尿毒症患者跌倒风险筛查量表应用及综合干预方法效果研究

Application of falling risk screening scale and effect of comprehensive intervention method in uremia patients

目的分析尿毒症患者跌倒的原因,探讨专科评估量表及干预对策。方法采用分阶段回顾性统计分析的方法,选取2011年5月至2013年5月在成都市第十一人民医院就诊的312例尿毒症患者为对照组,2014年2月至2016年2月就诊的421例尿毒症患者为实验组。对照组采用国内医院通用的跌倒评估量表作为跌倒高危人群的筛查工具,实验组采用自行设计的专科评估量表作为跌倒高危人群的筛查工具。2年后对两组尿毒症患者跌倒不良事件发生的结果进行统计分析。结果运用自制量表实施风险筛查的实验组与对照组比较,跌倒例数和跌倒伤害程度显著下降,差异有统计学意义(P<0.05)。结论采用自行研制的专科跌倒量表并采取有针对性的干预措施能有效降低尿毒症患者的跌倒发生,此量表值得推广。

Objective To investigate the cause of falling in uremic patients,and to explore a specialist assessment scale and an intervention countermeasure.Methods Using the phased retrospective statistical analysis approach,a total of 312 uremic patients was selected as the control group from May 2011 to May 2013.From February 2014 to February 2016,a total of 421 uremic patients were included in the experimental group.The control group adopted a generic assessment scale,which is adopted extensively by domestic hospitals,as a screening tool for the populations with high falling risk;on the other hand,the experimental group employed a self-designed specialist assessment scale as the screening tool..Two years later,the incidences of the adverse event of falling were analyzed statistically in the uremic patients of the two groups.Results The falling case number and falling rate in the control group screened by using the self-designed assessment scale dropped significantly,and the difference was statistically significant(P<0.05).Conclusions The self-developed specialist falling scale and intervention measures can effectively reduce the incidence of falling in uremia patients,and so is worth spreading its application.