国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
11期
1715-1717
,共3页
肿瘤%住院患者%跌倒分析%预防措施
腫瘤%住院患者%跌倒分析%預防措施
종류%주원환자%질도분석%예방조시
Cancer%Hospitalized patient%Tumble analysis%Prevention measures
目的 分析肿瘤住院患者发生跌倒的原因,探讨有效的预防措施.方法 回顾性分析我院4个放疗病区在2007年1月至2011年12月中19例发生跌倒意外的肿瘤住院患者的资料.结果 跌倒病人中以41～50岁年龄段最多,有7例,占36.84％.所患疾病鼻咽癌最多,有13例,占68.42％；按照住院人数进行校正后,各病种发生率无明显差异；跌倒时间6:01-12:00最多,有11例,占57.90％；跌倒地点病房厕所最多,有8例,占42.11％.影响患者跌倒的因素包括体位性低血压,有8例,占42.11％;低血糖反应,有6例,占31.58％;脑部病变,有2例,占10.53％;药物反应,有1例,占5.26％；重视不足,有2例,占10.53％.结论 针对患者的疾病、治疗后的反应等高危因素,采用以人为本、全程、有效的预防方法,加强沟通,强化医护人员及患者和其家属的安全意识,制定因人施教的防范措施,加强监督,落实到位,从而避免肿瘤住院患者发生跌倒的危险.
目的 分析腫瘤住院患者髮生跌倒的原因,探討有效的預防措施.方法 迴顧性分析我院4箇放療病區在2007年1月至2011年12月中19例髮生跌倒意外的腫瘤住院患者的資料.結果 跌倒病人中以41～50歲年齡段最多,有7例,佔36.84％.所患疾病鼻嚥癌最多,有13例,佔68.42％；按照住院人數進行校正後,各病種髮生率無明顯差異；跌倒時間6:01-12:00最多,有11例,佔57.90％；跌倒地點病房廁所最多,有8例,佔42.11％.影響患者跌倒的因素包括體位性低血壓,有8例,佔42.11％;低血糖反應,有6例,佔31.58％;腦部病變,有2例,佔10.53％;藥物反應,有1例,佔5.26％；重視不足,有2例,佔10.53％.結論 針對患者的疾病、治療後的反應等高危因素,採用以人為本、全程、有效的預防方法,加彊溝通,彊化醫護人員及患者和其傢屬的安全意識,製定因人施教的防範措施,加彊鑑督,落實到位,從而避免腫瘤住院患者髮生跌倒的危險.
목적 분석종류주원환자발생질도적원인,탐토유효적예방조시.방법 회고성분석아원4개방료병구재2007년1월지2011년12월중19례발생질도의외적종류주원환자적자료.결과 질도병인중이41～50세년령단최다,유7례,점36.84％.소환질병비인암최다,유13례,점68.42％；안조주원인수진행교정후,각병충발생솔무명현차이；질도시간6:01-12:00최다,유11례,점57.90％；질도지점병방측소최다,유8례,점42.11％.영향환자질도적인소포괄체위성저혈압,유8례,점42.11％;저혈당반응,유6례,점31.58％;뇌부병변,유2례,점10.53％;약물반응,유1례,점5.26％；중시불족,유2례,점10.53％.결론 침대환자적질병、치료후적반응등고위인소,채용이인위본、전정、유효적예방방법,가강구통,강화의호인원급환자화기가속적안전의식,제정인인시교적방범조시,가강감독,락실도위,종이피면종류주원환자발생질도적위험.
Objective To analyze the causes of tumble in patients with cancer,and to explore effective prevention measures.Methods The data on 19 patients with cancer who occurred accidental tumble in the radiotherapy wards during the period of January 2007 to December 2011 were retrospectively analyzed.Results 7 (36.84％) patients were 41-50 years old.The patients were at the greatest risk of accidental tumble between this age range.13 (68.42％) patients had nasopharyngeal carcinoma (NPC).However,there was no difference among the cancer types corrected with the number of hospitalized patients.11 (57.90％) patients tumbled between 6:01 am to 12:00 am.8 (42.11％) patients developed tumble in bathrooms.The factors affecting tumble in patients included orthostatic hypotension in 8 patients,hypoglycemia reactions in 6,brain lesions in 2,adverse reaction in 1,and negligence in 2,which accounted for 42.11％,31.58％,10.53％,5.26％,and 10.53％,respectively.Conclusions For the high-risk factors including patient conditions and treatment response,we need to provide patient-oriented,effective methods for tumble prevention such as enhancing communication with patients and their families,strengthening safety awareness in healthcare workers and patients,and developing individualized education precautious to intensify supervision in order to avoid the risks of tumble in hospitalized patients with cancer.
