养老机构睡眠障碍老人跌倒风险的危险因素研究

目的 了解养老机构睡眠障碍老人跌倒风险的影响因素。方法 采用便利抽样法,应用一般资料调查表、Morse跌倒评估量表、死亡焦虑量表和Kolcaba舒适状况量表对河北省7所养老机构内60岁及以上的睡眠障碍老人进行调查。结果 445例养老机构睡眠障碍老人中,高跌倒风险者为220例（49.4%）。Logistic回归分析结果显示,高舒适状况、不使用助行器和无下肢疾病是养老机构睡眠障碍老人跌倒风险的保护因素（P<0.05）,使用助眠药和高死亡焦虑是养老机构睡眠障碍老人跌倒风险的危险因素（P<0.05）。结论 养老机构睡眠障碍老人跌倒风险较高,护理人员可采用积极沟通、心理疏导、健康知识宣教等方式降低跌倒风险,预防跌倒发生。

Factors Influencing Risk of Falls in Elderly People with Sleep Disorders in Nursing Homes

Objective To understand the factors influencing the risk of falls among elderly people with sleep disorders in nursing homes. Methods Convenience sampling was used to select the elderly (≥60) with sleep disorders in 7 nursing homes in Hebei province and they were surveyed by using general information questionnaire, Morse Fall Scale, Death Anxiety Scale and General Comfort Questionnaire. Results Among the 445 elderly people with sleep disorders in nursing homes, high risk of falling was observed in 220(49.4%) cases. Logistic regression analysis showed that high comfort, no walker and no lower limb disease were protective factors for the fall risk of elderly people with sleep disorders in nursing institutions (P<0.05), while using of hypnotics and high death anxiety were risk factors(P<0.05). Conclusion Elderly people with sleep disorders in nursing homes are with higher risk of falling. Active communication, psychological counseling, and health education are conducive to reducing the risk of falls.