床边多功能活动辅助器在脑卒中跌倒高风险病人中的应用研究

Application of bedside multifunctional activity auxiliary in patients with high risks of stroke fall

目的探究床边多功能活动辅助器在老年脑卒中病人中的应用效果,为该辅助器的进一步应用提供数据参考。方法选取2018年1~12月在我院治疗的100例脑卒中且存在跌倒高风险的病人,将其随机分为干预组与对照组,每组50例。对照组病人行常规的预防跌倒干预措施及训练,干预组病人在常规护理基础上使用床边多功能活动辅助器进行干预,比较2组病人干预前后肌力、步速、步距、平衡能力、运动能力以及跌倒评估分值的变化。结果干预组病人在住院期间和随访3个月内发生跌倒的次数分别为0例和2例,均低于对照组的4例和10例,差异存在统计学意义(P<0.05)。2组病人经护理干预后,其肌力、步速、步距及平衡能力均有所提高,且研究组显著优于对照组(P<0.05)。结论在脑卒中跌倒高风险病人中实施预防跌倒的一般措施外,使用床边多功能活动辅助器,能够有效避免跌倒的发生,同时能够提高病人肢体活动能力,改善肌力,对促进其恢复具有重要意义。

Objective To explore the application value of bedside multifunctional activity auxiliary in the elderly patients with stroke.Methods A total of 100 patients with stroke treated in our hospital from January 2018 to December 2018 were randomly divided into intervention group and control group,with 50 cases in each group.The patients in control group underwent routine fall prevention interventions.The patients in intervention group received a bedside multifunctional activity auxiliary on the basis of routine interventions.The muscle strength,pace,stride,balance,athletic ability,and fall assessment scores before and after the intervention were compared between the two groups.Results During hospitalization and 3 months after the intervention,the number of falls in the intervention group was 0 and 2,respectively,compared with 4 and 10 in the control group(P<0.05).After the intervention,the muscle strength,pace,stride and balance ability of the two groups were improved,especially in the intervention group(P<0.05).Conclusions In the stroke patients with high risk of fall,the bedside multifunctional activity auxiliary can avoid the occurrence of falls,and can further improve the limb's physical activity and muscle strength.It is of great significance to promote patients'recovery.