老年骨转移瘤患者跌倒危险因素分析及护理干预

Analysis of risk factors of fall and nursing intervention in elderly patients with bone metastasis

目的探讨老年骨转移瘤患者跌倒危险因素及护理干预措施。方法将2012年9月至2013年9月间收治的84例骨转移瘤(乳腺癌、肺癌、前列腺癌、肾癌及其他)老年患者分为研究组(42例)和对照组(42例)。对照组患者采用常规护理,研究组患者在常规护理基础上增加跌倒危险因素分析,并针对性地实施护理干预措施,比较两组患者的干预效果。结果研究组发生意外跌倒2例,发生率为4.8%;对照组患者意外跌倒12例,发生率为28.6%;差异有统计学意义(P<0.05)。结论科学、合理的护理干预措施可以有效防止老年骨转移瘤患者意外跌倒的发生,是一种安全有效的治疗方法。

Objective To investigate fall risk factors and nursing intervention of the elderly pa- tients with tumor and bone metastasis. Methods 84 elderly patients with metastatic bone tumor （breast cancer, lung cancer, prostate cancer, renal cell carcinoma and other from September 2012 to September 2013 were divided into the study group （42 cases ） and the control group （42 cases）. The control group received traditional nursing intervention, and the study group additional fall risk factors evaluation and corresponding nursing interventions. The results were compared. Results There were 2 cases of fall accidents in the study group and 12 cases in the control group, and the incidence rate was 4. 8% and 28.6% respectively. The difference was statistically significant （ P 〈 0. 05 ）. Conclusion Scientific and reasonable nursing interven- tion measures can effectively prevent fall accidents in elderly patients with tumor and bone metastasis, which is a safe and effective treatment method.