老年人跌倒防控信息管理系统的建立及其应用

摘要

Objective:To investigate establishing,applying and evaluating the fall prevention and control information system in elderly community.Methods:Relying on internet techno]ogy and informatization means,the fall comprehensive prevention and control strategy of elderly was guided into online from offline.The fall prevention and control information system which was a collection of risk assessment,remote education and feedback was established.One hundred and twenty-six elderly (over 60 years old) in community were screened in this study and 84 high-risk elders who were involved in the remote continuous comprehensive intervention were screened out.Intervening measures included distributing propaganda album,making mission slides and video used to play with the interpretation remotely.Then fall related situation before and after intervention was analyzed and the effectiveness of system evaluated.Results:After remote intervention,the fall incidence of high-risk group decreased from 21.43％ to 4.76％(P ＜ 0.01).The body balance and gait stability improved clearly(P ＜ 0.01).The rate of taking proper prevention and control behavior significantly improved(P ＜ 0.01).They believed in themselves not to fall down with more confidence when taking complex behaviors(P ＜ 0.01).The security of environment at home significantly enhanced(P ＜ 0.01).Conclusion:Fall prevention and control information system in elderly community was innovative and convenient.The system could roundly assess the status related to fall and accurately screen out high-risk group.The system could implement the remote continuous comprehensive intervention so that the incident of fall was decrease.In conclusion,the system is stable and effective,can be further popularization and application as a successful pilot.%目的:探索建立老年人跌倒防控信息管理系统,并进行应用及效果评价.方法:依托物联网技术和信息化手段,将老年人跌倒综合防控策略从线下导入线上,建立集风险评估、远程教育、反馈评价于一体的老年人跌倒防控信息管理系统.运用该系统对126名干休所老年人(年龄≥60岁)进行评估,量化跌倒风险等级,对筛选出的84名高危老年人进行远程连续综合干预,干预措施包括分发宣传画册,制作宣教幻灯片及视频进行远程播放与讲解.采用自身前后对照,分析评价干预6个月后跌倒相关情况.结果:高危人群跌倒发生率由21.43％降至4.76％(P＜ 0.01);身体平衡能力和步态稳定性改善情况明显(P＜0.01);能够自觉进行正确防控行为的比例显著提高(P＜0.01);进行复杂行为时更有信心不会跌倒(P＜0.01);居家环境安全性整体提高(P＜0.01).结论:老年人跌倒防控信息管理系统可通过全面评估筛选出高危人群,实施远程连续综合干预,降低跌倒发生率,可进一步推广应用.