Nguy cơ té ngã ở các bệnh nhân Parkinson ngoại trú

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Tác giả: Thị Minh Phượng Bùi, Hoàng Anh Huỳnh, Văn Tuấn Lê, Trường Duy Tô, Thị Ngọc Lan Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại: 618.97 +Geriatrics

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 336-340

Bộ sưu tập: Metadata

ID: 502360

Thêm vào giỏ

To determine the risk of falling in Parkinson's outpatients. Subjects and methods: A cross-sectional study describing 93 Parkinson's patients who visited the Hospital of University of Medicine and Pharmacy in Ho Chi Minh City. Patients who met the sample selection criteria were evaluated for gait and balance based on 2 falls - risk scales, namely Three Predictive Steps (3SPT) and Tinetti, then classified the risk of falling according to each scale and the factors related to it. The study was measured and analyzed using the statistical software R. Study results: mean age was 63.37 ± 9.76 years old, male/female ratio was 1/1.27, mean disease duration was 5.0 ± 5.2 years, mean Hoehn and Yahr stage group mean is 2.4 ± 7.4. The percentage of patients at high risk of falling according to the 3SPT and Tinetti scales accounted for 33% and 41%, respectively. Factors associated with high risk of falling according to both Tinetti and 3SPT scales include high Hoehn and Yahr stages, prolonged disease duration, increased fear of falling. Conclusion: The rate of falling risk of Parkinson's patients assessed by 2 scales as Tinetti scale or Three-step prediction scale is very high, with a number of factors associated with high risk rate including HY stage, prolonged disease duration, fear of falling. This shows the urgency of establishing a program to survey and prevent falls in Parkinson's outpatients, especially for the patient who has a prolonged disease duration, higher stage of Hoehn and Yahr and a fear of falling.Xác định nguy cơ té ngã của bệnh nhân Parkinson ngoại trú. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả 93 bệnh nhân Parkinson đến khám tại bệnh viện Đại học Y Dược TP. Hồ Chí Minh thỏa tiêu chuẩn chọn mẫu được đánh giá dáng đi và thăng bằng dựa trên 2 thang điểm là Ba bước dự đoán (3SPT) và Tinetti sau đó phân loại nguy cơ té ngã theo từng thang điểm và các yếu tố liên quan với nguy cơ cao. Nghiên cứu được đo đạc và phân tích bằng phần mềm thống kê R. Kết quả nghiên cứu: tuổi trung bình là 63,37 ± 9,76 tuổi, tỉ số nam/nữ là 1/1,27, thời gian bệnh trung bình 5,0 ± 5,2 năm, giai đoạn Hoehn và Yahr trung bình của nhóm là 2,4 ± 7,4. Tỉ lệ BN có nguy cơ té ngã cao theo thang điểm 3SPT và Tinetti lần lượt chiếm 33% và 41%. Các yếu tố liên quan với nguy cơ té ngã cao theo cả 2 thang điểm Tinetti và 3SPT gồm có giai đoạn Hoehn và Yahr cao, thời gian bệnh kéo dài, cảm giác sợ té tăng. Kết luận: Tỉ lệ nguy cơ té ngã của các BN Parkinson được đánh giá bằng 2 thang điểm Tinetti hay Ba bước dự đoán là rất cao, với một số yếu tố liên quan đến tỉ lệ nguy cơ cao gồm có giai đoạn HY, bệnh lâu, sợ té. Điều này cho thấy tính cấp thiết của việc hình thành chương trình khảo sát và dự phòng té ngã ở các BN Parkinson ngoại trú, đặc biệt khi BN mắc bệnh lâu, giai đoạn Hoehn và Yahr cao và có cảm giác sợ té.

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