综合护理干预预防老年高血压或糖尿病患者跌倒的效果

高秋萍

【摘要】目的：探讨综合护理干预在预防老年高血压或糖尿病患者跌倒中的临床应用效果。方法：抽取2019年1月至2020年1月来我院诊治的老年高血压或糖尿病患者260例，随机平均分为两组，分别采用常规护理干预（对照组）与综合护理干预（观察组），对两组患者的跌倒发生率、跌倒原因、对跌倒原因的知晓率及护理满意度进行对比分析。结果：观察组患者的跌倒发生率、对跌倒原因的知晓率及护理满意度均优于对照组患者。结论：针对老年高血压或糖尿病患者实施综合护理干预能够有效地预防跌倒事件的发生，有助于提高患者的自我防护意识，能够有效地保障患者的人身安全;有助于提高老年高血压或糖尿病患者的健康意识，有效地提高老年高血压或糖尿病患者的生活质量，值得临床推广应用。

【关键词】综合护理干预;老年;高血压;糖尿病;预防跌倒

[中图分类号]R473.2[文献标识码]A[文章编号]2096-5249（2021）21-0095-02

Effectiveness of a Comprehensive Nursing Intervention to Prevent Falls in Elderly Patients with Hypertension or Diabetes

GAO Qiu-ping（Affiliated Hospital of Changchun University of Chinese Medicine， Changchun Jilin 130000， China）

[Abstract] Objective： To explore the clinical application effect of comprehensive nursing intervention in preventing falls in elderly patients with hypertension or diabetes. Methods： A sample of 260 elderly patients with hypertension or diabetes who came to our hospital for treatment from January 2019 to January 2020 were selected and randomly divided into two groups. The two groups of patients were treated with conventional nursing intervention（control group）and comprehensive nursing intervention（observation group）. The incidence of falls， causes of fallss， awareness rate of fall causes， and nursing satisfaction of the two groups were compared and analyzed. Results： The incidence of falls， the awareness rate of the cause of falls， and the nursing satisfaction in the observation group were better than those in the control group. Conclusion： The implementation of comprehensive nursing intervention for elderly patients with hypertension or diabetes can effectively prevent the occurrence of falls， help to improve the self-protection awareness of patients， and effectively protect the personal safety of patients; It is helpful to improve the health awareness of elderly patients with hypertension or diabetes， and effectively improve the quality of life of elderly patients with hypertension or diabetes， which is worthy of clinical application.

[Key words] Comprehensive Nursing Intervention; Elderly; Hypertension; Diabetes; Fall Prevention

跌倒主要是指突發的、不自主的、非故意状态下的身体失去平衡而倒地现象[1]，出现的症状可轻可重，轻者仅表现为淤血、擦伤等，重者可出现脑出血、骨折或者软骨组织挫伤等。跌倒多见于老年人，尤其是患有高血压或糖尿病的老年人，主要是因为患有高血压或糖尿病的老年人肌力均较差，平衡能力较差、认知能力减弱及脑组织发生了不同程度的萎缩等[2]，这些老年人在发生跌倒事件后出现的临床症状多较重，往往会影响到老年患者的日常生活质量及身心健康，甚至是生命安全，给家庭及社会均会造成较沉重的负担[3]。……