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神经系统疾病住院老年患者跌倒的原因及护理 被引量:10

Effects of central nervous system medications on the falls in older inpatients and its nursing strategies
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摘要 目的了解神经系统疾病老年患者服用中枢神经性药物的剂量和持续时问对其发生跌倒的影响,并提出针对性的护理措施。方法回顾性分析109例患者联合服用中枢神经系统药物后跌倒患者资料,分析跌倒发生率与性别、教育程度、健康状况的关系;比较联合用药、不同剂量用和用药时间的跌倒发生率。结果109例跌倒患者中男性占82.57%,女性占17.43%,差异有统计学意义(P〈0.01);76~85岁年龄组跌倒发生率49.54%,高于其他年龄组;心血管疾病和糖尿病跌倒率发生高于其他合并症患者(P〈0.01);四药联用患者跌倒发生率高于三药联用,并依次高于二药联用患者(P〈0.01)。高剂量组(〉3.0SDD)患者跌倒发生率高于低剂量组(〈1.0SDD);长期使用组(≥1年)患者跌倒发生率高于短期组(〈1年),差异有统计学意义(P〈0.05)。结论联合服用中枢神经性药物的剂量、联合药物的种类和持续时间严重影响老年人跌倒发生,应严格控制药物种类和联合用药;加强健康宣教和陪护者的跌倒防范意识。 Objective To explore the effect of the drug dosage and administration time of central nervous system (CNS) medications on the falls of older inpatients and to provide the nursing strategies. Methods This was a retrospective study. Correlation between gender, educational background, health status and the incidence of the falls was analyzed. The incidence of falls was compared in different drug combination, different drug dosage, and different administration time. Results The results were found:The incidence of the falls in male was higher than that in female, with 82.57% and 17.43% respectively;76 ~ 85 years old patients had highest incidence of falls ; Patients with diabetes or angiocardiopathy had higher incidence of falls than those with other basic diseases; Incidence of falls were more likely to happen in patients received multi-drug combination;Patients used high drug dosage of CNS medications had higher fails incidence than those used low drug dosage;The longer the medicine, the higher incidence of falls. Conclusions The factors including the kinds of drug combination, the dosage and the administration time of CNS drugs were relevant to the falls in the elderly. Regulating the usage of medicine and enhancing the health education on patients and their families are necessary.
出处 《中华现代护理杂志》 2010年第13期1496-1499,共4页 Chinese Journal of Modern Nursing
关键词 中枢神经性药物 老年患者 联合用药 跌倒 护理 Central nervous system drugs The elderly inpatients Drug combination Falls Nursing
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