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基于扎根理论预防老年人再次跌倒应对模式的研究

Study on Coping Mode of Preventing Re-Falls in Elderly Based on Grounded Theory

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【作者】 张成娟谢青梅陈果肖娜杨娜

【Author】 Zhang Chengjuan;Xie Qingmei;Chen Guo;Xiao Na;Yang Na;Guangzhou First People’s Hospital (The Second Affiliated Hospital of South China University of Technology);

【机构】 广州市第一人民医院(华南理工大学附属第二医院)

【摘要】 目的:研究基于扎根理论预防老年人再次跌倒的应对模式。方法:以扎根理论为研究方法,对18例<1年发生再次跌倒的老年人进行半结构访谈,通过三级编码,提炼构建老年人对预防跌倒措施的应对模式。结果:提炼出跌倒态度、个人意识、风险识别、行为改变、环境因素、社会支持6个主范畴,确立态度、意识、行为3个核心范畴,形成预防跌倒应对模式的基本模型框架。结论:老年人对待跌倒的态度、意识和行为相互影响,制定跌倒预防方案应注重个人和自我效能等感知因素的改善,全面分析致跌的风险因素。

【Abstract】 Objective: To explore the coping mode of preventing the re-falls in the elderly based on grounded theory. Methods:The grounded theory was used as research method and semi-structured interviews were conducted among 18 elderly people who fell again within one year. The elderly’s coping mode for fall prevention measures was refined and constructed through three-level coding. Results: Six main dimension were refined, including fall attitude, personal awareness, risk identification, behavior change,environmental factors, and social support. Three core dimensions were determined, including attitude, awareness, and behavior.The basis model frame of coping mode for fall prevention was formed. Conclusion: The attitude, awareness, and behavior of the elderly towards falls are interacted. The formulation of fall prevention schemes should consider the improvement of perceiving factors such as personal and self-efficiency, and comprehensively analyze the risk factors of falls.

【关键词】 扎根理论跌倒老年人
【Key words】 Grounded theoryFallElderly
【基金】 2019年广州市卫生健康科技一般引导项目(编号:20191A010016)
  • 【文献出处】 中国社区医师 ,Chinese Community Doctors , 编辑部邮箱 ,2023年35期
  • 【分类号】R161.7
  • 【下载频次】28
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