基于扎根理论的养老机构跌倒管理现状与期望质性研究  

A grounded theory study of the status and expectations of fall management in elderly care institutions

作　　者：罗园 赵丽萍[2] 张孟喜[3] 冉海烨 邓雨茜 Luo Yuan;Zhao Liping;Zhang Mengxi;Ran Haiye;Deng Yuqian(Xiangya Nursing School of Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013 [2]中南大学湘雅二医院临床护理教研室 [3]中南大学湘雅二医院老年医学科

出　　处：《护理学杂志》2023年第4期103-107,共5页Journal of Nursing Science

基　　金：湖南省自然科学基金项目(2021JJ70068);2022年度湖南省标准化项目(2022-40);玉润健康研究基金支持项目。

摘　　要：目的探讨养老机构跌倒管理的现状与期望,为预防跌倒干预提供参考。方法选取长沙市4家养老机构的11名管理人员进行半结构式访谈,采用扎根理论的范式收集、整理和分析资料。结果共总结2个主题:跌倒管理现状(跌倒评估,跌倒预防和跌倒处置)和跌倒管理期望(素质品质,理论知识和实践能力)。结论养老机构跌倒管理处在勤观察和重经验阶段,照护人员理论知识和实践能力缺乏;希望通过培训,达到短期内提高照护者实践能力以及实现理论知识积累的长期目标。Objective To explore the status and expectations of fall management in elderly care institutions and provide reference for fall prevention. Methods A total of 11 administrators from 4 elderly care institutions in Changsha received semi-structured interviews. The grounded theory procedure was employed to gather and analyze relevant data. Results Two principle themes emerged: fall management status(fall risk assessment, fall prevention and fall management);and expectations(personal quality, theoretical knowledge and practical competence). Conclusion Fall management in elderly care institutions is at stage of frequent observation and valuing experience. Caregivers lack the knowledge and skills for fall management. Managers hope to improve the practical competence of caregivers in the short term and achieve knowledge acquisition in the long term through training.

关 键 词：老年人 跌倒 养老机构 管理人员 护理员 风险管理 扎根理论 质性研究 

分 类 号：R472[医药卫生—护理学] C931.3[医药卫生—临床医学]