精神科住院患者跌倒的原因与防范  

Investigation and Prevention Measures of Psychiatric Inpatients Fallen down

作　　者：文荣康[1] 马琴[1] 

机构地区：[1]成都市第四人民医院,四川成都610036

出　　处：《现代临床医学》2011年第3期213-215,共3页Journal of Modern Clinical Medicine

摘　　要：目的:分析住院精神病患者跌倒的危险因素,探讨有效的管理方法和防范措施。方法:对49例住院患者跌倒原因进行回顾性分析。结果:60岁以上患者跌倒27例(55.2%);跌倒发生在夜间(18:00～08:00)32例(65.3%);跌倒地点于病房18例(36.7%),厕所16例(32.7%);患者跌倒后发生身体损伤38例(77.6%);使用抗精神病药物、镇定催眠药、抗焦虑药、三环类抗抑郁药等43例(87.8%)。结论:强调预防为主的管理理念,加强防跌倒管理方案的落实,针对跌倒高危因素采取相应的综合干预措施,可有效预防跌倒高危人群意外跌倒的发生。Objective：To explore the effective management methods and preventive measures on psychiatric risk factors for fall of patients.Methods：During hospitalization fell down 49 cases were retrospectively analyzed.Results：Fallen patients over the age of 60 were 27 patients（55.2%）;32 cases（65.3%） patients fell down in night when 18：00～08：00;place in the wards fell down 18 cases（36.7%）,in the toilet 16 case（32.7%）;38 cases（77.6%） occurred with physical injuries after a fall;43 cases（87.8%） patients using antipsychotics,calm hypnotics,anxiolytics,tricyclic antidepressants and so on.Conclusion：Emphasis on prevention in our hospital,strengthen the implementation of anti-fall management program,risk factors of fall should be intervented,using the appropriate measures prevent the fall at high risk of accidents.

关 键 词：精神科住院患者 跌倒 防范措施 

分 类 号：R473.74[医药卫生—护理学]