摘要
目的探讨基于计划行为理论的跌倒预防工具包对高龄住院患者预防跌倒的应用效果。方法选取2019年4月~9月在解放军总医院第二医学中心住院的跌倒高风险老人340例,随机数表法分为对照组和观察组,住院期间对照组采用常规预防跌倒措施,观察组采用基于计划行为理论的跌倒预防工具包,比较干预后两组患者关于预防跌倒的知识、行为态度及主观准则的得分,知觉行为控制和跌倒发生率情况。结果干预前两组跌倒相关知识、行为态度、主观准则等差异无统计学意义(P>0.05),干预后观察组跌倒相关知识总得分为(37.00±1.79),高于对照组(30.50±5.65)分,差异有统计学意义(P<0.01);观察组干预后的行为态度得分为(23.33±1.21)分,主观准则得分为(4.00±0.89),改善幅度优于对照组,观察组采取预防跌倒的行为人数更多,跌倒发生率更低,差异有统计学意义(P<0.05)。结论基于计划行为理论的综合干预对高龄住院患者预防跌倒的知识、行为态度、主观准则、行为有显著提高,可有效降低高龄住院患者跌倒发生率。
Objective To explore the effect of Fall Prevention Kit based on rational action theory on the prevention of falls in elderly hospitalized patients.Methods A total of 340 high-risk elderly people who were hospitalized from May 2019 to October 2019 were randomly divided into control group and intervention group.During the hospitalization period,routine preventive measures for fall was used in the control group,and Fall Prevention Kit based on rational action theory was used in the intervention group.After comparing the intervention,the two groups of patients were concerned with the prevention of fall knowledge,behavioral attitudes,subjective criteria,behavioral scores and the incidence of falls.Results There was no significant difference between the two groups before intervention.The patient’s knowledge of fall prevention was(37.00±1.79),more than that in the control group(30.50±5.65)(P<0.01),and the behavioral attitude score after intervention in the intervention group was(23.33±1.21).Subjective criteria score was(4.00±0.89),the improvement was better than the control group,and the difference was statistically significant(P<0.05).Conclusion The Fall Prevention Kit based on theory of reasoned action can significantly improve the knowledge,behavioral attitudes,subjective criteria and behaviors of elderly hospitalized patients to prevent falls,and can effectively reduce the incidence of falls in hospitalized patients.
作者
杨虹
侯惠如
Yang Hong;Hou Huiru(Department of Cardiology,the Second Clinical Centre,Chinese PLA General Hospital,Beijing 100853,China)
出处
《中华保健医学杂志》
2020年第2期153-156,共4页
Chinese Journal of Health Care and Medicine
基金
国家老年疾病临床研究中心开放课题(NCRCG-PLAGH-2018016)。
作者简介
通信作者:侯惠如,E-mail:hhr610626@163.com。
