综合干预管理在老年护理院阿尔茨海默特护单元预防跌倒的应用效果
Effect of Comprehensive Intervention Management on Fall Prevention in Alzheimer’s Special Care Unit in Elderly Nursing Home

DOI: 10.12677/NS.2021.105077, PP. 471-476

Keywords: 阿尔兹海默症，防跌倒，综合干预管理，老年护理院
Alzheimer’s Disease, Fall Prevention, In-tegrated Intervention Management, Geriatric Nursing Home

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Abstract:

目的：探讨综合干预管理在老年护理院阿尔茨海默特护单元预防跌倒的应用效果。方法：选取2020年1月至2020年12月西安市工会老年护理院阿尔茨海默特护单元入住的能独立行走或借助工具行走的阿尔茨海默老人100例作为研究对象。根据防跌倒干预方法将其分为基础干预组(n = 50)、综合干预组(n = 50)。基础干预组接受跌倒风险单项评估和常规防跌倒措施，综合干预组接受跌倒风险综合评估及多学科团队干预。比较两组入住人发生跌倒的次数、跌倒的损伤程度以及因跌倒产生纠纷例数的对比。结果：基础干预组入住期间发生跌倒13次，综合干预组发生5次。两组跌倒次数和跌倒损伤程度的差异均有统计学意义(p < 0.05)。基础干预组因跌倒引起纠纷3例，综合干预组无纠纷发生。结论：进行综合干预管理能有效降低老年护理院阿尔茨海默病特护单元跌倒发生率，增加入住人安全度，提高生活质量，减少相关纠纷的发生。
Objective: To explore the application effect of comprehensive intervention management in Alzheimer’s special care unit in the elderly nursing home. Methods: 100 elderly Alzheimer’s patients who could walk independently or with assistive tools admitted to the Alzheimer's special care unit of Xi'an trade union elderly nursing home from January 2020 to December 2020 were selected as the research objects. According to the fall prevention intervention methods, they were divided into basic intervention group (n = 50) and comprehensive intervention group (n = 50). The basic intervention group received single fall risk assessment and routine fall prevention measures, and the comprehensive intervention group received comprehensive fall risk assessment and multidisciplinary team intervention. The number of falls, the degree of injury and the number of disputes caused by falls were compared between the two groups. Results: Falls occurred 13 times in the basic intervention group and 5 times in the comprehensive intervention group. There were significant differences in the number of falls and the degree of fall injury between the two groups (P < 0.05). There were 3 cases of disputes caused by falls in the basic intervention group and no disputes in the comprehensive intervention group. Conclusion: Comprehensive intervention management can effectively reduce the incidence of falls in Alzheimer’s disease special care unit in the elderly nursing home, increase the safety of residents, improve the quality of life and reduce the occurrence of related disputes.

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