主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (8): 1089-1092.doi: 10.3969/j.issn.1672-1756.2018.08.018

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病房环境危险因素评估在降低住院患者跌倒中的应用

李瑶;喻姣花;李素云;李凌;李梦圆   

  1. 华中科技大学同济医学院附属协和医院护理部,430022武汉市(李瑶,喻姣花,李梦圆);外科(李素云);综合科(李凌)
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    2018湖北省技术创新专项(2018ADC067);华中科技大学同济医学院护理学院2016年自主创新研究基金(2016YXMS156)

The application of environmental risk factor assessment to decrease the fall rate of hospitalized patients

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:分析环境危险因素评估在降低住院患者跌倒中的应用效果。方法:将我院2015年1月至2016年6月收治的200 803例住院患者作为对照组,对其实施常规的跌倒管理;将2016年7月至2017年12月收治的222 867例住院患者作为观察组,采用“环境中跌倒危险因素评估表”实施有针对性的跌倒管理措施,比较实施前、后住院患者跌倒发生情况。结果:对照组住院患者跌倒例数为46例,因环境因素致跌倒31例(67.39%),实施病房环境危险因素评估及相应干预后,观察组住院患者跌倒例数为32例,因环境因素致跌倒12例(37.5%),差异有统计学意义(P<0.05)。结论:实施病房环境的评估能够预见性地识别并处理住院患者环境相关性跌倒发生的危险因素,减少跌倒事件的发生,提高护士对病房环境跌倒危险因素的识别,从而保障患者安全。

关键词: 病房环境危险因素评估;住院患者;跌倒

Abstract: Objective: To analyze the effect of environmental risk factors assessment in reducing the fall of hospitalized patients. Methods: The control group included 200 803 hospitalized patients from January 2015 to June 2016, with the traditional management to prevent fall, and the intervention group included 222 867 hospitalized patients from July 2016 to December 2017, with the intervention that based on the assessment of environmental risk factors to prevent fall, and the traditional fall management intervention. The incidence of fall of the two groups was compared. Results: 46 patients fell in the control group, of which 31 (67.39%) patients fell due to environmental reasons, and 32 patients fell in the intervention group, of which only 12 (37.5%) patients fell due to environmental reasons (P<0.05). Conclusions: The assessment of environmental risk factors can significantly reduce the incidence of environmental related falls in hospitalized patients, improve nurses' awareness of environmental risk factors, and ensure the patients' safety.

Key words: ward environmental risk factor assessment; hospitalized patients; falls