社区脑卒中患者跌倒及危险因素的现状分析

Analysis of the current situation of fall and risk factors in community stroke patients

目的 :分析社区脑卒中跌倒及其危险因素的现状。方法 :于2015年1月至12月,应用自制调查问卷收集彭浦新村街道163例脑卒中患者生活习惯、脑卒中类型、跌倒史、跌倒情况、健康生活质量评价、日常生活活动能力、心理状态、及近一年跌倒情况等信息。163例患者中,男性77例,女性86例,平均年龄(75.53±8.98)岁。结果 :近一年有跌倒情形发生的51例,占31.3%。多因素Logistic回归分析显示,行走辅助用具、视力对日常的影响、对外界反应能力、脚无力是跌倒的独立危险因素。结论 :社区应重视社区脑卒中患者跌倒伤害。通过对患者护理风险评估,制定适合社区的预防跌倒方案,以减少脑卒中患者跌倒的发生。

Objective:To analyze the status of fall in community stroke and risk factors.Methods:From Jan.to Dec.2015,a self-designed questionnaire was used to collect the life habits,types of stroke,fall history,fall,health life quality evaluation,daily living ability,mental state and fall information in recent year and other information in 163 stroke patients.Of the 163 patients,there were 77 males and 86 females,with the average age of(75.53±8.98)years old.Results:There were 51 cases of falls in the last year,accounting for 31.29%.Multivariate Logistic regression analysis showed that walking aid,visual effects on the daily life,the ability to respond to the outside world and foot weakness were independent risk factors for falls.Conclusion:Community should pay attention to the fall injury of stroke patients in the community.Through the assessment of patients’nursing risk,a set of fall prevention program suitable for stroke prevention in community should be made to reduce the incidence of fall in patients with stroke.