前瞻性护理在高龄患者口服导泻剂预防跌倒中的应用  

Observation on application effect of predictive nursing in aged patients undergoing osmotic laxative for fall prevention

作　　者：郭肖霞[1] 赖彩永[1] 梁红[1] 林清然[1] 

机构地区：[1]暨南大学附属第一医院泌尿外科,广州510632

出　　处：《国际医药卫生导报》2016年第9期1200-1202,1206,共4页International Medicine and Health Guidance News

基　　金：广东省医学科研基金项目（A2014388）

摘　　要：目的探讨前瞻性护理预防高龄患者口服导泻剂排泄期间发生跌倒的应用效果。方法选取2014年12月至2015年12月人住泌尿外科，且年龄≥80岁的高龄患者128例，2014年12月至2015年6月64例患者为常规护理对照组，2015年7月至2015年12月64例患者为实施前瞻性护理实验组。比较两组口服导泻剂后排泄过程发生跌倒或因出现不适症状而诱发跌倒的情况。结果对照组64例出现6例患者排泄性跌倒、48例腹痛、18例头晕、11例站立不稳等症状（不适症状有单发也有多发）；实验组64例未出现排泄性跌倒，2例患者出现腹痛，其中1例伴站立不稳等。结论应用前瞻性护理，干预高龄患者口服导泻剂的使用，预见性的安排协助排便可有效防止高龄患者跌倒的发生，提高护理质量。Objective To study the fall prevention effect of prospective nursing in aged patients with osmotic laxative. Methods Two groups set in 128 hospitalized aged patients in urinary surgery from December 2014 to December 2015. Prospective nursing was applied to 64 cases of experimental group from July 2015 to December 2015, compared with regular method used in 64 cases of control group from December 2014 to June 2015. Observed the fall situation during diarrhea or fall situation caused by discomfort between two groups. Results There were 6 cases of fall during diarrhea, 48 cases of stomachache, 18 cases of dizziness, 11 cases of astasia in control group; there were no fall during diarrhea, 2 cases of stomachache, and 1 case of astasia in experimental group. Conclusions Prospective nursing in aged patients, and scientific and effective arrangement in advance when orally catharsis can effectively prevent fall, improve the safety of elderly inpatients.

关 键 词：高龄患者 口服导泻剂 跌倒 前瞻性护理 

分 类 号：R686.3[医药卫生—骨科学]