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Analysis of the Survey on Social Activities of Elderly Bedridden Patients

目的　了解老年卧床患者社会活动情况及其影响因素。 方法　2009年12月－2011年2月应用社会功能评估量表对社区及医院325例60岁以上老年卧床患者进行调查。 结果　老年卧床患者社会活动缺乏，主要社会活动为看表演或听收音机、看电视，通过电话与邻居、朋友、亲戚交谈等；较少有人参与宗教、社会事务聚会等活动；极少数人参加工作、做自愿者以及旅游的社会活动。不同的年龄、婚姻状况、经济收入、病情、卧床时间、卧床分级及家庭功能的老年患者社会活动评分差异有统计学意义（P＜0.05）。 结论　老年卧床患者社会活动缺乏，参与程度与年龄、婚姻状况、经济收入、病情、卧床时间及分级、家庭功能等多因素密切相关。需加大对老年卧床患者的关注力度，在为其疾症治疗提供帮助的同时，也需从精神、心理方面予以更多的关怀与疏导，为其能主动参与社会活动提供指导和支持。

老年慢性病患者跌倒风险及相关因素分析

目的了解老年慢性病患者跌倒发生情况及其相关因素，为临床预防跌倒提供依据。 方法运用自行设计的问卷量表，对2014年3月-5月住院的236例老年患者近3个月跌倒发生情况及相关因素进行调查和分析。 结果老年慢性病患者近3个月跌倒发生率为36.4%，年龄、健康状况、行走能力、锻炼情况、尿失禁、患多种疾病等是老年患者发生跌倒的相关因素；高龄、健康状况差、行走能力差、不坚持锻炼、有尿失禁和患有多种疾病的患者跌倒发生率高。 结论防范住院老年慢性病患者跌倒，应着力于老年高危人群跌倒的危险评估、早期预防、锻炼干预以及针对跌倒危险因素进行的多因素干预措施。

Investigation of the Exercise Situation in the Elderly Diabetic Patients

【摘要】　目的　了解老年糖尿病患者运动锻炼情况。　方法　以成都某教学医院2009年2-8月住院的老年糖尿病患者106例为调查对象，采用自行设计的问卷对老年糖尿病患者进行运动锻炼和相关知识及自我效能调查。　结果　35.8%的患者近1个月有运动锻炼，仅有25.5%坚持运动锻炼，43.4%的患者运动锻炼效能低，不同年龄、性别、文化水平、婚姻状况、收入、糖尿病病程与是否有锻炼行为无明显差异。　结论　老年糖尿病患者运动锻炼行为较差，运动锻炼相关知识缺乏，需要提高老年糖尿病患者对运动锻炼相关知识的认识，增加患者运动锻炼行为，提高患者的自我效能，提高老年人的生活质量。【Abstract】　Objective　To understand the situation of exercise in the elderly diabetic patients. 　Methods　At a teaching hospital in Chengdu, adopting the self-designed questionnaire, we investigated 106 elderly diabetic patients on their situation of doing exercises, the related knowledge and the self-potency, from February to August 2009.　Results　A total of 35.8% of the elderly diabetic patients did exercises within the recent month. Only 25.5% insisted doing exercises, and 43.4% of the patients’ exercise potency was low. There was no correlation between the exercise situation and age, sex, educational level, marital status, income, and duration of diabetes (Pgt;0.05).　Conclusions　The elderly diabetic patients′ exercise behavior is poorer, and they lack the related knowledge. Consequently, they need to enhance their exercise related knowledge, increase their exercise behavior to improve their self-efficacy and the quality of life.

简易加取液护理托盘的研制

Effect of Touching on Alleviating the Pain in Patients Undergoing Epidural Anesthesia Puncture

【摘要】　目的　评价抚触对硬膜外麻醉穿刺疼痛的影响及效果。　方法　2009年1-12月，将485例行硬膜外麻醉穿刺患者随机分为抚触组（术中行抚触干预）和对照组（常规护理），观察两组患者的穿刺程度、穿刺时间。　结果　抚触组患者疼痛程度、穿刺时间较对照组有明显改善，且差异有统计学意义（Plt;0.01）。　结论　抚触可降低应激引起的硬膜外麻醉穿刺患者的疼痛程度，保持穿刺体位从而缩短穿刺时间，有利于麻醉操作顺利进行。【Abstract】　Objective　To evaluate the effect of touching on alleviating the pain in patients undergoing epidural anesthesia puncture.　Methods　A total of 485 patients who underwent epidural puncture from January to December 2009 were randomly divided into two groups: 259 in touching group and 226 in control group. In the touching group, the patients were touched and consoled while undergoing epidural puncture. The pain extent and time of puncture were observed and recorded.　Results　The level of pain and time of puncture were obviously alleviated and shortened in the touching group and the difference between the two groups was statistically significant.　Conclusion　Touching could reduce the stress and pain caused by epidural puncture, which may lead to maintain the puncture position and thereby shorten the puncture time. It helps to finish the narcotic operation favorably.

Willingness of elderly patients to use artificial intelligence robots and its influencing factors

Objective To broaden the current understanding of the usage willingness about artificial intelligence (AI) robots and relevant influence factors for elderly patients. Methods The elderly patients in the inpatient ward, outpatient department and physical examination of the Department of Geriatrics, West China Hospital of Sichuan University were selected by convenient sampling for investigation between February and April 2020, to explore the willingness of elderly patients to use AI robots and related influencing factors. Results A total of 446 elderly patients were included. There were 244 males and 202 females. The willingness to use AI robots was (14.40±3.62) points. There were statistically significant differences among the elderly patients with different ages, marital status, living conditions, educational level, current health status, current vision status, current hearing status, self-care ability and family support in their willingness to use AI robots (P<0.05). Multiple linear regression analysis showed that age, education level and family support were the influencing factors of use intention (P<0.05). Among the elderly patients, 60.76% had heard of AI robots, but only 28.03% knew the medical application of AI robots, and only 13.90% had used AI robot services. Most elderly patients (>60%) thought that some adverse factors may reduce their usage willingness, like “the price is too expensive” and “the use is complex, or I don’t know how to use”. Conclusions Elderly patients’ cognition of AI robots is still at a low level, and their willingness to use AI robots is mainly affected by age, education level and family support. It is suggested to consider the personalized needs of the elderly in terms of different ages, education levels and family support, and promote the cheap and user-friendly AI robots, so as to improve the use of AI robots by elderly patients.

The Investment and Analyses about the Advanced Ages Choose of the Hospice Treatment and Place

目的：探讨高龄老人临终治疗方式和地点需求的选择，为临床更好的开展临终关怀护理服务，提高患者生存质量，建立完善的临终关怀服务体系提供科学依据。方法：结合相关量表自行设计问卷对204名80岁以上的住院患者进行调查。结果：在选择临终治疗方式时，依次为对症治疗、听取医生的安排、选择不治疗、希望继续高技术治疗、听取子女们的安排。选择临终地点时，依次为愿意在医院、在家中和在养老院渡过生命的最后时光。结论：高龄老人的临终需求是多元化的，因此，在临床工作中应针对不同的需求提供个性化护理。

老年患者反复住院治疗且择同一病房原因调查

【摘要】 目的 了解老年患者反复入院治疗且择同一病房的原因。 方法 通过自行设计的调查表于2008年1月-2009年1月对老年患者反复住院治疗的原因进行调查。 结果 老年患者选择再次入院的主要原因:①肿瘤、慢性阻塞性肺病、冠心病及脑梗死等慢性疾病；②与老年患者自理能力衰退有关，其自理能力与调查前6个月相比，有19.1%～43.1%下降；③选择入住同一病房，主要因为医生护士熟悉患者病情、且医疗护理技术好、离家近等。④与现行医疗报销制度也有一定的关连性。 结论 应注重对此类患者全面评估观察、健康教育及加强社区医疗护理，减少再次入院。

空巢老年人跌倒风险及相关因素分析

目的 了解空巢老年人的跌倒状况，制定有效的防范措施，提高空巢老年人生活的安全性。 方法 2015 年 3 月—6 月应用自行设计的问卷对成都市周边 10 个居委会内居住的年龄≥60 岁空巢老年人进行跌倒状况调查，并进行跌倒相关因素分析。 结果 调查发放调查问卷共 250 份，回收有效问卷 240 份，有效回收率为 96.0%。240 例空巢老年人以年龄≥80 岁、男性、健康状况较好、有配偶、无抑郁情绪、居住城市、行走能力良好为主。240 例空巢老年人中，近 3 个月有跌倒情况 87 例，发生率为 36.2%。而跌倒后造成软组织损伤、关节脱位 10 例（4.2%），骨折 2 例（0.8%）。240 例老年人跌倒风险评估量表得分为（4.50±1.99）分。跌倒单因素分析表明，空巢老年人的年龄、居住环境、健康状况、抑郁情绪、行走能力与其跌倒有关 （P<0.05）。logistic 回归分析表明，年龄、行走能力、居住环境、健康状况是影响空巢老年人跌倒的主要因素（P<0.05）。 结论 空巢老年人的跌倒发生率较高，其安全应引起社会的高度重视，应根据空巢老年人跌倒的影响因素早期采取干预措施，改善其安全状况。

A Survey of Earthquake Knowledge and Its Related Influencing Factors Analysis in Elderly Population

ObjectiveTo understand the levels of and influencing factors for knowledge of earthquake in the elderly population. MethodPeople who were older than 60 years in the earthquake area of Sichuan Province were surveyed by self-designed earthquake knowledge scale composed of 6 items with a point of 1-5 for each item between October and November 2013. The total score ranged from 6 to 30 points. ResultsUp to 1 509 elderly people participated the survey. The total score of earthquake knowledge was 13.33±4.85. The main resource for acquiring those knowledge was TV (76.87%). Occupation, education level, residency, marital status, residence, self-injury, health status, access to earthquake knowledge, and worrying about earthquake were related factors for their knowledge on earthquake (P<0.05). Regression analysis showed that the higher degree of education, having a spouse, living in city, more access to earthquake knowledge, worrying about earthquake were the promotion factors for earthquake knowledge preparedness. Self-injury, poor health were the factors that hindered the acquiring of earthquake knowledge preparedness. ConclusionsIt is necessary to train knowledge of earthquake for elderly people individually because they lack enough resources and tend to be affected by many factors.