老年跌倒患者二级预防的延续性护理  

Extended Nursing in Secondary Prevention of Fall in Elderly Patient

作　　者：黄淑芳[1] 叶文秋[1] 林绍英[1] 李明[1] 许海珍[2] 林凯思 

机构地区：[1]深圳市龙岗中心医院,广东深圳518116 [2]深圳市龙岗区人民医院,广东深圳518172 [3]深圳市龙岗区第二人民医院,广东深圳518114

出　　处：《护理学报》2014年第9期51-55,共5页Journal of Nursing（China）

基　　金：深圳市科技计划项目(201203311)

摘　　要：目的探讨延续性护理在老年跌倒患者二级预防中的应用效果。方法选取2012年4—12月收治的老年跌倒患者180例,按照患者出院后居住地分配至观察组79例和对照组83例。两组患者除接受已诊断疾病的常规护理外,住院期间给予防跌倒护理,出院前给予出院指导,出院后将患者转诊至居住地所属社区健康服务中心,纳入慢性疾病管理组进行管理。观察组在此基础上出院1年内给予延续性护理。比较两组患者跌倒1年内的再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数。结果在跌倒1年内再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数方面,观察组低于对照组,差异有统计学意义(P<0.05)。结论延续性护理可以降低老年跌倒患者跌倒1年内的再跌倒发生率、再跌倒发生次数和再跌倒造成伤害人数。Objective To explore the effect of extended nursing in secondary prevention of fall in elderly patients. Methods From April to December 2012, 180 elderly hospitalized patients experiencing with falls were divided into observation group（n=79） and control group（n=83） according to their residence. In addition to routine nursing, nursing of fall prevention during hospitalization and prevention guidance before discharge were provided for patients. After discharge, patients in observation group were included into chronic disease management group in community health center for one-year extended nursing. Recurrent rate, recurrent frequency and recurrent injury of fall in both groups were recorded. Results There were lower recurrent rate and recurrent frequency and less recurrent injury in observation group（P〈0.05）. Conclusion Extended nursing is effective for lowering recurrent rate, recurrent frequency and recurrent injury of fall within one year for elderly patients.

关 键 词：延续性护理 跌倒 二级预防 伤害 老年 

分 类 号：R473.59[医药卫生—护理学]