Impact of preventive nursing on the fall incidence in elderly patients in the recovery stage of cerebral infarction
预防性护理对老年脑梗死恢复期患者跌倒发生率的影响

摘要

目的 探讨预防性护理用于老年脑梗死恢复期患者，观察其防跌倒及提升护理安全的临床效果。方法 选取本院神经内科2024年6月-2025年3月180例老年脑梗死恢复期患者，随机分两组各90例。对照组予常规护理，观察组加用全方位预防性护理。比较两组患者护理期间跌倒发生率、跌倒风险评分、平衡功能评分及护理满意度。结果 观察组跌倒发生率显著低于对照组，差异有统计学意义（P＜0.05）；干预后观察组Morse跌倒风险评分更低，Berg平衡评分更高，组间差异有统计学意义（P＜0.05）；观察组护理总满意度高于对照组，差异有统计学意义（P＜0.05）。结论 对老年脑梗死恢复期患者实施系统性预防性护理，可降低跌倒风险、改善平衡功能、提升护理满意度，临床应用价值显著。

Abstract

Objective To investigate the clinical efficacy of preventive nursing in elderly patients in the recovery stage of cerebral infarction, focusing on its role in preventing falls and enhancing nursing safety.
Methods A total of 180 elderly patients in the recovery stage of cerebral infarction from the Department of Neurology of our hospital between June 2024 and March 2025 were selected and randomly divided into two groups, with 90 cases in each group. The control group received routine nursing care, while the observation group received comprehensive preventive nursing. The incidence of falls, fall risk scores, balance function scores, and nursing satisfaction were compared between the two groups.
Results The incidence of falls in the observation group was significantly lower than that in the control group (P<0.05). After intervention, the Morse Fall Risk Score in the observation group was lower, and the Berg Balance Score was higher, with statistically significant differences between the groups (P<0.05). The overall nursing satisfaction in the observation group was higher than that in the control group (P<0.05).
Conclusion   Implementation of systematic preventive nursing for elderly patients in the recovery stage of cerebral infarction can reduce fall risk, improve balance function, and enhance nursing satisfaction, demonstrating significant clinical value.