摘要
目的:探讨轻度锥体外系征(EPS)对老年人生活质量的影响及护理对策。方法:随机选取无明显神经系统疾病的老年人131名,有日常生活能力(ADL)下降者39名为ADL下降组,无ADL下降者92名为对照组,记录全身疾病,对轻度EPS及ADL进行评分。logistic回归分析伴发轻度EPS对ADL的影响。结果:ADL下降者[(81.81±2.57)岁]和无ADL下降者[(79.11±2.27)岁],伴有轻度EPS和全身疾病的分别为(19/39,48.72%)、(7/39,17.95%)和(10/92,10.87%)、(8/92,8.69%),两者比较有极显著性差异(P<0.01)。排除年龄及全身疾病的影响后,轻度EPS仍是ADL下降的独立危险因素。结论:老年人伴轻度EPS具有重要的临床意义,与ADL下降密切相关,应加强与这些老年人及家属的沟通和进行有关的教育,避免跌伤等危险的发生。
Objective： To explore the influence of mild extrapyramidal signs （EPS） on the ability of daily living （ADL） of aged people and the countermeasures in nursing, Methods： We recruited 131 aged people without overt neurologoical diseases, rated their EPS and ADL according to an abbreviated version of the motor portion of the Unified Parkinsong Disease Rating Scale （UPDRS） and assessed the influence of EPS on ADL by logistic regression analysis. Results： Those with EPS were significantly mote advanced in years （P 〈0. 01 ） and more likely to have comorbid condition and impaired ADL （P 〈 0.01 ）. Apart from the influence of comorbidity, mild EPS were the sole risk factors for decreased ADL. Conclusion ： Mild EPS in aged people are closely correlated with the impairment of ADL. Nurses should pay special attention to the aged people with mild EPS to avoid the risk of fall and other complications.
出处
《医学研究生学报》
CAS
2008年第5期510-512,共3页
Journal of Medical Postgraduates
基金
南京军区创新课题07(批准号:07M077)
关键词
轻度锥体外系征
老年人
护理
Mild extrapyramidal sign
The aged
Nursing care
