肿瘤放化疗住院患者跌倒原因分析及对策  

Cause analysis and countermeasures of the fall in the neoplasms patients with chemoradiotherapy during hospitalization

作　　者：张亚茹[1] 杨红[2] 李燕琴[1] 王征[1] 张卫华[1] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所放疗病房,100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部,100142

出　　处：《中华现代护理杂志》2014年第31期3958-3961,共4页Chinese Journal of Modern Nursing

摘　　要：目的：分析肿瘤放化疗患者住院期间发生跌倒的原因，探讨针对性措施。方法对2011年3月—2013年11月发生跌倒的14例肿瘤放化疗患者进行原因分析，针对原因制定跌倒预防评估及干预措施。结果14例跌倒患者中，鼻咽癌6例，喉癌2例，肺癌3例，下咽癌、食道癌及肾癌各1例，其中7例为同步放化疗患者。使用跌倒预测量表仅预测出6例，占42．9％。跌倒发生的实际情况显示跌倒与患者的性别、年龄、跌倒史、用药、活动能力障碍、视觉障碍及护理人员等多种因素有关。结论应用跌倒预测量表结合跌倒的相关因素全面动态的评估，提高护理人员和患者的安全意识，设立醒目的标识，落实有效的跌倒防范措施，可以预防和减少跌倒事件的发生。Objective To analysis the cause of the fall in the neoplasms patients with chemoradiotherapy during hospitalization, and explore the corresponding measures.Methods Fourteen neoplasms patients with chemoradiotherapy and fall during hospitalization from March 2011 to November 2013 were chosen, and the cause of fall was analyzed.The prevention evaluation and intervention of fall were formulated according to the cause of the fall.Results Fourteen patients with fall included 6 cases of nasopharyngeal carcinoma, 2 cases of laryngocarcinoma, 3 cases of lung cancer, 1 case of hypopharyngeal cancer, 1 case of esophageal cancer and 1 case of renal cell carcinoma.Seven patients were synchronous chemoradiotherapy.The fall prediction scale forecasted 6 cases （6/14,42.9%）.The occurrence of falls was related to the patients’ gender, age, the history of fall, drug, mobility limitation, visual impairment and nursing staff.Conclusions The comprehensive and dynamic evaluation through the application of the fall prediction scale combine with the related factors can increase the safety awareness of nurses and patients, and the eye-catching logo should be set up, and the effective preventive measures should be carried out so as to prevent and reduce the fall.

关 键 词：肿瘤 放射疗法 化学疗法 跌倒 原因 对策 

分 类 号：R473.73[医药卫生—护理学]