老年综合评估及干预对预防糖尿病平衡功能下降患者跌倒的效果

Effect of Comprehensive Assessment and Intervention of the Elderly on the Prevention of Falls in Patients with Decreased Diabetes Balance

目的观察老年综合评估及干预对糖尿病平衡功能下降患者跌倒的预防效果。方法将广州中医药大学深圳医院于2016年7月—2018年6月间收治的98例糖尿病平衡功能下降患者按随机数字表法分为观察组和对照组各49例。对照组实施常规护理,观察组在常规护理的基础上实施老年综合评估及干预。对比两组入、出院时血糖水平、平衡功能、步行能力及跌倒发生率。结果两组入院时空腹血糖水平、餐后血糖水平、平衡功能得分及步行能力得分差异均无统计学意义(P>0.05);观察组出院时空腹血糖水平及餐后血糖水平均明显低于对照组(P<0.05);观察组出院时平衡功能得分及步行能力得分均明显高于对照组(P<0.05);观察组跌倒发生率低于对照组(P<0.05)。结论老年综合评估及干预能有效改善糖尿病平衡功能下降患者的病情控制效果,从而预防跌倒发生。

Objective To observe the preventive effect of comprehensive evaluation and intervention on the fall of patients with decreased balance of diabetes.Methods 98 patients with decreased diabetes balance function from July,2016 to June,1818 were divided into two groups according to the random number table,with 49 cases in each group.The control group was given routine care,and the observation group implemented comprehensive evaluation and intervention of the elderly on the basis of routine nursing.Blood glucose levels,balance function,walking ability and incidence of falls were compared between the two groups.Results There were no significant differences in fasting blood glucose level,postprandial blood glucose level,balance function score and walking ability score between the two groups(P>0.05).The fasting blood glucose level and postprandial blood glucose level in the observation group were significantly lower than those in the control group(P<0.05).The scores of balance function and walking ability in the observation group were significantly higher than those in the control group(P<0.05).The incidence of falls in the observation group was lower than that in the control group(P<0.05).Conclusion Comprehensive evaluation and intervention of the elderly can effectively improve the disease control effect of patients with decreased diabetes balance function,thus prevent falls.