前馈控制在预防住院患者跌倒安全管理中的应用  

Application of feedforward control in the safety management of patients＇ fall prevention

作　　者：王志莲[1] 纪象芹[2] 陈树军[1] 张桂兰[1] 赵姗[1] 

机构地区：[1]滨州医学院附属医院外科,256603 [2]滨州医学院附属医院内科,256603

出　　处：《中华现代护理杂志》2012年第15期1818-1820,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨有效的跌倒安全管理方法，降低住院患者的跌倒发生率。方法运用前馈控制的理论和方法，成立预防跌倒管理小组，进行专业化培训，制定规范的护理流程，对护理过程实施三级质量监控。结果培训后护士的跌倒预防知识合格率为92．16％，显著高于培训前的66．67％，差异有统计学意义（x^2=20．2681，P〈0．01）；培训后患者及家属的跌倒预防知识合格率为85．73％，显著高于培训前的63．03％，差异有统计学意义（x^2=76．8791，P〈0．01）；实施前馈控制后1348例患者无一例跌倒发生，患者对护理工作的满意度显著提高，满意率由原来的96．2％提高到99．6％。结论前馈控制是预防住院患者跌倒的有效手段，能提高安全护理质量。Objective To explore the effective management of inpatients＇ fall so as to reduce the incidence of inpatients fall. Methods To use the feedforward control of the theories and methods, set up management group to prevent inpatients＇ fall, conducted specialized training, developed standardized nursing processes, three quality control was carried out in the process of nursing. Results After training, the pass rate of nurses＇ knowledge about the prevention of inpatients＇ fall was 92.16% which was significantly higher than 66.67% before the training （ x^2 =20. 268 1 ,P 〈0.01 ） ,and the pass rate of patients and families＇ knowledge of fall prevention was increased from 63.03% to 85.73% after training （ x^2 = 76. 879 1 ,P 〈 0. 01 ）. After the control, 1 348 patients without one case of fall, patient satisfaction was significantly improved from original 96.2% to now 99.6%. Conclusions The feedforward control is effective means to prevent the inpatients＇ fall and improve the quality of security care.

关 键 词：意外跌倒 危险因素 前馈控制 住院患者 

分 类 号：R47[医药卫生—护理学]