影响住院老年人跌倒自我意识的因素:一个Q方法研究
Tianxin Miao1, Ke Chen1, Yingna Zhao2
1Tianjin Medical University General Hospital, Tianjin, China.
Frontiers in public health
|January 30, 2026
概括
在住院的老年人中,跌倒风险意识较差. 这项研究确定了三种患者类型:落衍生型,家庭导向型和健康状态型,影响他们的意识,指导个性化的防摔策略.
科学领域:
- 老年学是一门学科.
- 患者安全 患者安全
- 健康心理学 心理健康心理学
背景情况:
- 意识到跌倒风险对于预防住院老年人跌倒至关重要.
- 在这个人口群体中,对跌倒风险的认识通常很低.
- 有限的研究从患者的角度探讨了影响跌倒风险意识的主观因素.
研究的目的:
- 调查影响住院老年人跌倒风险意识的因素.
- 探索患者对跌倒风险意识的主观观点.
- 根据跌倒意识的影响来识别不同的患者类型.
主要方法:
- 从中国天津的一家三级医院招募了60岁以上的住院患者.
- 利用Q分类任务让参与者对34个关于跌倒意识因素的陈述进行排名.
- 进行了分类后的采访,并采用了主要成分因子提取和描述性分析.
主要成果:
- 确定了影响秋季自我意识的三个独立因素:秋季衍生类型 (n=7),以家庭为导向的类型 (n=2),健康状态类型 (n=6).
- 积极影响包括注意预防跌倒,自我护理能力和疾病特征.
- 负面影响与识字水平和社会因素有关.
结论:
- 老年住院患者的秋季自我意识是多因素和认知依赖的.
- 患者可以分为堕落衍生型,以家庭为导向型和健康状态型.
- 根据患者类型进行量身定制的健康教育对于提高摔倒意识和降低摔倒率至关重要.
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