摘要
目的通过调查社区居家老年血管性痴呆患者照料者对跌倒知识掌握及预防措施执行情况，分析其存在的问题，为制定针对性的预防跌倒教育及干预措施实施提供参考。方法采用方便抽样的方法，选取99例居家老年痴呆患者的主要照料者，采用自行设计的问卷对照料者的一般资料、跌倒相关知识掌握情况及预防跌倒措施执行情况等进行调查。结果共发放调查问卷101份，回收有效问卷99份，有效回收率为98．0％。99名照料者对跌倒相关知识掌握正确率为63％；跌倒相关知识掌握得分由低到高依次为跌倒风险评估（2．39±2．12）分、跌倒危险因素及防范（7．28±3．59）分、跌倒后处置（3．75±2．89）分。照料者跌倒预防措施执行情况的平均分为（1．34±0．62）分，为中等水平。执行依从性的项目平均分由低到高依次为修正环境（0．98±0．30）分、治疗和观察（1．23±0．55）分、生活辅助及防护设施使用（1．44±0．71）分和活动时陪护（1．72±0．47）分。结论社区居家老年痴呆患者照料者对跌倒相关知识认知不足，防护患者跌倒的技术及执行依从性有待提高。
Objective To study the level of fall related knowledge mastering and fall preventative measure execution by caretakers of community vascular dementia patients who stay in home and analyze existing problems and to provide reference for education and execution plans of intervention techniques of fall prevention. Methods A convenience sampling survey was conducted between January and February of 2013, in which 99 major caretakers of dementia patients participated in a questionnaire survey designed by the researcher. The questionnaire includes questions related to general information, fall related knowledge mastering and execution of fall preventative measures. Results A total of 101 questionnaires were released and 99 questionnaires were returned with a responsive rate of 98. 0%. Ninety-nine caretakers answered on average 63% of all questions correctly, the lowest scoring aspect was fall risk assessment（ 2. 39 ± 2. 12）, the second lowest one fall danger and prevention（7.28 ±3.59） and the third was post-home-fall treatment （3.75 ±2. 89）. The execution of fall preventative measures was less than satisfactory, with participants scoring an average of （ 1.34 ± 0. 62） points. The aspect with the lowest compliance level was reparative environment（0. 98 ± 0. 30）. The second lowest was treatment and observation （ 1.23 ± 0. 55 ）, third was living assistance and protection facility usage （ 1.44± 0.71 ） and fourth was activity accompaniment （ 1.72 ± 0. 47 ）. Conclusions Community caretakers of dementia patients lack more or less fall related knowledge and their execution level of fall prevention techniques has much room for improvement.
出处
《中华现代护理杂志》
2014年第8期923-925,共3页
Chinese Journal of Modern Nursing
关键词
居家护理
痴呆
血管性
跌倒
照料者
预防
Community nursing
Dementia, vascular
Fall
Caretaker
Prevention
