实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (4): 382-385.doi: 10.3969/j.issn.1003-9198.2021.04.016

• 临床研究 • 上一篇    下一篇

老年神经精神疾病病人跌倒损伤情景因素分析

张丽, 徐柳柳, 张燕   

  1. 210029 江苏省南京市,南京医科大学附属脑科医院精神科
  • 收稿日期:2020-05-08 发布日期:2021-04-25
  • 通讯作者: 徐柳柳,Email:956699765@qq.com
  • 基金资助:
    南京市医学科技发展专项资金资助课题(YKK16156)

Study on situational factors of falls in 45 elderly patients with neuropsychiatric disease

ZHANG Li,XU Liu-liu,ZHANG Yan   

  1. Department of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,China
  • Received:2020-05-08 Published:2021-04-25

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摘要： 目的 调查神经精神疾病老年病人跌倒伤害发生状况,分析影响跌倒伤害的情景因素。方法 收集护理不良事件信息管理系统年度上报的≥65周岁神经精神疾病老年跌倒病人45例临床资料,分析跌倒损伤的情景因素。结果 单因素分析显示,服用药物种类、跌倒时正在做的事情、跌倒时自我感觉、跌倒发生24 h内使用降压药/抗抑郁药是神经精神科老年病人跌倒损伤发生的情景影响因素(P＜0.05)。Logistic回归分析显示,跌倒时自我感觉失去平衡(OR=97.341,P＝0.002)、服药种类(服用3种药物OR=21.969,P＝0.025,服用4种药物OR=25.897,P＝0.048)是影响跌倒损伤的危险因素。结论 身体失衡和同时服用多种药物可能增加跌倒伤害风险,采取针对性措施可能有助于降低跌倒伤害发生概率。

关键词: 神经精神疾病, 老年人, 跌倒损伤, 情景因素

Abstract: Objective To investigate the status of fall injury in elderly patients with neuropsychiatric diseases and explore the situational factors affecting fall injury. Methods A total of 45 cases of neuropsychiatric diseases aged 65 years old and over suffering from fall reported by the information management system of nursing adverse events in 2017 were enrolled in this study. The clinical data were collected and the situational factors affecting fall injury were analyzed. Results Drug number, things they were dong, self-feeling when falling, use of antihypertensive drugs and antidepressants 24 h before falling were influencing factors of falling injury in the elderly patients with neuropsychiatric diseases (P<0. 05). Logistic regression analysis showed that self-feeling imbalance (OR=97. 341,P＝0. 002) and drug number (take three medications OR=21. 969,P=0. 025, taking four drugs OR=25. 897,P=0. 048) were risk factors of fall injury. Conclusions Imbalance and multiple medication use at the same time may increase the risk of fall injury. Specific intervention should be implemented to reduce the probability of fall injury.

Key words: neuropsychiatric diseases, aged, fall injury, situational factors

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