预警性护理干预对预防老年白内障患者跌倒的影响
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摘要
目的:探讨预警性护理干预对预防老年白内障患者跌倒的影响。方法:将196例老年白内障患者根据入院先后顺序分为观察组和对照组各98例,对照组给予常规护理干预,观察组在此基础上给予预警性护理干预;统计影响老年白内障患者跌倒危险因素、护理满意度及跌倒发生率,并比较干预前后两组预防跌倒知识、态度、行为评分、健康调查简表(SF-36)评分变化。结果:观察组跌倒发生率低于对照组(P<0.05);Logistic多因素分析发现,防跌倒安全意识淡薄、合并多种慢性疾病、对用药知识缺乏了解、视力较差、突发跌倒知识掌握较差等是影响老年白内障患者跌倒的危险因素(P<0.05);观察组干预后预防跌倒知识、态度、行为、生理功能、情感职能、社会功能、精神健康评分及护理满意度高于对照组(P<0.05)。结论:将预警性护理干预应用于老年白内障患者,可提高患者预防跌倒知识、态度、行为评分,降低跌倒发生率,并改善生活质量和提高护理满意度。
Objective: To explore the effect of early warning nursing intervention on preventing falls in elderly cataract patients. Methods: According to the order of admission,a total of 196 elderly cataract patients were divided into observation group and control group,98 cases in each group. The control group received routine nursing intervention. The observation group gave early warning nursing intervention on this basis,and statistically affected the risk factors of fall in elderly cataract patients. Satisfaction and the incidence of falls were compared,and the changes in fall prevention knowledge,attitude,behavioral scores,and health survey summary( SF-36) scores were compared between the two groups before and after the intervention. Results: The incidence of falls in the observation group was lower than that in the control group( P < 0. 05); Logistic multivariate analysis showed that the risk factors of falls in the elderly cataract patients were weak awareness of falls prevention,complicated with many chronic diseases,lack of knowledge of medication,poor eyesight and poor knowledge of sudden falls( P < 0. 05). After intervention,the knowledge,attitude,behavior,physiological function,emotional function,social function,mental health score and nursing satisfaction of the group were higher than those of the control group( P < 0. 05). Conclusion: Applying early warning nursing intervention to senile cataract patients can improve their knowledge,attitude and behavior scores,reduce the incidence of falls,and improve the quality of life and nursing satisfaction.
Objective: To explore the effect of early warning nursing intervention on preventing falls in elderly cataract patients. Methods: According to the order of admission,a total of 196 elderly cataract patients were divided into observation group and control group,98 cases in each group. The control group received routine nursing intervention. The observation group gave early warning nursing intervention on this basis,and statistically affected the risk factors of fall in elderly cataract patients. Satisfaction and the incidence of falls were compared,and the changes in fall prevention knowledge,attitude,behavioral scores,and health survey summary( SF-36) scores were compared between the two groups before and after the intervention. Results: The incidence of falls in the observation group was lower than that in the control group( P < 0. 05); Logistic multivariate analysis showed that the risk factors of falls in the elderly cataract patients were weak awareness of falls prevention,complicated with many chronic diseases,lack of knowledge of medication,poor eyesight and poor knowledge of sudden falls( P < 0. 05). After intervention,the knowledge,attitude,behavior,physiological function,emotional function,social function,mental health score and nursing satisfaction of the group were higher than those of the control group( P < 0. 05). Conclusion: Applying early warning nursing intervention to senile cataract patients can improve their knowledge,attitude and behavior scores,reduce the incidence of falls,and improve the quality of life and nursing satisfaction.
引文
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[6]李莉.护理干预在老年糖尿病性白内障患者围术期中的应用[J].中国实用医药,2016,11(9):254-255.
[7]黄馨颖.老年白内障患者心理情绪及并发症的护理干预效果分析[J].中华现代护理杂志,2016,22(29):4257-4260.
[8]张厚珍.护理干预对老年白内障患者心理情绪及并发症的干预效果[J].中国实用医药,2017,12(21):177-178.
[9]夏庆华,姜玉,周鹏,等.社区老年白内障患者伤害流行病学特征及影响因素分析[J].中国慢性病预防与控制,2015,23(7):537-540.
[10]黄美娜,陈浙一.年龄相关性白内障患者的综合性视觉功能指数与跌倒影响因素之间的关系[J].国际眼科杂志,2016,16(1):87-90.
[11]林翠珍.老年白内障患者实施高风险跌倒防范措施的效果分析[J].中国伤残医学,2015,23(15):205-206.
[12]黄晓云,曹小飞,刘玮.老年白内障患者跌倒风险因素评估及预防对策[J].江苏医药,2015,41(21):2640-2641.
[13]Elmazar HM,Elmadbouh I,Mandour SS,et al.Association between cataract progression and ischemia-modified albumin in relation to oxidant-antioxidant profiles in the serum,aqueous humor,and lens[J].J Cataract Refract Surg,2018,44(2):134-139.
[14]李瑞娟.老年性白内障患者采用优质护理干预的价值分析[J].临床医学研究与实践,2017,2(35):154-155.
[15]白雪.探讨老年性白内障患者手术后的护理方法及措施[J].中国卫生标准管理,2015,28(6):244-245.
[16]孙叶飞,徐蕾.预警性护理干预对减少胃肠外科术后并发症的效果[J].中国医科大学学报,2016,45(8):756-758.
[2]Lin J,Fang X,Wu S.The management pattern carried out in a cataract surgery day ward[J].Eye Sci,2013,28(2):79-83.
[3]王美蓉,晏妮.“空巢”老人白内障术前焦虑原因分析及护理干预[J].国际护理学杂志,2015,34(13):1817-1819.
[4]李禾雨.护理干预对老年白内障患者心理情绪及并发症的干预效果[J].中国医药指南,2017,15(2):253-254.
[5]杨淑娟,黄秋燕,周秀芬.术前心理护理干预对老年性白内障手术患者的影响[J].临床医学工程,2017,24(1):117-118.
[6]李莉.护理干预在老年糖尿病性白内障患者围术期中的应用[J].中国实用医药,2016,11(9):254-255.
[7]黄馨颖.老年白内障患者心理情绪及并发症的护理干预效果分析[J].中华现代护理杂志,2016,22(29):4257-4260.
[8]张厚珍.护理干预对老年白内障患者心理情绪及并发症的干预效果[J].中国实用医药,2017,12(21):177-178.
[9]夏庆华,姜玉,周鹏,等.社区老年白内障患者伤害流行病学特征及影响因素分析[J].中国慢性病预防与控制,2015,23(7):537-540.
[10]黄美娜,陈浙一.年龄相关性白内障患者的综合性视觉功能指数与跌倒影响因素之间的关系[J].国际眼科杂志,2016,16(1):87-90.
[11]林翠珍.老年白内障患者实施高风险跌倒防范措施的效果分析[J].中国伤残医学,2015,23(15):205-206.
[12]黄晓云,曹小飞,刘玮.老年白内障患者跌倒风险因素评估及预防对策[J].江苏医药,2015,41(21):2640-2641.
[13]Elmazar HM,Elmadbouh I,Mandour SS,et al.Association between cataract progression and ischemia-modified albumin in relation to oxidant-antioxidant profiles in the serum,aqueous humor,and lens[J].J Cataract Refract Surg,2018,44(2):134-139.
[14]李瑞娟.老年性白内障患者采用优质护理干预的价值分析[J].临床医学研究与实践,2017,2(35):154-155.
[15]白雪.探讨老年性白内障患者手术后的护理方法及措施[J].中国卫生标准管理,2015,28(6):244-245.
[16]孙叶飞,徐蕾.预警性护理干预对减少胃肠外科术后并发症的效果[J].中国医科大学学报,2016,45(8):756-758.