101例住院患者跌倒造成损伤的相关因素分析及护理对策  

Analysis of related factors of injury caused by falls in 101 hospitalized patient and its countermeasures

作　　者：刘素蓉[1] 尹军[1] 张霞[2] 赵香琴[1] 肖红[1] 

机构地区：[1]成都市中西医结合医院,610041 [2]成都市第七人民医院护理部,610041

出　　处：《中国老年保健医学》2017年第4期118-121,共4页Chinese Journal of Geriatric Care

摘　　要：目的分析影响住院患者跌倒后损伤程度的相关因素,为完善预防跌倒管理流程,减少护理不良事件发生提供依据。方法对101例住院跌倒患者进行回顾性分析,按跌倒后对患者的影响分为无损伤或轻度损伤组及中重度损伤组,分析两组患者跌倒危险因素的差异性。结果患者跌倒后无损伤或轻度损伤80例(79.2%),中重度损伤21例(20.8%),分析结果显示,跌倒后损伤程度与年龄、性别、跌倒史、合并骨质疏松、镇静类药物使用、当班护士学历有关。结论应完善护理安全管理机制和管理流程,加强护理人力资源科学配置与培训,完善跌倒高危风险人群评估的特异性和敏感性,加强跌倒高危患者的安全宣教及预防跌倒的干预措施。Objectives To analyze the related factors of injury degree caused by falls in hospitalized patients and provide basis for improvingthe prevention falls management process and reducing nursing adverse events. Methods A retrospective study was conducted based on the data of 101 cases of inpatients with fall, patients were divided into no injury or slight injury group and Moderate and severe injury group according to the degree of fall injury, analyzed the differences between the patients＇ fall risk factors between both groups. Results 80 cases （79. 2% ）had no injury or slight injury,21 cases （20. 8% ）had moderate or severe injury, the analyze showed that the risk of fall-related injury degree was related to the patients＇ age ,gender, fall history, cor0bined with osteoporosis, use of sedative drugs and the nurse＇s degree. Conclusion It is suggested to improve the nursing safety management mechanism and management process, strengthen scientific nursing human resources allocation and training, improve the specificity and sensibility of fall assessment for high-risk population, strengthen the safety education and interventions to prevent falls for fall high-risk patients.

关 键 词：住院患者 跌倒损伤 相关因素分析 

分 类 号：R47[医药卫生—护理学]