风险管理在预防老年关节置换患者术后跌倒中的应用  

Application of Risk Management of Fall Prevention in Elderly Patients after Joint Replacement

作　　者：方瑛[1] 李敏[2] 陈洪飞[1] 

机构地区：[1]湖州市中心医院骨科,浙江湖州313000 [2]湖州市中心医院护理部

出　　处：《解放军护理杂志》2014年第7期60-62,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：湖州市科技计划项目(2012YSB18)

摘　　要：目的探讨风险管理在预防老年关节置换患者术后跌倒中的应用效果。方法便利抽样法选取2009年12月至2010年12月在湖州市中心医院骨科行关节置换(髋关节、膝关节)的60岁以上老年患者234例作为对照组,同法选取2011年1月至2012年12月在湖州市中心医院骨科行关节置换(髋关节、膝关节)的60岁以上老年患者256例作为观察组,对照组患者实施骨科常规护理,观察组患者在对照组的基础上实施预防跌倒的风险管理,评价并比较两组患者的跌倒发生率。结果对照组234例患者中,8例发生跌倒,跌倒发生率为3.41%;跌倒风险管理流程实施后,观察组256例患者中无一例患者发生跌倒事件,两组比较,差异有统计学意义(χ2=8.81,P<0.05)。结论对老年关节置换术后患者实施预防跌倒的风险管理,有利于减少跌倒事件的发生,保障了患者安全。Objective To discuss application effects of risk management on fall prevention in elderly pa- tients after joint replacement.Methods By convenience sampling,234 elderly patients were selected as con- trol group,and other 256 elderly patients were also selected randomly as observation group. The control group was given routine care, and patients in the experimental group were under risk management of fall prevention on the basis of routine care.The incidence of accidental falls was compared between two groups. Results There are 8 cases were fall accidently among 234 patients,which accounted 3.41%,while no acci- dent fall happened in the observation group under risk management （x2 =8.81,P%0.05）.Conclusion Risk management of fall prevention in elderly patients after joint replacement can reduce the incidence of acci- dent fall and ensure patient safety.

关 键 词：关节置换术 老年 跌倒 风险管理 

分 类 号：R197.323[医药卫生—卫生事业管理] R473.6[医药卫生—公共卫生与预防医学]