2017—2019年某院94例住院患者跌倒事件分析  

Analysis of Fall Events in 94 Inpatients of a Hospital During 2017-2019

作　　者：王坚 李云波 Wang Jian;Li Yunbo(Nursing Department,Puer People's Hospital,Puer 665000,Yunnan Province,China)

机构地区：[1]普洱市人民医院护理部,云南普洱665000

出　　处：《中国社区医师》2024年第19期145-147,共3页Chinese Community Doctors

摘　　要：目的:调查2017—2019年普洱市人民医院94例住院患者跌倒事件,制定针对性干预措施。方法:回顾性分析2017年1月—2019年11月普洱市人民医院发生跌倒的94例住院患者的临床资料,包括年龄、性别、住院科室、跌倒时间和地点、受伤情况。结果:94例跌倒患者中,男45例,女49例;年龄1~94岁,平均(61.2±19.4)岁;科室分布:内科68例,外科23例,妇产科及儿科3例。94例跌倒患者中,≤60岁36例(38.3%),>60岁58例(61.7%)。2017—2019年跌倒患者分别有27例(28.7%)、33例(35.1%)、34例(36.2%),呈逐年上升趋势。94例住院患者跌倒时间主要在7:31—12:00,共27例(28.7%)。卫生间跌倒患者最多,共35例(37.2%);其次为床旁,共16例(17.0%);楼梯跌倒最少,仅1例(1.1%)。94例跌倒患者中,未受伤者51例(54.3%);受伤患者中,头面部外伤血肿最多,共17例(18.1%);其次为四肢外伤、骨折,共10例(10.6%)。结论:2017—2019年普洱市人民医院住院患者跌倒发生率逐年升高,跌倒患者多为内科患者,年龄多数较大,多于上午发生,多在卫生间跌倒,患者跌倒后易导致头面部外伤血肿。医院需落实防跌倒措施,形成完善的预防跌倒管理模式,为患者和家属进行跌倒防范知识的宣传教育,增强患者和家属的防范意识,保障患者安全。Objective:To survey the fall events in 94 inpatients of Puer People's Hospital from 2017 to 2019 and formulate targeted intervention measure.Methods:The clinical data of 94 inpatients who experienced a fall in Puer People's Hospital from January 2017 to November 2019 were retrospectively analyzed,including age,gender,admitted department,fall time and place,and injury.Results:Among the 94 patients who fell,there were 45 male cases and 49 female cases.They aged 1-94 years,with an average age of(61.2±19.4)years.Department distribution:there were 68 cases in internal medicine department,23 cases in surgery department,3 cases in obstetrics and gynecology department and pediatrics department.Among the 94 patients who fell,36 cases(38.3%)were≤60 years old and 58 cases(61.7%)were>60 years old.From 2017 to 2019,the number of patients who fell was 27 cases(28.7%),33 cases(35.1%),and 34 cases(36.2%),respectively,showing an annually increasing trend.Among the 94 inpatients who fell,the fall time was mainly from 7:31 to 12:00,accounting for 27 cases(28.7%).The fall occurred predominantly in the bathroom,accounting for 35 cases(37.2%);followed by bedside,accounting for 16 cases(17.0%);rarely on staircases,with only 1 case(1.1%).Among the 94 patients who fell,51 cases(54.3%)were not injured.Among the injured patients,head and facial trauma hematoma was the most common,accounting for 17 cases(18.1%);followed by limb trauma and fractures,accounting for 10 cases(10.6%).Conclusion:From 2017 to 2019,the incidence of falls among inpatients in Puer People's Hospital increases year by year,and most of the fall patients are from internal medicine department and older,most of the falls occur in the morning and in the bathroom.After fall,patients are prone to head and facial trauma hematoma.Hospitals need to implement fall prevention measures,form a perfect fall prevention management model,publicize and educate patients and their families about fall prevention,enhance the awareness of patients and their families,and ensure patient safe

关 键 词：住院患者 跌倒因素 干预对策 

分 类 号：R473[医药卫生—护理学]