Analysis of influencing factors and research on humanistic care strategies for falls in inpatients during the rehabilitation period of stroke

Linlin Hou; Yufan Liu; Xuening Cao; Ying Zhang; Feng Yang

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Analysis of influencing factors and research on humanistic care strategies for falls in inpatients during the rehabilitation period of stroke

VernacularTitle:脑卒中康复期住院患者跌倒影响因素分析及人文关怀策略研究
Author: Linlin HOU ¹ ; Yufan LIU ¹ ; Xuening CAO ¹ ; Ying ZHANG ¹ ; Feng YANG ¹
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1. Department of Rehabilitation Medicine， the Second Affiliated Hospital of Xi’an Jiaotong University， Xi’an 710004， China
Publication Type:Journal Article
Keywords: stroke; rehabilitation period; fall; humanistic care
From: Chinese Medical Ethics 2024;37(11):1353-1359
CountryChina
Language:Chinese
Abstract: ObjectiveTo explore the influencing factors for falls in inpatients during the rehabilitation period of stroke and research humanistic care strategies. MethodsUsing a retrospective case-control study design， 32 stroke patients who experienced falls in the rehabilitation department of the Second Affiliated Hospital of Xi’an Jiaotong University from January 2019 to December 2022 were selected as the observation group， and 64 stroke patients who were hospitalized in the same department during the same period and did not suffer from falls were matched 1：2 by age and gender as the control group. Logistic regression analysis was used to determine the influencing factors for falls in inpatients during the rehabilitation period of stroke. ResultsThe results of multivariate analysis showed that a history of falls （OR=8.688， P=0.036）， a fall risk score （OR=1.615， P=0.018）， sleep disorders （OR=5.378， P=0.031）， malnutrition （OR=11.071， P=0.035）， and osteoporosis （OR=15.831， P=0.006） were the independent risk factors for falls in inpatients during the rehabilitation period of stroke. ConclusionThere are many influencing factors for falls in inpatients during the rehabilitation period of stroke. Medical staff should take effective intervention measures based on different risk factors and implement humanistic care to reduce the incidence of falls in inpatients during the rehabilitation period of stroke.