老年脑血管病患者跌倒的相关因素分析

目的研究老年脑血管病患者跌倒的相关因素，从而有效的预防跌倒的发生。方法对12个月内有跌倒史的老年脑血管病患者102例进行调查。结果男性患者跌倒发生率为42．16％，女性患者为6．86％；独居患者跌倒发生率为37．25％，同住患者为16．67％；平衡能力正常的患者跌倒发生率为22．55％，异常患者为38．24％，差异均有统计学意义（χ2分别为4．95，8．45，5．13；P〈0．05或P〈0．01）；不同年龄、是否服药、不同夜尿情况、视力、智力及伴有不同慢性病患者跌倒发生率比较差异均有统计学意义（P〈0．05或P〈0．01）。结论老年脑血管病患者跌倒是多种因素共同作用的结果，护理重在预防，正确评估老年脑血管病患者的身体状况，制定有效的预防措施，从而减少跌倒的发生。

Analysis of relative factors of tumble among senile cerebrovascular diseases patients

Objective To study the related factors of tumble among senile cerebrovascular diseases patients,so as to effectively prevent it happening.Methods A total of 102 senile cerebrovascular diseases patients with the history of tumble within 12 months were investigated with self-designed questionnaire.Results The incidence of tumble among male patients was 42.16％,while female patients was6.86％ ;living alone patients was 37.25％,while cohabit patients was 16.67％ ;balance ability abnormal patients was 38.24％,while that normal patients was 22.55％.There was significantly difference between them(x2 =4.95,8.45,5.13 ;P ＜0.05 or P ＜ 0.01).The tumble incidence among patients with different ages,medicine or not,nocturnal enuresis condition,eyesight,intelligence and different chronic diseases was significantly difference(P ＜0.05 or P ＜0.01).Conclusions The incidence of tumble among senile cerebrovascular diseases patients are related to many factors,so it is important to assessment their health condition and establish effective preventive measures to reduce the ratio of tumble.