摘要
目的 了解老年脑卒中患者跌倒自我效能现状,并分析其影响因素.方法 采用修正版跌倒效能量表（Modified Falls Efficacy Scale,MFES）测量170例老年脑卒中患者自我跌倒效能情况,并应用Berg平衡量表（Berg Balance Scale,BBS）和计时起立-行走测试（Time Up and Go Test,TUGT）测量其平衡力和移动能力.结果 老年脑卒中患者跌倒自我效能平均得分为108分,50.6％的老年脑卒中患者属于跌倒自我效能低下.多因素Logistic回归分析显示平衡力受损、移动能力低下和脑卒中后残疾程度高是跌倒自我效能低下的独立危险因素,这3个因素可以解释总变量的52.0％.结论 跌倒自我效能低下在老年脑卒中患者中较常见,临床医护人员应关注老年脑卒中患者的跌倒自我效能,在改善其平衡力和肌力的基础上,加强对患者的跌倒健康教育,以提高患者跌倒自我效能,最终预防跌倒的发生.
Objective To investigate the current status and influencing factors of falls self-efficacy among the stroke elderly patients.Methods Totally 170 elderly stroke patients were investigated using the Modified Falls Efficacy Scale （MFES）,and they were tested with Berg Balance Scale （BBS） and Time Up and Go Test （TUGT）.Results The average score of falls self-efficacy was 108.There were 50.6％ elderly stroke patients assigned to the group with low falls self-efficacy.Multiple Logistic regression analysis indicated that impairments of balance and mobility,severe stroke-related disability were the independent influencing factors associated with FOF,which could explain 52.0％ of variations.Conclusions Low falls self-efficacy among the stroke elderly patients is a common complaint,nurses and physicians should focus on this problem,interventions combining exercise and education of accidental falls should be taken to improve falls self-efficacy of elderly stroke patients,and prevent falls finally.
出处
《中国实用护理杂志》
北大核心
2014年第23期12-16,共5页
Chinese Journal of Practical Nursing
基金
上海市干部保健局科研基金资助项目（2011GB03）
关键词
脑卒中
老年
害怕跌倒
跌倒
自我效能
Stroke
Elderly
Fear of falling
Falls
Falls self-efficacy
