CAJ | 학술논문

目的：探讨住院精神病患者跌倒不良事件的原因，分析其对策。方法选取2012年1月至2013年12月在我院住院治疗的精神疾病患者1400例作为研究对象，其中发生跌倒不良事件共32例，分别为2012年20例、2013年12例。以2013年患者作为观察组、2012年患者作为对照组，对照组予以常规护理，观察组在常规护理的基础上予以跌倒专项护理，观察时间为2年，对比两组患者跌倒不良事件的发生率。结果①抗精神病与镇静催眠药物的使用、患者相关知识缺乏、肢体活动能力受限、健康教育指导不到位、护理措施落实不到位、药物副反应处置不及时及不良环境因素是精神科住院患者发生跌倒不良事件的主要原因。②干预前：观察组、对照组的跌倒发生率比较无统计学意义（ P＞0.05）。③干预前观察组跌倒发生率为2.86％，在跌倒专项护理干预后跌倒率下降至1.71％，干预前后差异具有统计学意义（ P＜0.01）。结论针对患者跌倒的不同原因进行分析，有针对性地采取风险防范、护理干预，可有效避免患者跌倒不良事件的发生，有利于患者的治疗与恢复，值得在临床中推广应用。
목적：탐토주원정신병환자질도불량사건적원인，분석기대책。방법선취2012년1월지2013년12월재아원주원치료적정신질병환자1400례작위연구대상，기중발생질도불량사건공32례，분별위2012년20례、2013년12례。이2013년환자작위관찰조、2012년환자작위대조조，대조조여이상규호리，관찰조재상규호리적기출상여이질도전항호리，관찰시간위2년，대비량조환자질도불량사건적발생솔。결과①항정신병여진정최면약물적사용、환자상관지식결핍、지체활동능력수한、건강교육지도불도위、호리조시락실불도위、약물부반응처치불급시급불량배경인소시정신과주원환자발생질도불량사건적주요원인。②간예전：관찰조、대조조적질도발생솔비교무통계학의의（ P＞0.05）。③간예전관찰조질도발생솔위2.86％，재질도전항호리간예후질도솔하강지1.71％，간예전후차이구유통계학의의（ P＜0.01）。결론침대환자질도적불동원인진행분석，유침대성지채취풍험방범、호리간예，가유효피면환자질도불량사건적발생，유리우환자적치료여회복，치득재림상중추엄응용。
Objective To explore the reason of the fall adverse events of hospitalized psychiatric patients and analyze the counter -measures.Methods In our hospital from January 2012 to November 2013 1400 cases were selected as research objects , among of them 32 cases occurred the fall adverse events , 20 cases in the year of 2012 were divided into control group , 12 cases in the year of 2013 were divided into observation group .The control group received routine nursing , and the observation group received fall special nursing based on routine nursing, the observation period lasted 2 years, the occurrences of the fall adverse events were compared between two groups .Results ①excessive use of sedatives and hypnotic drugs , poor physical activity , improper care and poor environment etc .were the main causes of the fall adverse events in hospitalized psychiatric patients.②the fall incidence of the control group and the observation group had no significant difference between the two groups , and no statistically significant , P>0.05.③ the fall incidence of the observation group was 2.86%, which decreased to 1.71% after the special care , and the differences after the special care with statistical significance , P <0.01.Conclusions Patients performed for different reasons fall targeted nursing intervention can effectively avoid the incidence of adverse e -vents in patients with falls , and reduce fall risk factors conducive to treatment and recovery of patients , which should be promoted in clinical applications.