CAJ | 학술논문

目的：分析住院患者跌倒的临床特征，为预防跌倒提供依据。方法利用医院信息管理系统采集某院2014年61例患者跌倒临床资料，采用百分比的统计学方法分析年龄、住院病区、住院天数、疾病分布构成等与跌倒的关系。结果共报告跌倒病例61例（0.094%），超过半数为大于70岁的老年人（32例，52.46%）；4例为儿童住院患者；主要分布在神经内科、肾病内科、呼吸内科、肿瘤科、血液免疫科等；平均住院日为31.27天；疾病主要分布在循环系统、恶性肿瘤、呼吸系统等。结论跌倒的发生是多因素综合作用的结果，多发生于70岁以上老年人，应加强老年患者住院管理，加强多发病区重点疾病管理、加强医患沟通缩短平均住院日以及病房护理管理，减少或杜绝住院患者跌倒。
목적：분석주원환자질도적림상특정，위예방질도제공의거。방법이용의원신식관리계통채집모원2014년61례환자질도림상자료，채용백분비적통계학방법분석년령、주원병구、주원천수、질병분포구성등여질도적관계。결과공보고질도병례61례（0.094%），초과반수위대우70세적노년인（32례，52.46%）；4례위인동주원환자；주요분포재신경내과、신병내과、호흡내과、종류과、혈액면역과등；평균주원일위31.27천；질병주요분포재순배계통、악성종류、호흡계통등。결론질도적발생시다인소종합작용적결과，다발생우70세이상노년인，응가강노년환자주원관리，가강다발병구중점질병관리、가강의환구통축단평균주원일이급병방호리관리，감소혹두절주원환자질도。
Objective To analyze the clinical features of inpatients fall, and provide the basis for preventing falls. Methods Using the hospital information management system to collect clinical data of 61 falling patients in 2014. Using the percentage statistical methods to analyze the relationship between falls down and age, hospital ward, hospitalization days and disease distribution.Results A total of 61 cases of fall cases were reported(0.094%), more than half were Older people of more than 70 years old(32 cases, 52.46%), 4 cases were children. Mainly distributing in neurology, kidney disease, respiratory medicine, oncology, hematology and immune, etc. Average length of stay was 31.27. Diseases are mainly distributed in circulation system, malignant tumor, respiratory system, etc.Conclusion Fall down is a result of the combined action of multiple factors, take place in the 70 elderly aged or over. We should strengthen the elderly patients Hospitalized management, strengthen the frequently-occurring disease wards management, strengthen the doctor-patient communication to shorten the average length of stay, reduce or prevent falls in hospitalized patients.