情景模拟式安全教育预防脑卒中患者跌倒的效果  

Effect of scenario simulation safety education for fall prevention of patients with nervous system diseases

作　　者：刘华[1] 李茜茜[1] 霍云云[1] 秦佩[2] 王晓曦[2] 赛晓勇[2] 

机构地区：[1]解放军总医院神经内科一病区,北京100853 [2]解放军总医院老年医学研究所,北京100853

出　　处：《中国医药导报》2014年第16期139-142,共4页China Medical Herald

摘　　要：目的探讨情景模拟式安全教育在预防脑卒中患者跌倒中的应用。方法选择2011年9月～2013年9月解放军总医院神经内科住院治疗的脑卒中患者400例为研究对象，根据入院时间将其分为对照组和实验组．每组各200例。所有患者均给予预防知识传教，对照组采用常规安全教育，实验组采用情景模拟式安全教育进行预防跌倒知识宣教。比较两组患者的住院期间和出院3个月后的跌倒发生率，采用问卷调查的方式了解患者出院时和出院3个月后对跌倒相关知识的掌握情况。结果住院期间对照组及实验组跌倒发生率分别为5％和1％，两组比较，差异无统计学意义（x^2=2．75，P〉0．05）；对照组患者满意度为95．1％，而实验组患者满意度为100．0％，两组比较差异有统计学意义（x^2=6．19，P〈0．05）。3个月随访期间对照组及实验组跌倒发生率分别为8％、1％，两组比较差异有统计学意义（x^2=5．70，P〈0．05）；对照组患者满意度为93．0％，而实验组患者满意度为100．0％，两组比较差异有统计学意义（x^2=7．25，P〈0．05）。对照组患者防跌倒知识问卷平均得分为93分，而试验组防跌倒知识问卷平均得分为98分，两组比较差异有统计学意义（P〈0．05）。结论情景模拟式安全教育在预防脑卒中患者跌倒中有明显的成效，该方法提高了患者的自我防护意识，有利于保障患者安全。Objective To explore the application of scenario simulation safety education in preventing the falling down of patients with stroke. Methods 400 patients with stroke from September 2011 to September 2013 in Neurology Department of General Hospital of PLA were selected as the study objects, and they were divided in the experimental group and control group, with 200 cases in each group. All patients were given the fall prevention knowledge missionary, the conventional safety education and scenario simulation safety education was adopted in control group and experimental group separately. The incidence of falls during hospitalization and 3 months after discharge were counted. The grasp situation of falls related knowledge during hospitalization and 3 months after discharge were understood through questionnaire survey. Results During hospitalization, the fall rate of the control group was 5% and experimental group was 1%, with no statistically significant difference （x^2=-2.75, P 〉 0.05）, while the degree of satisfaction in the control group was 95.1% and the experimental group 100.0%, the difference of two groups was statistically significant （x^2=6.19, P 〈 0.05）. In the last 3 months, the fall rate of the control group was 8% and experimental group was 1%, the difference of two groups was statistically significant （x^2=5.70, P 〈 0.05）, while the degree of satisfaction in the control group was 93.0% and the experimental group was 100.0%, the difference of two groups was statistically significant （x^2=7.25, P〈 0.05）. The average score of the fall prevention knowledge of the control group was 93 points and the experimental group 98 points, the difference of two groups was statistically significant （P 〈 0.05）. Conclusion Scenario simulation safety education has significant effects on the prevention of fall in stroke patients, this method can improve patients＇ self-protection awareness, and help to protect patients＇ safety.

关 键 词：情景模拟 安全教育 跌倒发生率 脑卒中 

分 类 号：R248.2[医药卫生—中医临床基础]