| 崔金燕,吴丽娟,孟佶茹,等.认知行为干预在老年髋部骨折病人跌倒恐惧中的应用效果.骨科,2021,12(2): 165-169. |
| 认知行为干预在老年髋部骨折病人跌倒恐惧中的应用效果 |
| Effect of cognitive behavioral intervention on fear of falling in elderly patients with hip fracture |
| 投稿时间：2020-07-21 |
| DOI：10.3969/j.issn.1674-8573.2021.02.013 |
| 中文关键词: 髋部骨折 跌倒恐惧 认知行为疗法 |
| 英文关键词: Hip fracture Fear of falling Cognitive behavior therapy |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨认知行为干预方法在老年髋部骨折病人跌倒恐惧中的应用效果。方法 选取2019年6月至2020年1月在我院骨科收治的90例有跌倒恐惧的老年髋部骨折病人为研究对象，采用随机数字表法分为观察组与对照组，每组各45例。对照组采用常规护理，观察组在实施基础护理的基础上采用认知行为干预。术前1 d、出院当天、干预1个月和3个月时，采用活动平衡信心量表（ABC）、Berg平衡量表（BBS）、改良Barthel指数评定量表（MBI），观察评估病人跌倒风险程度、平衡功能和日常生活活动能力。结果 出院当天、干预1个月和干预3个月时，观察组的活动平衡信心及平衡能力方面均明显优于对照组，差异均有统计学意义（P均＜0.05）。干预1个月和3个月时，观察组的日常生活活动能力均明显优于对照组，差异有统计学意义（P均＜0.05）。结论 在降低老年髋部骨折病人的跌倒恐惧、提高生活质量方面，认知行为干预方法具有良好的效果，可在临床上推广应用。 |
| 英文摘要: |
| Objective To explore the efficacy of cognitive behavior intervention for elderly patients with hip fracture in fear of falling. Methods From June 2019 to January 2020 in our hospital, 90 elderly patients with hip fracture were selected as the study subjects. The subjects were equally divided into the intervention group and the control group by the random number table method. On the basis of routine nursing for 45 patients in the control group, cognitive behavior intervention was carried out in the intervention group. The activities-specific balance confidence scale (ABC), Berg balance scale (BBS), and modified Barthel index (MBI) were used to evaluate the fall risk, balance function and daily life activity. Results After intervention, the ABC scores and balance ability scores in the intervention group were significantly higher than those in the control group at all time points (P＜0.05). After 1 month and 3 months of cognitive behavior intervention, the daily life activity scores in intervention group were significantly higher than in the control group (P＜0.05). Conclusion Cognitive behavioral intervention is effective in reducing the fear of falling and improving the quality of life in patients with hip fracture, and can be applied in the clinical practice. |
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