画像式患者跌倒风险评估表的设计与应用  

Design and application of a patient profile for fall risk assessment

作　　者：徐婷婷[1] 张元红[2] 李桂英[3] 王平[4] 陈保云 沈莹[5] 王泽萌 曹含梅[1] Xu Tingting;Zhang Yuanhong;Li Guiying;Wang Ping;Chen Baoyun;Shen Ying;Wang Zemeng;Cao Hanmei(Emergency Department of Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州市中心医院急诊病区,江苏徐州221009 [2]徐州市中心医院乳腺外科,江苏徐州221009 [3]徐州市中心医院神经内科,江苏徐州221009 [4]徐州市中心医院护理部,江苏徐州221009 [5]徐州市中心医院大内科,江苏徐州221009 [6]广州奥耶士设计事务所有限公司

出　　处：《护理学杂志》2023年第12期56-59,共4页Journal of Nursing Science

基　　金：徐州市科技计划项目(KC21221)。

摘　　要：目的提高住院患者跌倒风险评估效率和准确度。方法分别以2021年2~12月和2022年1~11月的住院患者为对照组和研究组。对照组采用常规方法评估患者跌倒风险及实施相应防范措施;研究组依据患者跌倒风险因素制订画像式患者跌倒风险评估表进行评估及实施相应防范措施。随机选取对照组305例、研究组308例患者比较干预效果。结果画像式患者跌倒风险评估表应用后住院患者跌倒发生率显著降低[RR=0.45,95%CI(0.36,0.65)];研究组跌倒风险评估准确率、跌倒预防措施落实率及患者跌倒风险程度知晓率显著高于对照组(均P<0.05)。结论画像式患者跌倒风险评估表的应用有利于护士快速准确评估患者跌倒风险,有效防范跌倒,提高患者住院安全。Objective To improve the efficiency and accuracy of fall risk assessment in inpatients.Methods Patients admitted from February to December 2021 were treated as the control group and those from January to November 2022 as the study group.The control group was given routine fall risk assessment and preventive measures,while the study group received assessment and interventions by using a patient profile that was designed based on patients′fall risk factors.A total of 305 patients in the control group and 308 in the study group were selected to compare the intervention effect.Results The incidence of falls was significantly reduced after application of the patient profile(RR=0.45,95%CI:0.36,0.65).The accuracy rate of fall risk assessment,the implementation rate of fall prevention measures and the rate of patients′awareness of fall risk in the study group were significantly higher than those in the control group(all P<0.05).Conclusion Application of the patient profile for fall risk assessment is helpful for nurses to make a quick and accurate assessment of fall risk,so as to effectively prevent falls and ensure patient safety.

关 键 词：住院患者 跌倒 风险评估 患者画像 患者安全 预防护理 

分 类 号：R472[医药卫生—护理学]