Effect of individualized fall prevention strategies on fall prevention among patients with Parkinson's disease
10.3969/j.issn.1671-8283.2024.04.005
- VernacularTitle:个体化跌倒预防策略在帕金森病患者中的应用研究
- Author:
Na YIN
1
;
Jinju SUN
;
Xin LIU
;
Zhike YIN
Author Information
1. 首都医科大学附属北京天坛医院神经病学中心,北京,100050
- Keywords:
sports training;
health education;
Parkinson's disease;
fall
- From:
Modern Clinical Nursing
2024;23(4):31-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectiveness of individualized fall prevention strategies in preventing falls among Parkinson's patients.Methods A total of 140 patients with early to mid-stage Parkinson's disease(PD)admitted to our hospital from June 2021 to June 2022 were selected as the study subjects.The patients were randomly divided into a control group and an intervention group using a random number table method,with 70 patients in each group.Both groups received routine and standardised Parkinson's drug treatment.Additionally,the control group received routine fall prevention nursing interventions,while the intervention group received individualized fall prevention plans proposed based on exercise training and health education in addition to the nursing interventions as given in the control group.The two groups were compared in terms of time by timed up and go tests(TUGT)and respective scores by the Modified Fall Effectiveness Energy Scale(MFES),39-item PD questionnaire(PDQ-39),and Berg balance scale(BBS).Results The intervention group presented with significantly shorter TUGT time compared to the control group[(24.90±3.69)s vs.(26.79±3.52)s,P<0.05].When assessed with the MFES and BBS,the intervention group scored significantly higher compared to the control group[(94.90±9.38)vs.(85.38±8.97),P<0.05;[(44.37±3.20)vs.(40.52±3.66),P<0.05,respectively],while,when assessed with the PDQ-39,the intervention group scored significantly lower compared to the control group[(31.13±9.34)vs.(35.25±10.31),P<0.05].Conclusions Individualized fall prevention strategies proposed based on exercise training and health education can improve their effects on preventing falls of Parkinson's patients and enhance their balance-walking ability,thereby improving their quality of life.Therefore,the strategies are worthy of clinical promotion..