略。方法采用回顾性病例对照研究设计,选取2019年1月~2022年12月在西安交通大学第二附属医院康复科发生跌倒的脑卒中患者32例作为观察组,按年龄、性别1∶2匹配同期同科室住院未发生跌倒的脑卒中患者64例为对照组。采用Logistic回归分析,确定脑卒中康复期患者跌倒发生的影响因素。结果多因素分析结果显示,有跌倒史(OR=8.688,P=0.036)、跌倒风险评分(OR=1.615,P=0.018)、有睡眠障碍(OR=5.378,P=0.031)、有营养不良(OR=11.071,P=0.035)、有骨质疏松症(OR=15.831,P=0.006)是脑卒中康复期住院患者发生跌倒的独立危险因素。结论脑卒中康复期住院患者跌倒的影响因素众多,医护人员应依据针对不同的风险因素采取有效干预措施,实施人文关怀,降低脑卒中康复期住院患者跌倒的发生率。Objective:To explore the influencing factors for falls in inpatients during the rehabilitation period of stroke and research humanistic care strategies.Methods:Using a retrospective case-control study design,32 stroke patients who experienced falls in the rehabilitation department of the Second Affiliated Hospital of Xi’an Jiaotong University from January 2019 to December 2022 were selected as the observation group,and 64 stroke patients who were hospitalized in the same department during the same period and did not suffer from falls were matched 1:2 by age and gender as the control group.Logistic regression analysis was used to determine the influencing factors for falls in inpatients during the rehabilitation period of stroke.Results:The results of multivariate analysis showed that a history of falls(OR=8.688,P=0.036),a fall risk score(OR=1.615,P=0.018),sleep disorders(OR=5.378,P=0.031),malnutrition(OR=11.071,P=0.035),and osteoporosis(OR=15.831,P=0.006)were the independent risk factors for falls in inpatients during the rehabilitation period of stroke.Conclusion:There are many influencing factors for falls in inpatients during the rehabilitation period of stroke.Medical staff should take effective intervention measures based on different risk factors and implement humanistic care to reduce the incidence of falls in inpatients during the rehabilitation period of stroke.

关 键 词：脑卒中 康复期 跌倒 人文关怀 

分 类 号：R-052[医药卫生]