内科老年住院患者防跌倒认知情况调查

Investigation on Cognitive Situation of Falling Prevention of Senile Inpatients in the Department of Internal Medicine

目的了解内科老年住院患者防跌倒认知情况,为预防老年患者发生跌倒提供依据。方法以2016年1—6月入住乌鲁木齐某三级甲等医院的1 248例内科老年住院患者为研究对象,对其进行防跌倒认知问卷调查。结果 (1)老年住院患者防跌倒认知水平在疾病与服用药物和生理因素方面明显低于环境、行为、社会因素;(2)内科老年住院患者跌倒认知在性别、年龄、文化程度间差异有统计学意义(P<0.05),在民族间差异无统计学意义(P>0.05);(3)内科老年住院患者跌倒发生率在跌倒认知水平分级之间的差异有统计学意义(P<0.05)。结论对老年住院患者提高防跌倒认知可预防跌倒的发生,临床防跌倒宣教应重视老年患者的个体化差异,同时加强患者防跌倒薄弱内容的宣教。

Objective To know the cognitive situation of falling prevention of senile inpatients in the department of internal medicine and provide basis for preventing falling in senile patients. Methods 1 248 cases of senile inpatients in the depart-ment of internal medicine in our hospital from January to June, 2016 were selected as the research objects and the aware-ness of falling prevention was surveyed by the questionnaires. Results The aspects of disease and medication and physical factor of senile inpatients were obviously lower than the environment, behavior and social factors. The differences in the gender, age and cultural degree of the senile inpatients in the department of internal medicine had statistical significance （ P〈0.05）, and the difference between nations had no statistical significance （ P〉0.05）. The difference in the incidence rate of falling between different levels of falling awareness had statistical significance（ P〈0.05）. Conclusion Improving the senile inpatients 爷 awareness of falling prevention can prevent the occurrence of falling, and the falling prevention education in clinic should pay attention to the individual difference of senile patients and enhance the publicity and education of weak contents of falling prevention.