Effect Of Dual Mode Health Education On Knowledge,Reliability,Behavior Of Fall And Falling Efficiency In Elderly Patients

Objective :To investigate the current status and influencing factors of Fall efficacy and knowledge-attitude-practice;To evaluate the effect of health belief model and dual mode health education model on the knowledge,attitude,behavior and fall efficacy,fall compliance and fall incidence in elderly patients.Methods : This study included two parts.The first Part was cross-sectional study,350 cases of elderly inpatients(male 163,female187)in a third-grade class-a hospital of Chongqing were investigated.The survey includes demographic information,falls,history of disease,medication,use of assistive devices,activities,knowledge,attitude,behavior,and fear of falling.The second part was a randomized controlled trial.The cases were from the first part of the elderly inpatients with FoF,104 cases were randomly divided into two groups,52 cases in each group.The intervention group,on the basis of regular health education combined with health belief model and health education,is divided into five stages,The first stage: make patients aware of the severity and susceptibility of fall,assess,educate and demonstrate.3 days;The secondstage: To understand the benefits of preventing falls and to take health behavior barriers,To conduct scenario demonstration and environmental modification.3 days;The third stage: The patients willing to take a certain prevention of fall health behavior,consultation to develop personalized health education program and prevention of fall health behavior,for 3 days;The four stage: Let patients consciously practice prevention of fall,with the prevention of falling self-efficacy.5 days;In the fifth stage: The health education manual of fall prevention was developed by the researchers,and the health behavior and bad behavior of each patient were recorded,and the correct behavior was continued after returning home,telephone follow-up was conducted in 4,8 and 12 weeks.Each stage is according to the five steps of the chengxushi.Control group health education content and discharge follow-up time and intervention group were consistent.After 3month collecting data for data statistics.Results:1.The mean age of hospitalized elderly patient was 75.01±8.40?2.167 were falls,accounting for 47.8 % of the total.3.elderly patients fall knowledge questionnaire(fall down)is divided into(45.33±6.16)total score(0-58)attitude questionnaire score is(25.06±3.69)total score(0-36)behavior questionnaire score is(24.50±6.20)total score(0-44)(0),fall efficacy score is(77.05±39.14)total score(0-140))4.The results of the multivariate stepwise regression analysis showed that : The factors influencing knowledge-attitude-practice were: age,cultural level,economicsource,determination coefficient of 0.301.other factors accounted for60.9 %.the factors influencing the fall efficacy were age,exercise,walking aid,antiplatelet drugs,the score of knowledge score,attitude score was0.452(adjusted R2),other factors and contingency accounted for 54.8 %.5.Correlation analysis of prevention knowledge,attitude and behavior and fall efficacy in elderly patients were correlated with knowledge(r = 0.110,p < 0.05)withattitude(r=0.150,p < 0.01).6.After intervention,the total score of seismo-acoustic in intervention group was higher than that of control group(p < 0.01).Comparison of fall knowledge,attitude and behavior between two groups,the intervention group was significantly higher than the control group,the difference was statistically significant.(p< 0.01).the compliance of the two groups before and after 14 days of intervention,intervention group was higher than the control group,the difference was statistically significant(p < 0.01)Conclusion : The cognitive of fall prevention in Hospitalized elderly patients is not enough,The level of fall efficacy is not high.The cultural level,economic source and economic status can maintain the basic life are important factors affect the cognition of fall;Whether use of walking aid,exercise,age,falls,cultural level are important factor s influencing the fall efficacy in elderly patients,activities exercise and use walking aid have greater impact on the fall efficacy.2.dual mode health education can effectively improve the cognition and efficacy of fall in elderly patients,improve the compliance of prevention,improve the awareness of falls,and prevent fall,can be applied in clinical.