基于物联网的中西医结合护理对半自理老人跌倒效能的干预研究

The Intervention Research on the Fall Efficacy of the Semi Self-care Elders in the Nursing of Integrated TCM and WM Based on the Internet of Things

目的探讨中西医结合护理对半自理老人跌倒效能的影响。方法将符合纳入标准的120例半自理老人,按照随机数字表法分为对照组和试验组,每组60例。基于物联网搭建半自理老年健康监测服务平台,对照组给予跌倒的知识普及讲座,试验组给予中西医结合护理干预。干预6个月后采用修订版跌倒功效量表(modified fall efficacy scale,MFES)评估老人跌倒效能。结果干预后两组在MFES总分及14个条目方面比较,差异有统计学意义(P<0.05);试验组室内活动评分提高最为明显。结论老年健康监测服务平台能准确传送、分析、反馈数据,实现老人健康监测全过程;中西医结合护理干预能提高半自理老人跌倒效能,缓解害怕跌倒症状、预防跌倒发生,促进老人身心健康,值得临床进一步推广应用。

Objective To evaluate the effect of the nursing of integrated Traditional Chinese Medicine （TCM） and Western Medicine （WM） on the fall efficacy of the semi sel＆care eiders. Methods A total of 120 semi self-care elders meeting the inclusion criteria were divided into the control group and experiment group according to the random number table, and each group consisted of 60 cases. The semi self-care health monitoring service platform was built on the basis of the Internet of things. The control group was given the regular health seminars about fall of the elderly, while the experiment group was given the interventional nursing of integrated TCM ＆ WM. The revised Modified Fall Efficacy Scale （MFES） was adopted to assess the fall efficacy of the elderly after 6 months of intervention. Results There were significant differences between the two groups in the total score and the scores of 11 items respectively （P〈0. 05）, and the score of indoor activities were improved most significantly. Conclusion The semi self-care health monitoring service platform can convey, analyze and give feedbacks to the data, which can monitor the whole process of the elderly health. The interventionai nursing of integrated TCM ＆ WM can improve the fall efficacy of the semi self-care elders, relieve their fear of falling, prevent fail, and promote the physical and mental health of the elderly, so it is worthy of further clinical application.