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可视教育预防住院患者跌倒坠床的效果研究

吕建萍 范晓莉 许崇武 匡霞 周志庆 叶美娟   

  1. 皖南医学院第一附属医院护理部
  • 出版日期:2015-10-25 发布日期:2015-10-25
  • 基金资助:
    2014 年度皖南医学院第一附属医院重点三新项目(Y1466)

The effects of visual education on fall prevention in inpatients

  • Online:2015-10-25 Published:2015-10-25

摘要: 目的:探索可视教育预防住院患者跌倒坠床的应用效果。方法:2014 年4 月至2015 年3 月,通过分析我院2013年1 月至2013 年12 月发生的住院患者跌倒坠床事件得出的前几位高危情景和因素,录制成教育视频并绘制成宣传教育画册及墙报,应用于院内5 个患者跌倒坠床高危试点病区,落实跌倒坠床情景和视频教育再辅以常规的跌倒坠床分级预防措施。比较干预前后住院患者跌倒坠床风险患者构成及跌倒坠床发生率。并抽样调查患者住院前后对跌倒坠床预防措施的认知、行为及对医院防跌倒坠床措施的满意度。结果:干预前后,试点病区住院患者跌倒坠床低、中、高危患者构成比无统计学差异(P >0.05),住院患者跌倒坠床的发生率干预后较干预前环比明显降低(28.26% ~ 46.34%),具有临床意义。干预后患者对预防跌倒坠床认知及行为较干预前均明显提高(P <0.01)。患者对医院预防跌倒坠床措施的满意度达91.67%。无1 例患者因发生跌倒坠床而投诉及索赔。结论:中、高危跌倒坠床风险患者是发生住院患者跌倒坠床的主要人群,可视教育并执行跌倒坠床分级护理,能有效降低住院患者跌倒坠床的发生率,提高住院患者对预防跌倒坠床的认知度及满意度,有效降低潜在的医患纠纷。

Abstract: Objective: To explore the effects of visual education on prevention of fall in inpatients. Methods: Having analyzed the incidence of falls of inpatients from January to December in 2013 and obtained the topmost causes, we made videos and pictures for fall prevention. Lastly, we applied scenario and videos education accompanied by normal care to patients at high risk of falling in five wards from April 2014 to March 2015. We compared the incidence of falls of patients between baseline and post-intervention.We also randomly surveyed inpatients' cognition, behavior, and satisfaction to fall prevention measures. Results: The constituent ratio of inpatients at low, medium and high risk of fall in pilot ward were not significant between pre and post-intervention (P>0.05). The incidence rate of falling of inpatients before and after the intervention, link relative ratio, significantly lower (28.26%~46.34%), has clinical significance. the inpatients' cognition and behavior of prevention of fall were obviously improved (P<0.01). The satisfaction of prevention measures were 91.76%. Conclusions: Inpatients with medium and high risk of fall are the main groups of the falling.Visual education accompanied with falling grading care could effectively reduce the incidence of falls in inpatients and improve inpatients' awareness and satisfaction of fall prevention, and can also effectively reduce the potential medical disputes.