| 王丽薇,赵小朗,李佳林,等.阿尔茨海默病患者跌倒风险评估及防跌倒措施的研究[J].中国临床保健杂志,2022,25(3):372-374. |
| 阿尔茨海默病患者跌倒风险评估及防跌倒措施的研究 |
| Risk analysis of falls and efficacy of anti falling nursing in patients with Alzheimer′s disease |
| 投稿时间：2022-01-17 |
| DOI：10.3969/J.issn.1672-6790.2022.03.019 |
| 中文关键词: 阿尔茨海默病 意外跌倒 风险评估与减低 生活质量 |
| 英文关键词: Alzheimer disease Accidental falls Risk evaluation and mitigation Quality of life 〖FL |
| 基金项目:军队保健专项课题(18BJZ43) |
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| 中文摘要: |
| 目的 评估阿尔茨海默病患者的跌倒风险以及防跌倒干预措施的应用效果。方法 回顾性分析中国人民解放军第三○五医院2017年9月至2019年8月收治的160例阿尔茨海默病患者的临床资料,按照随机数字表法分为对照组和观察组各80例。对照组采用常规护理措施；观察组在常规护理措施的基础上,采用一系列防跌倒干预措施。分别记录2组患者入院时及入院10、20、30 d后的简易精神量表(MMSE)评分、日常生活能力(ADL)评分,记录30 d内2组患者发生跌倒的次数及损伤情况。结果 2组患者入院时的MMSE评分和ADL评分比较,差异无统计学意义(P＞0.05)。防跌倒干预10、20、30 d后,观察组患者的MMSE评分均高于对照组(P＜0.05)；防跌倒干预20、30 d后,观察组患者的ADL评分高于对照组(P＜0.05)。在院期间观察组患者跌倒的发生率为1.25%(1/80),无损伤；对照组患者跌倒的发生率为8.75%(7/80),无损伤5例,轻度损伤2例；观察组患者跌倒的次数和损伤程度均少于对照组,差异有统计学意义(P＜0.05)。结论 较低的MMSE评分和ADL评分与跌倒的发生密切相关。对阿尔茨海默病患者采用防跌倒干预措施可以有效降低患者的跌倒风险,提升患者的日常生活能力和生活质量。 |
| 英文摘要: |
| Objective To evaluate the falling risk and the efficacy of anti-falling nursing in patients with Alzheimer′s disease.Methods The clinical data of 160 patients with Alzheimer′s disease admitted to No.305 hospital of PLA from September 2017 to August 2019 were retrospectively analyzed.The patients were randomly divided into the control group (n=80) and the observation group (n=80).Routine nursing measures were adopted in the control group,while a series of anti-falling nursing measures on the basis of routine nursing measures were adopted in the observation group adopted.The scores of mini-mental state examination (MMSE) and activities of daily living (ADL) were recorded at admission,10 days,20 days and 30 days after admission,and the number of falls and injuries in the two groups were recorded within 30 days.Results There was no significant difference in MMSE score and ADL score between the two groups at admission (P>0.05).After 10 days,20 days and 30 days of anti-fall nursing,the MMSE score of the observation group was higher than that of the control group (P<0.05),and the ADL score of the observation group was higher than that of the control group after 20 days and 30 days of anti-fall nursing (P<0.05).During hospitalization,the incidence of falls in the observation group was 1.25% (1/80),and there was no injury,while in the control group,the incidence of falls was 8.75% (7/80),and there were 5 cases with no injury,and 2 cases with mild injury.The number of falls and the degree of injury in the observation group were less than those in the control group,and the difference was statistically significant (P<0.05).Conclusions Lower MMSE and ADL scores are closely related to the occurrence of falls.Prevention of falls for patients with Alzheimer′s disease can effectively reduce the falling risk,improve the ability of daily living and quality of life of patients. |
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