护理学报 ›› 2023, Vol. 30 ›› Issue (16): 41-46.doi: 10.16460/j.issn1008-9969.2023.16.041
基于人-环境-作业模式的轮椅使用者跌倒干预研究进展
施雯1, 黄天翊1, 肖悦2, 徐艳文3
- 1.南京医科大学 康复医学院,江苏 南京 211166;
2.南京医科大学第一附属医院 康复医学科,江苏 南京 210029;
3.无锡市第九人民医院,江苏 无锡 214062
摘要： 目的 通过基于人-环境-作业模式的理论框架对轮椅使用者跌倒干预方法研究进展进行综述,为国内轮椅跌倒预防及相关护理提供参考。方法 通过检索国内外相关文献,从人-环境-作业模式角度对轮椅使用者跌倒的国内外临床干预现状及方法等方面进行总结归纳。结果 依据PEO模式框架,可将轮椅跌倒预防策略分成3个方面。（1）人的策略：增强身体平衡能力与肌肉力量、改善跌倒恐惧和抑郁心理;（2）环境的策略：辅助检测装置、轮椅适配、设施改造等物理环境干预和轮椅技能培训、系统化的防跌倒管理模式、社会政策支持等社会环境干预;（3）作业活动的策略：对执行的作业活动的危险预测能力、正确体位转移方法的掌握、作业活动改良等。结论 基于人、环境、作业因素制定以轮椅使用者为中心的干预策略对减少跌倒有一定的临床价值,应进一步完善轮椅使用者的康复护理体系。
中图分类号:
- R472.4
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