高龄脑梗死患者跌倒的危险因素分析及护理管理策略(1)
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[摘要] 目的 探讨老年脑卒中患者意外跌倒的风险因素，分析并制订有效的护理对策，以防止老年脑卒中患者意外跌倒的发生。 方法 选取我院2007年1月～2011年6月收治的老年脑卒中患者84例，将其随机分为对照组(42例)和观察组(42例)。对照组仅进行常规教育，观察组进行跌倒风险评估同时采取防跌倒知识宣传，分析比较两组患者意外跌倒情况。 结果 晚22：00～早8：00为患者意外跌倒高发时段，跌倒地点多发生于病床边，受伤部位多为头部，60～70岁患者的跌倒频率最高，观察组意外跌倒发生率明显低于对照组，差异有统计学意义(P < 0.05)。 结论 全面评估老年脑卒中患者意外跌倒的风险因素，增加配套的安全设施，加强患者的安全教育和用药护理，制订科学、合理的护理对策和康复训练计划可以有效防止老年脑卒中患者意外跌倒的发生，是一种安全有效的治疗方法，值得临床推广使用。
[关键词] 老年；脑卒中；跌倒；风险因素；护理对策
[中图分类号] R473.5 [文献标识码] C [文章编号] 1673-7210(2012)08(c)-0140-03
Risk factors evaluation and nursing countermeasures in fall of elderly patients with cerebral infarction
XIA Wenfeng
The People's Hospital of Dujiangyan City in Sichuan Province, Dujiangyan 611830, China
[Abstract] Objective To investigate risk factors evaluation in fall of elderly patients with cerebral infarction, and analyze effective nursing measures in order to prevent elderly patients with cerebral infarction fell accidentally happen. Methods 84 patients with cerebral infarction were selected in our hospital from January 2007 to June 2011, who were randomly divided into control group (42 cases) and observation group (42 cases). Patients used only the conventional education without giving fall risk assessment as a control group. Patients used fall risk assessment and took measures to prevent the fall of publicize the knowledge as a observation group. Two groups were analyzed and compared with accidental fall situation. Results Time in 22: 00-8:00 was high time in accidental falls. Location of fall occurred mostly at the bedside. The injured area was the head. fall frequency of 60-70 years old patient were highest ......
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