老年住院患者跌倒危险因素的质性研究  

The nature research on tumble risk factor of the aged inpatients

作　　者：李智英[1] 郑志惠[1] 黄燕梅[1] 

机构地区：[1]广州中山大学附属第一医院护理部,510080

出　　处：《护理实践与研究》2009年第17期1-3,共3页Nursing Practice and Research

摘　　要：目的:通过对住院老年患者跌倒的危险因素进行分析,为跌倒的预防提供循证依据。方法:运用《患者跌倒风险评估表》对1338例年龄大于60岁、有跌倒危险的住院患者进行回顾性分析。并对跌倒危险因子进行单因素和多因素统计分析。结果:发生跌倒30例,总发生率为2.24%,跌倒的方式以晕倒和下肢乏力为主。有跌倒史、服用特殊药物、睡眠障碍、自我评价能力、视力障碍、平衡能力下降、步态不稳为跌倒的危险单因素。其中服用特殊药物、平衡能力、自我评价能力进入多因素分析。结论:住院老年患者的跌倒是多个因素的累积作用结果。只有对患者进行客观、全面的评估,才能有效预防跌倒的发生。Objective：Analysis the risk factors for falls of hospitalization in elderly patients, in order to provide evidence - based fall prevention. Methods： Use ＂in patients with a fall risk assessment form＂ of the 1 338 cases, aged more than 60 years old, have a fall risk of patients were retrospectively analyzed. Fall risk factors and univariate and multivariate statistical analysis. Results： Fall occurred in 30 cases ,overall incidence of 2.24% ,fall way to the main weak collapsed and lower extremitios. There was a fall history, use of special drugs, sleep disorders, self- evaluation capacity, visual impairment, reduced ability to balance,gait instability for single - factor risk of falls, which take the special medicine, balance, ability to self- evaluation into the multi - factor analysis. Conclusion ： Hospitalized elderly patients with a number of factors fall is the result of the cumulative effect. Only patients with an objective,comprehensive assessment can prevent the occurrence of fails.

关 键 词：老年 住院患者 跌倒 危险因素 研究 

分 类 号：R473[医药卫生—护理学]