肿瘤病人跌倒防范体系的构建及应用研究  

Establishment and application study of the fall prevention system for tumor patients

作　　者：徐灵莉[1] 邓本敏[1] 蒋娟[1] 高翠娥[1] 唐玲[1] 王国碧[1] 皮远萍[1] 

机构地区：[1]重庆市肿瘤研究所

出　　处：《护理研究（上旬版）》2016年第9期3091-3095,共5页Chinese Nursing Researsh

基　　金：重庆市沙坪坝区社会发展领域科技项目;编号:SF201502

摘　　要：[目的]探讨肿瘤住院病人跌倒防范体系的构建及其应用效果。[方法]研制适合肿瘤住院病人的信效度较高的跌倒风险评估量表,从组织管理、措施落实、质量监控等方面构建完善的肿瘤住院病人跌倒防范体系,对防范体系运行效果进行对比研究。[结果]跌倒防范体系构建及实施后,肿瘤病人的跌倒发生率(0.19%)较前(0.47%)降低,差异有统计学意义(P<0.05);护士对肿瘤住院病人跌倒风险评估的及时性、动态性和准确性和跌倒评估率、高危上报率、护理措施落实率明显提高,与体系构建前比较差异有统计学意义(P<0.01);体系构建后护士跌倒风险管理能力、病人及家属跌倒知识掌握情况较构建前明显提高,差异有统计学意义(P<0.05)。[结论]构建肿瘤病人跌倒防范体系,可降低肿瘤病人跌倒的发生率,提高肿瘤病人的住院安全性及护士跌倒风险管理能力,从而提高护理质量。Objective：To discuss the establishment and application effect of the fall prevention system for tumor patients.Methods：To develop a suitable fall risk assessment scale with high reliability and validity for hospital-ized patients with tumor in our country.This paper aimed to establish a complete tumor inpatients fall preven-tion system from the aspects of organization and management,implementation measures,quality control,etc. and to make a comparative study on the operation effect of the prevention system.Results：After fall prevention system established and implemented,the fall incidence of tumor patients reduced significantly（P〈0.05）from 0.47% to 0.19%.The rate of timeliness,dynamic and accuracy on fall risk assessment,fall rate,fall risk repor-ting rate,implement rate of nursing measures increased significantly（P〈0.01）.Nurses’management ability of fall risk and patients’and their families’acquisition of fall knowledge improved obviously.There were statisti-cal significant differeces between them（P〈0.05）.Conclusions：To establish a fall prevention system for tumor patients can reduce the fall incidence rate of tumor patients,improve the safety of hospitalized patients and the risk management ability of nurses,so as to improve the quality of nursing.

关 键 词：肿瘤病人 跌倒 防范体系 护理安全 风险管理 

分 类 号：R473.73[医药卫生—护理学]