延续性康复护理在预防老年轻度认知障碍患者跌倒的效果分析

Effect of continuous rehabilitation nursing on preventing falls in elderly patients with mild cognitive impairment

目的探索延续性康复护理在预防老年轻度认知障碍患者跌倒中的应用效果。方法 120例老年轻度认知障碍患者,按照随机数字表法分为观察组和对照组,各60例,对照组采取常规护理,观察组采取延续性康复护理。比较两组患者干预后康复训练依从性、跌倒发生率、护理满意度及自我护理能力。结果干预后,观察组患者康复训练依从性与护理满意度分别为95.00%、96.67%,高于对照组的81.67%、83.33%,差异均有统计学意义(P<0.05);观察组患者跌倒发生率为3.33%,低于对照组的15.00%,差异具有统计学意义(P<0.05);观察组患者健康知识了解水平、自我护理概念、自我护理责任感及自我护理技能评分分别为(94.81±5.35)、(97.15±5.67)、(95.27±6.01)、(96.33±5.82)分,高于对照组的(85.23±5.86)、(87.69±4.95)、(88.23±5.17)、(86.15±5.01)分,差异均有统计学意义(P<0.05)。结论老年轻度认知障碍患者实施延续性康复护理效果明显,可减少跌倒发生,提高患者康复训练依从性、护理满意度与自我护理能力,值得临床推广应用。

Objective To investigate the effect of continuous rehabilitation nursing on preventing falls in elderly patients with mild cognitive impairment. Methods A total of 120 elderly patients with mild cognitive impairment were divided into observation group and control group according to random number table method, with 60 cases in each group. The control group received conventional nursing, and the observation group received continuous rehabilitation nursing. Comparison was made on rehabilitation compliance, incidence of falls, degree of satisfaction with nursing and self-care ability between the two groups. Results After intervention, the rehabilitation compliance and degree of satisfaction with nursing were 95.00% and 96.67% respectively in the observation group, which was higher than 81.67% and 83.33% in the control group, and the difference was statistically significant(P<0.05). The fall rate was 3.33% in the observation group, which was lower than 15.00% in the control group, and the difference was statistically significant(P<0.05). The health knowledge level, self-care concept, self-care responsibility and self-care skill score were(94.81±5.35),(97.15±5.67),(95.27±6.01) and(96.33±5.82) points in the observation group, which was higher than(85.23±5.86),(87.69±4.95),(88.23±5.17) and(86.15±5.01) points in the control group, and their difference was statistically significant(P<0.05). Conclusion Continuous rehabilitation nursing has obvious effect for elderly patients with mild cognitive impairment, and it can reduce the occurrence of falls, improve patients’ compliance with rehabilitation training, degree of satisfaction with nursing and self-care ability. It is worthy of clinical promotion and application.