摘要
目的了解农村老年高血压患者跌倒警觉度现状及其影响因素,为制订干预方案预防跌倒提供参考。方法选取湖南省西部与北部农村地区老年高血压患者443例,采用一般资料调查表、跌倒警觉度量表、Tilburg衰弱量表、高血压自我管理行为量表进行调查。结果农村老年高血压患者的跌倒警觉度得分为(68.82±20.47)分。多元线性逐步回归分析结果显示,年龄、睡眠状态、近1年是否发生过跌倒、参加集体活动、是否长期服用药物、衰弱、高血压自我管理为农村老年高血压患者跌倒警觉度的影响因素(均P<0.05)。结论农村老年高血压患者跌倒警觉度较高,衰弱程度较低。社区医护人员需针对影响因素对农村老年高血压患者进行健康教育,提高其跌倒警觉度,降低跌倒发生率。
Objective To investigate the current status and influencing factors of fall alertness in older hypertensive patients in rural areas,and to provide reference for the development of intervention programs to prevent falls.Methods A total of 443 older hypertensive patients in the western and northern rural areas of Hunan province were selected and investigated using the general information questionnaire,Self-awareness of Falls in Elderly Scale(SAFE),the Tilburg Frailty Indicator(TFI),and the Hypertension Self-Management Behavior Scale.Results The fall alertness score of older hypertensive patients in rural areas was(68.82±20.47),and the results of multiple linear stepwise regression analysis showed that age,sleep status,whether a fall occurring in the past year,participation in group activities,whether taking long-term medication,frailty,and self-management of hypertension were the influencing factors of fall alertness in older hypertensive patients in rural areas(all P<0.05).Conclusion Older hypertensive patients in rural areas have higher awareness of falls and lower degree of frailty.Community healthcare workers need to provide health education to rural older hypertensive patients according to the influencing factors,and improve their fall alertness to reduce the incidence of falls.
作者
邓潇
李德威
伍祯
何灿
王瑶
Deng Xiao;Li Dewei;Wu Zhen;He Can;Wang Yao(School of Nursing,Changsha Medical University,Changsha 410217,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第22期103-106,111,共5页
Journal of Nursing Science
基金
湖南省大学生创新创业训练计划项目(湘教通[2022]-174-44-633)。
关键词
老年人
高血压
农村
跌倒警觉度
睡眠
衰弱
自我管理
影响因素
older patient
hypertension
rural
fall alertness
sleep
frailty
self-management
influencing factors
作者简介
邓潇,女,本科在读,学生,1943386814@qq.com;通信作者:王瑶,wangyao9874@163.com。