医院管理论坛
醫院管理論罈
의원관이론단
HOSPITAL MANAGEMENT FORUM
2014年
11期
19-21
,共3页
住院患者%跌倒%原因分析%护理
住院患者%跌倒%原因分析%護理
주원환자%질도%원인분석%호리
Inpatient%Tumble%Cause analysis%Nursing
目的分析住院患者发生跌倒的原因及特点，探讨如何预防跌倒事件的发生。方法对20例跌倒的患者进行回顾性分析，分析跌倒发生的原因。结果发生跌倒的患者平均年龄72.5岁，年龄≥65岁的占80%；男性患者占60%，女性患者占40%；在卫生间或卫生间门口跌倒的占35%；发生跌倒的患者原发病前三位为肾功能衰竭尿毒症期、脑梗塞、晚期肿瘤；患者跌倒时陪护不到位达100%；易发生跌倒的时间为2：00-6：00和16：00-18：00两个时段，患者跌倒前行为40%是想上厕所。患者跌倒的主要原因与护士缺乏对夜间跌倒注意事项及对患者有针对性、个性化的预防跌倒措施宣教有关，也与跌倒高危患者对自身体能评估不足、陪护安全意识不强、防护措施不完善等有关。结论加强护士对患者夜间跌倒事件的预防培训，让患者及陪护重视预防跌倒的重要性，加强个性化健康教育，加强陪护管理，从而预防跌倒事件的发生。
目的分析住院患者髮生跌倒的原因及特點，探討如何預防跌倒事件的髮生。方法對20例跌倒的患者進行迴顧性分析，分析跌倒髮生的原因。結果髮生跌倒的患者平均年齡72.5歲，年齡≥65歲的佔80%；男性患者佔60%，女性患者佔40%；在衛生間或衛生間門口跌倒的佔35%；髮生跌倒的患者原髮病前三位為腎功能衰竭尿毒癥期、腦梗塞、晚期腫瘤；患者跌倒時陪護不到位達100%；易髮生跌倒的時間為2：00-6：00和16：00-18：00兩箇時段，患者跌倒前行為40%是想上廁所。患者跌倒的主要原因與護士缺乏對夜間跌倒註意事項及對患者有針對性、箇性化的預防跌倒措施宣教有關，也與跌倒高危患者對自身體能評估不足、陪護安全意識不彊、防護措施不完善等有關。結論加彊護士對患者夜間跌倒事件的預防培訓，讓患者及陪護重視預防跌倒的重要性，加彊箇性化健康教育，加彊陪護管理，從而預防跌倒事件的髮生。
목적분석주원환자발생질도적원인급특점，탐토여하예방질도사건적발생。방법대20례질도적환자진행회고성분석，분석질도발생적원인。결과발생질도적환자평균년령72.5세，년령≥65세적점80%；남성환자점60%，녀성환자점40%；재위생간혹위생간문구질도적점35%；발생질도적환자원발병전삼위위신공능쇠갈뇨독증기、뇌경새、만기종류；환자질도시배호불도위체100%；역발생질도적시간위2：00-6：00화16：00-18：00량개시단，환자질도전행위40%시상상측소。환자질도적주요원인여호사결핍대야간질도주의사항급대환자유침대성、개성화적예방질도조시선교유관，야여질도고위환자대자신체능평고불족、배호안전의식불강、방호조시불완선등유관。결론가강호사대환자야간질도사건적예방배훈，양환자급배호중시예방질도적중요성，가강개성화건강교육，가강배호관리，종이예방질도사건적발생。
Objective To analyze causes and characteristics of tumbles of inpatients to explore how to prevent the occurrence. Method Retrospective analysis was conducted to 20 patients who fell in hospital to find out the cause. Result The average age of patients who have tumbled is 72.5, with patients aged≥65 years accounted for 80%. Male patients accounted for 60%while female 40%. Tumbles in the bathroom or at the door of bathroom accounted for 35%. The first three disease of patient who fell were renal failure uremia period, cerebral infarction, advanced tumor. In all 20 cases, escort did not reach the designated position. Most cases occurred during 2:00-6:00 and 16:00-18:00. 40%of patients want to go to the bathroom before the falls. The main reasons include the lack of education on dos and don'ts of tumble at night and targeted and individualized education about prevention, inadequate physical self-evaluation of patients at high risk, lack of safety consciousness among accompanying person, imperfect protective measures and so on. Conclusion Strengthening the training of tumble prevention in the night that will make patients and accompanying person will attaches great importance to the implementation of prevention measures and the implementation of individualized health education are in need to prevent the occurrence.
