CAJ | 학술논문

目的对21例跌倒事件进行回顾性分析,探讨影响跌倒的相关因素.方法采用自行设计的调查表,调查发生跌倒的相关因素,并对调查的结果进行分析.结果 ①年龄、科室跌倒事件的发生率差异无统计学意义(P＞0.05),性别、教育程度差异有统计学意义(P＜0.05);③跌倒前活动能力以完全独立(占52.4%)和部分依赖(占42.9%)为主,跌倒多发生在室内(占73%),跌倒状态以正在走路(占33.3%)和上厕所(占33.3%)多见,跌倒的损伤以骨折(38%)和软组织损伤(占56%)为主.④跌倒多发生在午晚餐(以晚餐时间段17～19pm为甚)和凌晨3～5时;⑤在跌倒原因中排前五位是健康教育不到位(85.7%)、培训不到位(57.1%)、腿脚无力(54.7%)、头晕(47.6%)、环境设施(占47.6%).结论性别、教育程度与跌倒事件发生有关,护理健康教育及培训的缺乏、患者躯体症状、环境设施不良是影响跌倒事件发生的主要原因.
목적 대21례질도사건진행회고성분석,탐토영향질도적상관인소.방법 채용자행설계적조사표,조사발생질도적상관인소,병대조사적결과진행분석.결과 ①년령、과실질도사건적발생솔차이무통계학의의(P＞0.05),성별、교육정도차이유통계학의의(P＜0.05);③질도전활동능력이완전독립(점52.4%)화부분의뢰(점42.9%)위주,질도다발생재실내(점73%),질도상태이정재주로(점33.3%)화상측소(점33.3%)다견,질도적손상이골절(38%)화연조직손상(점56%)위주.④질도다발생재오만찬(이만찬시간단17～19pm위심)화릉신3～5시;⑤재질도원인중배전오위시건강교육불도위(85.7%)、배훈불도위(57.1%)、퇴각무력(54.7%)、두훈(47.6%)、배경설시(점47.6%).결론 성별、교육정도여질도사건발생유관,호리건강교육급배훈적결핍、환자구체증상、배경설시불량시영향질도사건발생적주요원인.
Objective To study the corresponding factors of falls by reviewing 21 inpatients'falling accidents. Methods The questionnaire developed by the author was carried out to analyze the corresponding factors of falling. Results There was no significant differences in age and the incidence rate among different departments, and there was significant differences in sex and education. The moving abilities of patients before their falling were independent(52.4%) and partly dependent ( 42.9% ). The state of falling conditions were walking(33.3%) and going to toilet(33.3%). The falls happened more commonly at lunch or supper time (especially 5-7 p.m.) or 3-5 a.m. The major five reasons of fall were without enough health education (85.7%), lack of the nurses' training( 57.1% ), weak of the inpatients' legs( 54.7% ), dizziness ( 47.6% ), environmental facilities (47.6%). Conclusion The sex and education are corresponding with the falls accidents. The lack of health education and enough training to the nurses, the patients' symptom and the worse facilities conditions in hospital are the major reasons of the falls accidents.