实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
3期
81-83,87
,共4页
临床护理路径%老年住院患者%跌倒预防%临床实践
臨床護理路徑%老年住院患者%跌倒預防%臨床實踐
림상호리로경%노년주원환자%질도예방%림상실천
clinical nursing pathway%elderly inpatients%prevention of falls%clinical practice
目的：探讨临床护理路径在预防住院老年患者跌倒管理中的实施效果。方法将676例≥65岁跌倒高危患者按随机数字表法分为对照组和观察组，每组338例。对照组采取常规护理模式（护理宣教、床头挂防摔倒警示标识、打起床栏等）；观察组采取临床护理路径管理模式，运用临床护理路径管理对患者进行护理干预，预防住院期间意外跌倒的发生。结果对照组发生跌倒5例，跌倒发生率为1.48%。观察组发生跌倒1例，跌倒发生率为0.29%，对照组跌倒发生率明显高于观察组（P＜0.05）。结论运用临床护理路径管理进行护理干预，能有效地预防住院老年患者意外跌倒的发生，降低老年住院患者跌倒的发生率。
目的：探討臨床護理路徑在預防住院老年患者跌倒管理中的實施效果。方法將676例≥65歲跌倒高危患者按隨機數字錶法分為對照組和觀察組，每組338例。對照組採取常規護理模式（護理宣教、床頭掛防摔倒警示標識、打起床欄等）；觀察組採取臨床護理路徑管理模式，運用臨床護理路徑管理對患者進行護理榦預，預防住院期間意外跌倒的髮生。結果對照組髮生跌倒5例，跌倒髮生率為1.48%。觀察組髮生跌倒1例，跌倒髮生率為0.29%，對照組跌倒髮生率明顯高于觀察組（P＜0.05）。結論運用臨床護理路徑管理進行護理榦預，能有效地預防住院老年患者意外跌倒的髮生，降低老年住院患者跌倒的髮生率。
목적：탐토림상호리로경재예방주원노년환자질도관리중적실시효과。방법장676례≥65세질도고위환자안수궤수자표법분위대조조화관찰조，매조338례。대조조채취상규호리모식（호리선교、상두괘방솔도경시표식、타기상란등）；관찰조채취림상호리로경관리모식，운용림상호리로경관리대환자진행호리간예，예방주원기간의외질도적발생。결과대조조발생질도5례，질도발생솔위1.48%。관찰조발생질도1례，질도발생솔위0.29%，대조조질도발생솔명현고우관찰조（P＜0.05）。결론운용림상호리로경관리진행호리간예，능유효지예방주원노년환자의외질도적발생，강저노년주원환자질도적발생솔。
Objective To explore the efficacy of clinical nursing pathway in the prevention of falls in elderly inpatients. Methods A total of 676 patients at high risk for falls (≥65 yeas of age) were randomly divided into two group, with 338 patients in each group. The control group received routine nursing care (propaganda and education, hanging bedside warning signs, bedrail use, etc. ).The observation group received clinical nursing pathway management for the prevention of accidental falls during hospitalization. Results The incidence of falls in control group (1.48%, 5/338)was significantly higher than that in observation group (0.29%,1/338) (P<0.05). Conclusion The nursing intervention with clinical nursing pathway management can effectively prevent the occurrence of accidental falls and reduce the incidence of falls in elderly inpatients.
