| 李丽,陈燕.奥塔戈运动在预防出院后老年脑卒中患者跌倒中的应用效果[J].上海护理,2021,21(S1): |
| 奥塔戈运动在预防出院后老年脑卒中患者跌倒中的应用效果 |
| Application effect of Otago exercise in preventing falls in elderly stroke patients after discharge |
| DOI： |
| 中文关键词: 奥塔戈运动 预防 出院后老年脑卒中患者 跌倒 |
| 英文关键词:Otago exercise prevention elderly stroke patients after discharge falls |
| 基金项目:复旦大学附属金山医院院级课题(2018-JSYYKT-23) |
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| 中文摘要: |
| 目的 研究奥塔戈运动对出院后老年脑卒中患者跌倒效能、平衡能力、生活自理能力和跌倒发生情况的影响。方法 选取我院神经内科2018.7.1～2020.6.30符合研究标准的出院患者80例随机分为观察组和对照组，每组40例，在院期间对2组患者均进行常规防跌倒措施，出院后均进行常规电话、微信及门诊随访，观察组在对照组基础上接受6个月的奥塔戈运动（OEP）干预。比较两组患者在干预前后跌倒效能、平衡能力、生活自理能力和跌到发生的情况，评价奥塔戈运动在预防出院后老年脑卒中患者跌倒中的效果。结果 干预前两组患者跌倒效能、平衡能力、Barthel生活自理能力评分及跌倒发生率比较，均无差异(P>0.05)，干预6个月后，观察组与对照组，跌倒效能、平衡能力、Barthel生活自理能力评分与干预前比较，均有改善(P<0.05)，且观察组的改善更为明显(P<0.05)，而跌倒发生率无明显差异（P>0.05）。结论 6个月的奥塔戈运动干预，能够提高出院后老年脑卒中患者的跌倒效能、平衡能力和生活自理能力，但能否降低跌倒发生率，有待进一步研究。 |
| 英文摘要: |
| Objective To study the effect of Otago exercise on fall performance, balance ability, self-care ability and fall occurrence in elderly stroke patients after discharge. Methods A total of 80 discharged patients from the Department of Neurology of our hospital from 2018.7.1 to 2020.6.30 who met the research standards were randomly divided into observation group and control group, with 40 cases in each group. Both groups were treated with routine fall prevention measures during the hospitalization period and were discharged After that, routine phone calls, WeChat and outpatient follow-ups were performed. The observation group received 6 months of Otago Exercise (OEP) intervention on the basis of the control group. The two groups of patients were compared before and after the intervention in fall performance, balance ability, self-care ability and fall occurrence, and evaluated the effect of Otago exercise in preventing falls in elderly stroke patients after discharge. Results Before the intervention, there was no difference between the two groups of patients in fall efficacy, balance ability, Barthel's self-care ability score, and fall incidence (P>0.05). After 6 months of intervention, the observation group and the control group had no difference The Barthel self-care ability score was improved compared with that before the intervention (P<0.05), and the improvement in the observation group was more obvious (P<0.05), but there was no significant difference in the incidence of falls (P>0.05). Conclusion Six months of Otago exercise intervention can improve the fall performance, balance ability and self-care ability of elderly stroke patients after discharge from the hospital, but whether it can reduce the incidence of falls remains to be further studied. |
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