跌倒危险因素评估单在肝硬化住院患者中的应用  

Application of Fall Risk Assessment Form in Inpatients with Cirrhosis

作　　者：王玉文[1] 康富标[1] 刘建梅[1] 

机构地区：[1]解放军白求恩国际和平医院肝病科,石家庄050082

出　　处：《解放军医药杂志》2014年第8期106-108,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：国家自然科学基金项目(30872255)

摘　　要：目的探讨跌倒危险因素评估单在肝硬化住院患者中的应用效果。方法解放军白求恩国际和平医院肝病科2008年6月—2012年6月收治肝硬化861例,将2008年6月—2010年6月收治的未使用跌倒危险因素评估单的431例设为对照组,将2010年7月—2012年6月收治的应用了跌倒危险因素评估单的430例设为观察组。两组治疗方案和常规护理相同,对照组给予常规安全教育,观察组根据跌倒危险评估单制定动态护理干预措施。比较两组住院期间跌倒发生率。结果观察组跌倒发生率(0.23%)显著低于对照组(2.08%)(χ2=4.941,P<0.05)。结论危险因素评估单能准确评估住院肝硬化患者跌倒的危险度,配合动态护理干预措施,可大大地降低跌倒发生率。Objective To explore the effect of application of fall risk assessment form in inpatients with cirrho-sis. Methods A total of 861 inpatients with cirrhosis during June 2008 and June 2012 were divided into two groups. The 431 inpatients during June 2008 and June 2010, who did not use the risk assessment form scale, were selected as the con-trol group, and the 430 inpatients during July 2010 and June 2012, who used the risk assessment form scale, were select-ed as the treatment group. The methods of treatment and routine nursing in the two groups were similar. The control group received normal safe education, while the treatment group received the dynamic nursing intervention according to the risk assessment form scale, and the incidence rate of fall in the two groups were observed. Results The incidence rate of fall in treatment group was 0. 23%, which was significantly lower than 2. 08% in the control group （χ2 =4. 941, P〈0. 05）. Conclusion The risk assessment form scale may assess fall risk of inpatients with cirrhosis accurately, and the incidence rate of fall can be significantly reduced after dynamic nursing intervention.

关 键 词：肝硬化 意外跌倒 护理评估 护理方案 

分 类 号：R471[医药卫生—护理学] R473.5[医药卫生—临床医学]