基于Morse跌倒评分策略下精准护理在住院老年精神分裂症患者跌倒预防中的应用  

EFFECT OF PRECISION NURSING ON THE PREVENTION OF FALLS IN HOSPITALIZED ELDERLY PATIENTS WITH SCHIZOPHRENIA BASED ON THE MORSE FALL PREVENTION STRATEGY

作　　者：郭小梅 官佳乐 尹淑英 王瑶琪 肖慧莉[1] 蒋华 GUO Xiao-mei;Guan Jia-le;YIN Shu-ying;WANG Yao-qi;XIAO Hui-li;JIANG Hua(The Third People’s Hospital of Ji’an City,Ji’an,Jiangxi 343000,China;Health Science Center,Jinggangshan University,Ji’an,Jiangxi 343009,China)

机构地区：[1]吉安市第三人民医院,江西吉安343000 [2]井冈山大学医学部,江西吉安343009

出　　处：《井冈山大学学报（自然科学版）》2022年第2期103-106,共4页Journal of Jinggangshan University (Natural Science)

基　　金：江西省高校人文社会科学研究项目(JC162041);吉安市指导性科技计划项目(吉市科技字【2020】20号133)。

摘　　要：目的探讨基于Morse跌倒评分策略下精准护理在住院老年精神分裂症患者跌倒预防中的应用效果。方法选取2020年5月~2021年5月我院60岁以上老年精神分裂症患者112例作为研究对象,随机分为两组。对照组患者接受常规跌倒预防措施,干预组患者在接受常规跌倒预防措施的基础上,采用Morse跌倒评估量表进行跌倒风险评估,然后进行跌倒预防精准护理干预,对比两组患者的跌倒发生情况和预防跌倒依从性。结果(1)对照组患者的跌倒发生率为14.3%,而干预组患者的跌倒发生率显著降低至1.8%(P<0.05)。(2)与干预前比较,干预组住院患者干预后依从性显著提高(P<0.05)。且与对照组干预后比较,干预组住院患者干预后依从性显著增加,差异有统计学意义(P<0.05)。结论对住院老年精神分裂症患者采用Morse跌倒评估量表进行风险评估,然后采取精准护理干预,能显著降低患者跌倒发生率和提高预防跌倒依从性。Objective:To explore the application effect of precision nursing on the prevention of falls in hospitalized elderly patients with schizophrenia based on Morse fall prevention strategy.Methods:112 elderly patients with schizophrenia over 60 years old in our hospital from May 2020 to May 2021 were selected as the research objects.They were randomly divided into two groups.Patients in the control group received conventional fall prevention measures.Patients in the intervention group not only received conventional fall prevention measures,but also received precision nursing interventions based on the fall risk assessment using the Morse Fall Assessment Scale.The occurrence of falls and compliance of prevention falls were compared between the two groups.Results:(1)The incidence of falls in the control group was 14.3%,while it was significantly reduced to 1.8%in the intervention group(P<0.05).(2)Compared with before the intervention,the compliance of the inpatients in the intervention group was significantly improved after the intervention(P<0.05).And compared with the control group after intervention,the compliance of inpatients in the intervention group was significantly increased after intervention(P<0.05).Conclusion:Using Morse Fall Assessment Scale for risk assessment in hospitalized elderly patients with schizophrenia,and then adopting precision nursing intervention can significantly reduce the incidence of patients’falls and improve the compliance of fall prevention.

关 键 词：Morse量表 精准护理 老年精神分裂症患者 跌倒发生率 预防跌倒依从性 

分 类 号：R473.74[医药卫生—护理学]