Đánh giá nguy cơ ngã của người bệnh viêm khớp dạng thấp bằng thang điểm MORSE tại Bệnh viện Đại học Y Hà Nội=Risk of fall assessment by MORSE scale in rheumatoid arthritis patients at Hanoi Medical University Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Huyền Trang Đỗ, Cảnh Linh Lưu, Hoài Thu Phạm, Thủy Tiên Vương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.262-271

Bộ sưu tập: Metadata

ID: 244826

Thêm vào giỏ

Khảo sát nguy cơ ngã bằng thang điểm MORSE và nhận xét một số yếu tố liên quan tới nguy cơ ngã trên người bệnh viêm khớp dạng thấp điều trị tại Bệnh viện Đại học Y Hà Nội. Nghiên cứu mô tả cắt ngang trên 103 người bệnh viêm khớp dạng thấp chẩn đoán theo tiêu chuẩn ACR/EULAR 2010 từ tháng 03 đến tháng 08/2024 điều trị nội trú tại Bệnh viện Đại học Y Hà Nội. Thang điểm MORSE được đánh giá tại ngày đầu người bệnh viêm khớp dạng thấp nhập viện điều trị nội trú. Tỷ lệ người bệnh viêm khớp dạng thấp có nguy cơ ngã trung bình - cao theo thang điểm MORSE là 35,92%. 19,42% người bệnh có ít nhất 1 lần ngã trong vòng 1 năm trước đó. Người bệnh viêm khớp dạng thấp giới nam (OR = 7,37), có mức độ đau VAS trung bình hoặc nặng (OR = 19,13) là yếu tố tiên lượng độc lập đối với nguy cơ ngã mức độ trung bình/ cao. Cần có kế hoạch chăm sóc điều dưỡng cụ thể dự phòng nguy cơ ngã của nhóm người bệnh có điểm đau VAS mức độ trung bình/ nặng ngay thời điểm tiếp đón người bệnh.We conducted this study to assess fall risk using the MORSE scale and to provide commentary on factors associated with fall risk in rheumatoid arthritis (RA) patients receiving treatment at Hanoi Medical University Hospital. 103 RA inpatients, , treatedat the Hanoi Medical University Hospital's Department of Rheumatology from March to August 2024 were included in a cross-sectional descriptive study. On the initial day of the RA treatment, the MORSE scale was evaluated. According to the MORSE classification, the prevalence of RA patients who had a moderate to severe risk of falling was 35.92%. 19.42% of the patients experienced at least one fall in the preceding year. Individuals with moderate to severe VAS pain (OR = 19.13) and male RA patients (OR = 7.37) were found to be independent predictors of moderate to high fall risk. For RA patients who have moderate to severe VAS pain at admission, a specialized nursing care plan is necessary to reduce the risk of falls and to contribute to the overall success of treatment.

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