【摘要】 目的通过社区老年人平衡能力评估,进行一对一的个体化干预,切实减少社区老年人跌倒的发生。方法选择我院卫生服务中心隶属的两个社区,从跌倒高危人群中随机抽取200例作为调查对象,以自身对照的方法进行研究。结合平衡能力测试表的评估结果,对每个调查者制定个性化干预措施和锻炼计划并进行一对一的健康教育指导和干预。结果跌倒II、III级高危老年人经干预后减少其跌倒次数,P值分别为0.043、0.029,差异具有显著性。干预后老年人跌倒预防知识、态度和行为的总分平均分别为(15.34±3.59)、(14.75±3.54)、(26.68±6.61),干预前后得分平均增值分别为5.78、5.97、8.01;干预前后得分比较,p<0.01,干预后老年人跌倒皮外伤、无伤害的P值分别为0.007、0.002,差异具有显著性。结论据老年人平衡能力进行个体化干预,提高老年人对措施的依从性,可减少社区老年人跌倒的发生。更多还原

【Abstract】 Objective Through the assessment of balance capability of community elderly,we determine to do the one by one individualized intervention,which is effectively reduced the tumble occurrence of the community elderly.Methods Choosing two communities of our hospital health service centers,and selected 200 cases from the high-risk group of tumble as subjects,then used self-control method to do the research.Combining the assessment results of balance testing table,and established personalized intervention measures and exercise plans for each investigator,then did the one by one healthy education guidance and intervention.Results A number of II and III grade of high-risk tumble groups decreased after intervention,the value of P are 0.043 and 0.029,difference is significant.The average scores of elderly tumble prevention knowledge,attitude and behavior after intervention are(15.34±3.59),(14.75±3.54),(26.68± 6.61).The value-added average scores before and after intervention are 5.78,5.97,8.01.Comparing the score before and after intervention,p<0.01.After the intervention,the value of P about elderly tumble skin trauma and no harm are 0.007 and 0.002,difference is significant.Conclusion According to the personalized intervention of elderly balance capability,it improves the adherence of elderly on measures,which can reduce the occurrence of tumble of community elderly.更多还原