医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2013年
8期
13-14,17
,共3页
精神科医生%防跌管理%认知状况
精神科醫生%防跌管理%認知狀況
정신과의생%방질관리%인지상황
Psychiatrists%Management of preventing patients from falling%awareness
目的了解精神科临床医师对防跌管理的认知现状，寻求降低住院患者跌倒发生的最佳管理流程。方法采用自行设计问卷调查方式，对绍兴地区三家精神专科医院90名医生与165名护士进行调查。结果精神科医生和护士在跌倒防控知识培训、采取的防跌措施、专科化知识宣教、跌倒评估表内容知晓度等方面的知识相比，其差异有统计学意义（P<0.01），医护之间在患者防跌管理上相互沟通较少，高职称医生比低职称医生更认为跌倒可以预防，有少部分医生认为跌倒不一定是工作失误，无损伤的跌倒不会对患者身心产生危害，可以不上报。结论精神科医生跌倒防控知识知晓率低，防跌管理参与意识不强，应加强对医护人员尤其是医生的防跌教育培训，加强多部门协作，防范患者跌倒。
目的瞭解精神科臨床醫師對防跌管理的認知現狀，尋求降低住院患者跌倒髮生的最佳管理流程。方法採用自行設計問捲調查方式，對紹興地區三傢精神專科醫院90名醫生與165名護士進行調查。結果精神科醫生和護士在跌倒防控知識培訓、採取的防跌措施、專科化知識宣教、跌倒評估錶內容知曉度等方麵的知識相比，其差異有統計學意義（P<0.01），醫護之間在患者防跌管理上相互溝通較少，高職稱醫生比低職稱醫生更認為跌倒可以預防，有少部分醫生認為跌倒不一定是工作失誤，無損傷的跌倒不會對患者身心產生危害，可以不上報。結論精神科醫生跌倒防控知識知曉率低，防跌管理參與意識不彊，應加彊對醫護人員尤其是醫生的防跌教育培訓，加彊多部門協作，防範患者跌倒。
목적료해정신과림상의사대방질관리적인지현상，심구강저주원환자질도발생적최가관리류정。방법채용자행설계문권조사방식，대소흥지구삼가정신전과의원90명의생여165명호사진행조사。결과정신과의생화호사재질도방공지식배훈、채취적방질조시、전과화지식선교、질도평고표내용지효도등방면적지식상비，기차이유통계학의의（P<0.01），의호지간재환자방질관리상상호구통교소，고직칭의생비저직칭의생경인위질도가이예방，유소부분의생인위질도불일정시공작실오，무손상적질도불회대환자신심산생위해，가이불상보。결론정신과의생질도방공지식지효솔저，방질관리삼여의식불강，응가강대의호인원우기시의생적방질교육배훈，가강다부문협작，방범환자질도。
Objectives: To understand the status quo of psychiatrists' awareness of the prevention against patient fall, and to search the best management flow to reduce the incidence of inpatient fall. Methods:Self-designed questionnaires were administered to 90 doctors and 165 nurses from three psychiatry specialized hospitals in Shaoxing. Results:Statistically significant (P<0.01) differences existed between psychiatric doctors and nurses on several aspects including fall prevention education, fall prevention measures, specialized education, knowledge rate of contents in fall assessment scales. The two groups lacked communication on preventing patients from fall. More doctors of higher ranks tend to consider falling preventable than those of lower ranks. A small group of doctors thought that patient fall were not doctors' faults, or that falling without injuries would not harm patients and thus not require reporting. Conclusions:The awareness of knowledge about preventing patients falling down was low among psychiatrists, as was their sense of participation in its management. Education of preventing patients falling should be promoted among health practitioners, especially doctors. All departments should cooperate to prevent patients from fall.
