基于logistic风险评估分级护理模式在耳源性眩晕患者跌倒风险管理中的效果观察

Application effect of hierarchical nursing mode based on Logistic risk assessment in falling risk management of patients with otogenic vertigo

目的探讨基于logistic风险评估的分级护理模式在耳源性眩晕患者跌倒风险管理中的影响。方法选取2019-02-01-2021-03-01天津市北辰医院确诊的耳源性眩晕患者112例,随机分为观察组和对照组,每组56例。对照组患者实施常规耳源性眩晕护理,观察组实施基于logistic风险评估的分级护理模式,均持续干预2周。比较2组患者跌倒发生率、知信行评分、心理状况、平衡状况、跌倒可能性和护理满意度。结果观察组患者的跌倒发生率为5.36%,低于对照组的17.86%,差异有统计学意义,χ^(2)=4.264,P=0.039。护理2周后,观察组知识评分为(29.91±4.09)分,高于对照组(27.57±3.24)分,差异有统计学意义,F=14.372,P<0.001;态度评分为(28.25±3.25),高于对照组(26.07±3.43)分,差异有统计学意义,F=13.268,P<0.001;观察组行为评分为(39.36±4.10)分,高于对照组(37.48±5.17)分,差异有统计学意义,F=6.512,P=0.012;观察组焦虑评分为(24.75±5.64)分,低于对照组(27.52±5.88)分,差异有统计学意义,F=13.344,P<0.001;观察组平衡量表评分为(38.91±4.66)分,高于对照组(36.73±3.89)分,差异有统计学意义,F=25.637,P<0.001;观察组跌倒评分为(37.59±4.52)分,低于对照组(40.88±4.46)分,差异有统计学意义,F=12.910,P<0.001。出院时观察组护理服务态度满意度评分为(9.26±2.51)分,高于对照组(8.12±2.14)分,差异有统计学意义,t=2.586,P=0.011;观察组病区环境满意度评分为(21.15±3.17)分,高于对照组(9.72±3.26)分,差异有统计学意义,t=2.353,P=0.020;观察组护患沟通满意度评分为(16.18±2.84)分,高于对照组(15.07±2.42)分,差异有统计学意义,t=2.226,P=0.028。结论基于logistic风险评估的分级护理模式应用于耳源性眩晕患者,可降低跌倒发生率,有助于患者疾病管理,并提高工作满意度。

Objective To explore the effects of hierarchical nursing mode based on Logistic risk assessment on falling risk management in patients with otogenic vertigo.Methods A total of 112 patients with otogenic vertigo confirmed in Tianjin Beichen Hospital were enrolled between February 1,2019 and March 1,2021.They were randomly divided into observation group and control group,with 56 cases in each group.Patients in control group were given routine nursing,while those in observation group were given hierarchical nursing mode based on Logistic risk assessment.All were continuously intervened for 2 weeks.The incidence of falling,scores of knowledge-attitude-practice(KAP),psychological status,balance status,falling possibility and nursing satisfaction were compared between the two groups.Results The incidence of falling in observation group was lower than that in control group(5.36%vs 17.86%,χ^(2)=4.264,P=0.039).After 2 weeks of nursing,the knowledge score of the observation group was(29.91±4.09),which was higher than that of the control group(27.57±3.24),with a statistically significant difference(F=14.372,P<0.001);The attitude score was(28.25±3.25),which was higher than that of the control group(26.07±3.43),and the difference was statistically significant(F=13.268,P<0.001);The behavior score of the observation group was(39.36±4.10),which was higher than that of the control group(37.48±5.17),and the difference was statistically significant,(F=6.512,P=0.012);The score of self-rating anxiety scale in observation group was lower than that in control group[(24.75±5.64)points vs(27.52±5.88)points](F=13.344,P<0.001),score of berg balance scale in the observatin group was higher than that in control group[(38.91±4.66)points vs(36.73±3.89)points],the difference was statistically significant,(F=25.637,P<0.001);score of Morse fall scale was lower than that in control group[(37.59±4.52)points vs(40.88±4.46)points],the difference was statistically significant,(F=12.910,P<0.001).At discharge,score of satisfaction with nursing service in observation group was higher than that in control group[(9.26±2.51)points vs(8.12±2.14)points],and the difference was statistically significant,(t=2.586,P=0.011);score of ward environment satisfaction was higher than that in control group[(21.15±3.17)points vs(9.72±3.26)points],and the difference was statistically significant,(t=2.353,P=0.020);score of nurse-patient communication satisfaction was higher than that in control group[(16.18±2.84)points vs(15.07±2.42)points],and the difference was statistically significant,(t=2.226,P=0.028).Conclusion The application of hierarchical nursing mode based on Logistic risk assessment can reduce the incidence of falling in patients with otogenic vertigo,which is conducive to disease management and improving job satisfaction.