摘要
目的 对在住院期间的脑血管疾病患者进行预防跌倒认知问卷调查,发现预防跌倒健康教育中的问题,为改进健康教育方法提供科学依据.方法 2015年10月—2016年12月,采用自行设计的《让我们一起减少跌倒》调查问卷,对老年科、神经内外科病房193例脑血管疾病患者进行调查,并分析结果.结果 193例患者问卷平均得分（25.05±4.63）分,得分最低的3项是＂服用引起跌倒的相关药物＂（1.30±0.86）分、＂起床三部曲＂（1.32±0.88）分、＂寻求帮助感到尴尬＂（1.35±0.64）分;不同性别、文化程度、疾病诊断、是否有跌倒史及是否接受相关健康教育患者跌倒预防得分比较,差异均有统计学意义（t值分别为2.013、11.638、10.750、5.328、2.147;P〈0.05）.广义线性回归模型分析显示,接受跌倒健康教育、性别、文化程度和疾病类型是脑血管疾病患者跌倒预防认知的影响因素（P〈0.05）.结论 脑血管疾病患者住院期间对跌倒风险缺乏认识,护理管理者应针对该类人群的跌倒预防进行风险管控,责任护士应根据相应的认知缺陷选择个性化的健康教育方式和内容.
Objective To perform a questionnaire survey on patients with cerebrovascular disease, so as to find problems in the fall-preventing education and provide scientific evidence for health education improvement. Methods From October 2015 to December 2016, a self-designed ＂Let＇s mitigate falling danger＂questionnaire was applied to investigate a total of 193 patients with cerebrovascular disease from geriatric department, neurology department and neurosurgical department, and analyzed the resules. Results The average score of the 193 patients was （25.05±4.63）. The three items with lowest score were ＂Using fall-leading drugs＂ （1.30±0.86）, ＂Getting-up behavior＂ （1.32±0.88） and ＂Feeling embarrassed seeking help＂（1.35±0.64） in the questionnaire. Besides, the fall-preventing score were different in patients with different gender, education level, diagnosis, history of fall and whether received fall-preventing education or not, and the differences were statistical significant （t=2.013, 11.638, 10.750, 5.238, 2.147;P〈 0.05）. Generalized linear regression analysis showed that receiving fall health education, gender, education level and disease type were the influencing factors of fall prevention cognition in patients with cerebrovascular disease （P〈 0.05）. Conclusions Cerebrovascular patients are lack of awareness of fall risks in hospital. The nursing management should take risk control on these patients. The responsible nurse should choose personalized education mode and content according to relevant awareness deficits.
作者
侯春华
郎黎薇
李瑞燕
张苗
Hou Chunhua;Lang Liwei;Li Ruiyan;Zhang Miao(Neurosurgical Department, Huashan Hospital Affiliated to Fudan University, Shanghai 200124, China（Hou CH, Li RY, Zhang M;Nursing Department, Huashan Hospital Affiliated to Fudan University, Shanghai 200124, China（Lang LW)
出处
《中华现代护理杂志》
2018年第13期1531-1534,共4页
Chinese Journal of Modern Nursing
基金
上海市卫计委课题（201540350）
关键词
意外跌倒
认知
预防
脑血管疾病
Accidental falls
Cognition
Prevention
Cerebrovascular disease
