CAJ | 학술논문

目的：探讨签订患者知情同意书预防老年患者跌倒的效果。方法便利抽样法选取解放军第98医院2012年7月至2013年6月住院申报高危跌倒的老年患者961例为研究对象。按照申报日期的单双日进行分组，以单日申报的高危跌倒患者作为对照组，采用常规告知，患者法定代理人未签订知情同意书；双日申报的高危跌倒患者作为观察组，在常规告知的基础上，由患者法定代理人签订知情同意书。比较两组患者家属主动参与预防跌倒的情况、护理记录举证的有效性、患者跌倒的发生率及护患纠纷的发生率。结果两组患者家属参与跌倒预防的主动性、护理记录举证有效性的差异均有统计学意义(均P＜0．01)。两组患者跌倒发生率的差异无统计学意义(P＞0．05)。两组患者护患纠纷的发生率差异有统计学意义(P＜0．05)。结论签订患者知情同意书有利于提高患者家属对跌倒预防重要性的认识，从而主动参与预防跌倒的护理，有利于提高护士的举证意识，减少护患纠纷。
목적：탐토첨정환자지정동의서예방노년환자질도적효과。방법편리추양법선취해방군제98의원2012년7월지2013년6월주원신보고위질도적노년환자961례위연구대상。안조신보일기적단쌍일진행분조，이단일신보적고위질도환자작위대조조，채용상규고지，환자법정대리인미첨정지정동의서；쌍일신보적고위질도환자작위관찰조，재상규고지적기출상，유환자법정대리인첨정지정동의서。비교량조환자가속주동삼여예방질도적정황、호리기록거증적유효성、환자질도적발생솔급호환규분적발생솔。결과량조환자가속삼여질도예방적주동성、호리기록거증유효성적차이균유통계학의의(균P＜0．01)。량조환자질도발생솔적차이무통계학의의(P＞0．05)。량조환자호환규분적발생솔차이유통계학의의(P＜0．05)。결론첨정환자지정동의서유리우제고환자가속대질도예방중요성적인식，종이주동삼여예방질도적호리，유리우제고호사적거증의식，감소호환규분。
Objective To investigate the effect of signing informed consent form on fall prevention among elderly hospitalized patients.Methods By convenience sampling,9 6 1 elderly patients with high risk of fall-ing were randomly divided into two group based on the calendar date (control group on odd days and obser-vation group on even days).Control group were conventionally informed without the legal representatives to sign the informed consent forms.Besides oral informed fall prevention knowledge,the legal representatives of the observation group signed the informed consent forms.Family members’initiative in fall prevention, effectiveness of nursing documentation,incidence of falls and the rate of nurse-patients conflicts were com-pared.Results The difference in family members initiative in fall prevention and effectiveness of nursing documentation between the two groups was statistically significant (all P<0 .0 1 ).There was no significant difference in the rate of nurse-patient conflicts(P>0 .0 5 ).Finally,there was significant difference in the rate of nurse-patient conflicts(P<0 .0 5 ).Conclusion The written informed consent could improve the under-standing of fall prevention in family members of patients and promote their participation in fall prevention nursing.Meanwhile,it could strengthen nurses’evidence awareness and reduce nurse-patient conflicts.