平衡干预对加强老年人关节控制及预防跌倒效果的护理研究(1)
摘 要：目的 探讨康复训练及护理干预对改善老年人平衡功能及预防跌倒的临床效果。方法 2015年1月～2016年12月在我院康复医学科就诊的存在跌倒经历或跌倒倾向的老年患者60例，根据患者入院治疗时间顺序随机分为试验组及对照组，每组30例。对照组采用常规护理干预方案，试验组在对照组基础上采用平衡护理干预。实验前后使用Tecnobody PK254平衡仪比较两组患者下肢关节控制能力，以及对比跌倒情况。结果 两组患者经过6周护理后，左、右足平均轨迹值、运动长度比率及运动椭圆面积比率较护理前下降，差异具有统计学意义(P<0.05)；试验组患者数值下降幅度高于对照组，差异具有统计学意义(P<0.05)；试验组在护理及随访期间患者跌倒率3.33%低于对照组30.00%，差异具有统计学意义(P<0.05)。结论 平衡干预可有效加强老年人关节控制能力并降低跌倒发生率，对提高老年人生活质量水平有重要意义。
关键词：平衡护理干预；老年人；关节控制；预防跌倒
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.054
, http://www.100md.com
文章编号：1006-1959(2018)14-0172-03
Abstract：Objective To explore the clinical effect of rehabilitation training and nursing intervention on improving the balance function and preventing falls of elderly.Methods From January 2015 to December 2016，60 elderly patients with stumbling experience or tendency to fall in our department of rehabilitation were randomly divided into experimental group and control group according to the time of admission.There were 30 cases in each group.Routine nursing intervention was used in the control group，and balanced nursing intervention was used in the experimental group on the basis of the control group.Tecnobody PK254 balance instrument was used before and after the experiment to compare the lower limb joint control ability and the fall.Results After 6 weeks of nursing care，the mean track value of left and right foot， the ratio of exercise length and the ratio of exercise ellipse area were decreased in the two groups，the difference was statistically significant(P<0.05).The decrease of numerical value in trial group was higher than that in control group，the difference was statistically significant(P<0.05)，During the nursing and follow-up period，the fall rate of the experimental group was 3.33% lower than that of the control group 30.00%，and the difference was statistically significant(P<0.05).Conclusion Balance intervention can effectively strengthen the joint control ability and reduce the incidence of falls in the elderly，and it is of great significance to improve the quality of life of the elderly.
, 百拇医药
Key words：Balanced nursing intervention；Elderly；Joint control；Prevention of falls
跌倒是老年人最常見的伤害事件之一，据不完全统计，65岁以上老年人每年跌倒发生率高达33%，跌倒不仅影响老年人生活质量水平，而且增加其家庭经济负担[1]。既往文献报道表明老年人跌倒与年龄、健康状况有关，平衡功能下降是老年人跌倒的主要原因，关节控制能力下降是平衡能力下降的主要因素，研究关节控制能力对平衡功能的影响，从而进行必要的康复训练及护理干预对预防跌倒具有重要作用[2]。为此，本文对60例老年人进行平衡护理干预，旨在探讨平衡护理干预对加强老年人关节控制及预防跌倒的临床效果，现报道如下。
1资料与方法
1.1一般资料 选取2015年1月～2016年12月在桂林医学院附属医院康复医学科就诊的存在跌倒经历或跌倒倾向的老年患者60例。入选标准：①有独立自由行走能力者；②未存在严重心、肝、肾等脏器疾病者；③年龄>65岁者；④经与患者或家属沟通同意参与实验者。排除标准：①存在严重精神疾病或认知障碍者；②合并恶性肿瘤者。根据入院诊治时间顺序，将60例老年患者应用随机数字表法分为对照组及试验组，各30例。对照组中男性18例，女性12例，年龄61～73岁，平均年龄(66.47±4.12)岁；采用Tecnobody PK254平衡仪进行检测后，平衡功能障碍者13例，肌力下降者8例，站立及步态不稳者9例。试验组中男性16例，女性14例，年龄61～72岁，平均年龄(66.75±4.25)岁；采用Tecnobody PK254平衡仪进行检测后，平衡功能障碍者12例，肌力下降者9例，站立及步态不稳者9例。 两组患者性别、年龄等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(蒋彩琼 孔繁荣 王新涛 任平 蒋红英)
关键词：平衡护理干预；老年人；关节控制；预防跌倒
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.054
, http://www.100md.com
文章编号：1006-1959(2018)14-0172-03
Abstract：Objective To explore the clinical effect of rehabilitation training and nursing intervention on improving the balance function and preventing falls of elderly.Methods From January 2015 to December 2016，60 elderly patients with stumbling experience or tendency to fall in our department of rehabilitation were randomly divided into experimental group and control group according to the time of admission.There were 30 cases in each group.Routine nursing intervention was used in the control group，and balanced nursing intervention was used in the experimental group on the basis of the control group.Tecnobody PK254 balance instrument was used before and after the experiment to compare the lower limb joint control ability and the fall.Results After 6 weeks of nursing care，the mean track value of left and right foot， the ratio of exercise length and the ratio of exercise ellipse area were decreased in the two groups，the difference was statistically significant(P<0.05).The decrease of numerical value in trial group was higher than that in control group，the difference was statistically significant(P<0.05)，During the nursing and follow-up period，the fall rate of the experimental group was 3.33% lower than that of the control group 30.00%，and the difference was statistically significant(P<0.05).Conclusion Balance intervention can effectively strengthen the joint control ability and reduce the incidence of falls in the elderly，and it is of great significance to improve the quality of life of the elderly.
, 百拇医药
Key words：Balanced nursing intervention；Elderly；Joint control；Prevention of falls
跌倒是老年人最常見的伤害事件之一，据不完全统计，65岁以上老年人每年跌倒发生率高达33%，跌倒不仅影响老年人生活质量水平，而且增加其家庭经济负担[1]。既往文献报道表明老年人跌倒与年龄、健康状况有关，平衡功能下降是老年人跌倒的主要原因，关节控制能力下降是平衡能力下降的主要因素，研究关节控制能力对平衡功能的影响，从而进行必要的康复训练及护理干预对预防跌倒具有重要作用[2]。为此，本文对60例老年人进行平衡护理干预，旨在探讨平衡护理干预对加强老年人关节控制及预防跌倒的临床效果，现报道如下。
1资料与方法
1.1一般资料 选取2015年1月～2016年12月在桂林医学院附属医院康复医学科就诊的存在跌倒经历或跌倒倾向的老年患者60例。入选标准：①有独立自由行走能力者；②未存在严重心、肝、肾等脏器疾病者；③年龄>65岁者；④经与患者或家属沟通同意参与实验者。排除标准：①存在严重精神疾病或认知障碍者；②合并恶性肿瘤者。根据入院诊治时间顺序，将60例老年患者应用随机数字表法分为对照组及试验组，各30例。对照组中男性18例，女性12例，年龄61～73岁，平均年龄(66.47±4.12)岁；采用Tecnobody PK254平衡仪进行检测后，平衡功能障碍者13例，肌力下降者8例，站立及步态不稳者9例。试验组中男性16例，女性14例，年龄61～72岁，平均年龄(66.75±4.25)岁；采用Tecnobody PK254平衡仪进行检测后，平衡功能障碍者12例，肌力下降者9例，站立及步态不稳者9例。 两组患者性别、年龄等一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(蒋彩琼 孔繁荣 王新涛 任平 蒋红英)