查检表管理预防精神科患者药源性跌倒研究  

Study on checklist management of psychiatric patients in prevention of drug-induced falls

作　　者：李承美[1] 周芳 韦登飞 颜巧元[2] 张珒珒 LI Chengmei;ZHOU Fang;WEI Dengfei;YAN Qiaoyuan;ZHANGh Jinjin(The First People's Hospital of Tianmen in Hubei Province,Tianmen 431700,Hubei,China;Union Hospital,Tongji Medical College Huazhong University of Science and Technology,Wuhan 430022,Hubei,China;School of Public Health,Huazhong University of Science and Technology Tongji Medical College,Wuhan 430030,Hubei,China)

机构地区：[1]湖北省天门市第一人民医院儿科,湖北天门431700 [2]华中科技大学同济医学院附属协和医院,湖北武汉430022 [3]华中科技大学同济医学院公共卫生学院,湖北武汉430030

出　　处：《武汉大学学报（医学版）》2024年第10期1245-1250,共6页Medical Journal of Wuhan University

基　　金：华中科技大学同济医学院附属协和医院科研项目(编号:F016.01003.22003.100)。

摘　　要：目的:探讨药源性跌倒高风险防范措施查检表(简称查检表)预防精神科药源性跌倒发生的效果。方法:选取2022年6—10月和2023年6—10月精神科药源性高风险跌倒患者318例为研究对象,采用类实验性研究方法,将2022年6—10月精神科收治的151例患者分为对照组,2023年6—10月精神科收治的167例患者分为观察组,对照组行常规护理管理,观察组在此基础上采用自制的药源性跌倒高风险防范措施查检表进行管理。观察两组患者干预前后跌倒发生率及住院满意度。结果:两组管理前后跌倒发生率、住院满意度比较,差异有统计学意义(均P<0.05)。结论:查检表管理能显著降低精神科患者药源性跌倒发生,提高住院患者生活质量及住院满意度。Objective:To explore the effect of preventive measures checklist for high risk of drug-induced falls in the psychiatric department.Methods:The study selected 318 high-risk psychiatric patients for pharmacologically induced falls from a hospital between June and October 2022,and June and October 2023.Using a quasi-experimental design,151 patients admitted to the psychiatric department from June to October 2022 were assigned to the control group,and 167 patients admitted from June to October 2023 were assigned to the observation group.The control group received routine nursing management,while the observation group was managed with a self-developed checklist for high-risk pharmacologically induced falls,in addition to routine care.The incidence of falls and patient satisfaction with hospitalization were observed and compared before and after the intervention in both groups.Results:There were statistically significant differences(both P<0.05)in the incidence of falls and patient satisfaction with hospitalization before and after management between the two groups.Conclusion:The checklist management significantly reduces the incidence of pharmacologically induced falls in psychiatric patients,improving the quality of life and satisfaction of hospitalized patients.

关 键 词：药源性跌倒 患者安全 精神病学 护理管理 住院满意度 

分 类 号：R749.059[医药卫生—神经病学与精神病学]