[1]陈园园,徐月,皮红英.老年脑卒中患者跌倒恐惧干预方案的构建[J].军事护理,2023,40(12):46-49.[doi:10.3969/j.issn.2097-1826.2023.12.012]
 CHEN Yuanyuan,XU Yue,PI Hongying.Construction of An Intervention Program for the Fear of Falling in Elderly Stroke Patients[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(12):46-49.[doi:10.3969/j.issn.2097-1826.2023.12.012]
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老年脑卒中患者跌倒恐惧干预方案的构建
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年12期
页码:
46-49
栏目:
研究荟萃
出版日期:
2023-12-15

文章信息/Info

Title:
Construction of An Intervention Program for the Fear of Falling in Elderly Stroke Patients
文章编号:
2097-1826(2023)12-0046-04
作者:
陈园园12徐月1皮红英3
(1.解放军总医院第二医学中心 心血管内科,北京 100853; 2.解放军医学院 研究生院,北京 100853; 3.解放军总医院 卫勤训练中心,北京 100853)
Author(s):
CHEN Yuanyuan12XU Yue1PI Hongying3
(1.Department of Cardiology,The Second Medical Center of Chinese PLA General Hospital,Beijing 100853,China; 2.Graduate School, Chinese PLA Medical School,Beijing 100853,China; 3.Medical Service Training Center,Chinese PLA General Hospital)
关键词:
老年 脑卒中 跌倒恐惧 行为改变
Keywords:
elderly age stroke fear of falling behavior change
分类号:
R473.74
DOI:
10.3969/j.issn.2097-1826.2023.12.012
文献标志码:
A
摘要:
目的 构建老年脑卒中患者跌倒恐惧(fear of falling,FoF)干预方案,以降低老年脑卒中患者FoF程度,提高患者活动水平。方法 系统检索国内外文献,以理论域的行为改变技术为指导,构建老年脑卒中患者FoF干预方案初稿。通过德尔菲法进行2轮专家函询,征询专家意见并修订,形成方案终稿。结果 经过2轮函询后15名专家意见趋于一致,专家权威系数为0.923,肯德尔和谐系数为0.204(P<0.001),条目变异系数为0.000~0.198,最终形成的干预方案涉及到7个理论领域,分为基础内容和巩固提升2个阶段。结论 构建的老年脑卒中患者FoF干预方案具有科学性,能为降低老年脑卒中患者FoF提供指导。
Abstract:
Objective To construct an intervention program for the fear of falling(FoF)in elderly stroke patients,and to provide guidance for reducing FoF and enhancing physical activity in patients.Methods Systematic literature was searched at home and abroad,and the first draft of the intervention plan for FoF in elderly stroke patients was constructed under the guidance of behavior change technology from the theoretical domain framework.2 rounds of expert consultation were conducted through the Delphi method,and expert opinions were solicited and the draft revised to form the final plan.Results After 2 rounds of correspondence,the views of 15 experts tended to be consistent; the expert authority coefficient was 0.923,the Kendall harmony coefficient was 0.204(P<0.001),and the coefficient of variation of entries was 0.000-0.198.The final intervention plan involved 7 theoretical domains in 2 stages,namely primary contents and consolidation.Conclusions The intervention program for FoF in elderly stroke patients is scientific and can provide guidance for reducing their FoF.

参考文献/References:

[1] TINETTI M E,POWELL L.Fear of falling and low self-efficacy:a case of dependence in elderly persons [J].J Gerontol,1993(48):35-38.
[2] LANDERS M R,JACOBSON K M,MATSUNAMI N E,et al.A vicious cycle of fear of falling avoidance behavior in Parkinson's disease:a path analysis[J/OL].[2023-07-20].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299987/.DOI:10.1016/j.prdoa.2021.100089.
[3] 陈园园,刘华,霍云云,等.老年脑卒中患者跌倒恐惧状况及相关因素分析[J].中华保健医学杂志,2023,25(3):347-348,353.
[4] LIU T W,NG G Y F,CHUNG R C K,et al.Decreasing fear of falling in chronic stroke survivors through cognitive behavior therapy and task-oriented training[J].Stroke,2019,50(1):148-154.
[5] 陈园园,宋咪,张华果,等.脑卒中患者跌倒恐惧干预方法研究进展[J].中华老年多器官疾病杂志,2023,22(2):135-138.
[6] TANG A,TAO A,SOH M,et al.The effect of interventions on balance self-efficacy in the stroke population:a systematic review and Meta-analysis [J].Clin Rehabil,2015,29(12):1168-1177.
[7] BAEK C Y,CHANG W N,PARK B Y,et al.Effects of dual-task gait treadmill training on gait ability,dual-task interference,and fall efficacy in people with stroke:a randomized controlled trial[J/OL].[2023-07-20].https://academic.oup.com/ptj/article/101/6/pzab067/6145043?login=true..DOI:10.1093/ptj/pzab067.
[8] 曹睿.Teach-back法健康教育对老年脑卒中患者跌倒恐惧及生活质量的影响研究[D].天津:天津中医药大学,2020.
[9] 牟小会.基于格林模式的健康教育在老年脑卒中康复期患者预防跌倒中的应用研究[D].兰州:甘肃中医药大学,2019.
[10]郭钢花,闫莹莹,李哲.心理干预对脑卒中跌倒患者平衡功能及步行能力的影响[J].中国康复医学杂志,2014,29(4):357-359.
[11]朱雪莲.奥塔戈运动对老年脑卒中术后患者跌倒效能的影响[D].长春:长春中医药大学,2019.
[12]YUEN M,OUYANG H X,MILLER T,et al.Baduanjin Qigong improves balance,leg strength,and mobility in individuals with chronic stroke:a randomized controlled study[J].Neurorehabil Neural Repair,2021,35(5):444-456.
[13]孟凡嫣,陈璇,王艳,等.基于现实环境的功能性步态训练对社区卒中后康复期老人步态特征及害怕跌倒的影响[J].护理学报,2018,25(19):1-4.
[14]孙良文,胡锦荣,潘??等.基于现实环境的功能性步态训练对卒中偏瘫患者早期社区生活的影响[J].中国康复,2017,32(3):260-263.
[15]MICHIE S,RICHARDSON M,JOHNSTON M,et al.The behavior change technique taxonomy(v1)of 93 hierarchically clustered techniques:building an international consensus for the reporting of behavior change interventions [J].Ann Behav Med,2013,46(1):81-95.
[16]QIU Y,TEAM V,OSADNIK C R,et al.Barriers and enablers to physical activity in people with venous leg ulcers:a systematic review of qualitative studies[J/OL].[2023-07-20].https://www.sciencedirect.com/science/article/pii/S0020748922001584?via%3Dihub.DOI:10.1016/j.ijnurstu.2022.104329.
[17]DILLON L,GANDHI S,TANG D,et al.Perspectives of people with late age-related macular degeneration on mental health and mental wellbeing programmes:a qualitative study[J].Ophthalmic Physiol Opt,2021,41(2):255-265.
[18]陈煌,谢红珍,黎蔚华,等.脑卒中肢体功能障碍患者早期康复护理的最佳证据总结[J].解放军护理杂志,2020,37(6):6-10.

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备注/Memo

备注/Memo:
【收稿日期】2023-08-06【修回日期】2023-11-13
【基金项目】国家重点研发计划(2018YFC2001400)
【作者简介】陈园园,硕士在读,主管护师,电话:010-66846616
【通信作者】皮红英,电话:010-66939159
更新日期/Last Update: 2023-12-15