现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
4期
62-65
,共4页
李洁峰%何中华%吴建平%刘意琼
李潔峰%何中華%吳建平%劉意瓊
리길봉%하중화%오건평%류의경
住院患者%责任护士%Morse跌倒评估量表
住院患者%責任護士%Morse跌倒評估量錶
주원환자%책임호사%Morse질도평고량표
hospitalized patients%primary nurse%Morse Fall Scale
目的：探讨责任护士应用Morse跌倒评估量表情况。方法责任护士应用Morse跌倒评估量表对21378例患者进行评估，采用自行设计调查表，了解责任护士应用Morse跌倒评估量表对患者跌倒风险评估情况；选择跌倒风险评估时机，同时了解跌倒风险患者发生跌倒情况。结果本组21378例患者中，有222例患者存在跌倒风险。责任护士在跌倒风险评估中对跌倒史、超过1个医学诊断、静脉输入的条目评估准确率较高，为91.6%以上；对行走辅助、步态、认知状态的条目评估准确率较低，为86.0%以下。责任护士在患者入院时、Morse跌倒评估得分≥24分、转科和跌倒后评估时机选择准确率较高，为90.2%以上；在患者病情变化、口服了会导致跌倒药物时评估时机选择准确率较低，为67.9%以下。结论加强护士培训，提高量表的使用及评估时机选择的准确率，使防跌倒的评估和预防工作贯穿于临床护理工作中，最大限度地预防患者跌倒事件的发生。
目的：探討責任護士應用Morse跌倒評估量錶情況。方法責任護士應用Morse跌倒評估量錶對21378例患者進行評估，採用自行設計調查錶，瞭解責任護士應用Morse跌倒評估量錶對患者跌倒風險評估情況；選擇跌倒風險評估時機，同時瞭解跌倒風險患者髮生跌倒情況。結果本組21378例患者中，有222例患者存在跌倒風險。責任護士在跌倒風險評估中對跌倒史、超過1箇醫學診斷、靜脈輸入的條目評估準確率較高，為91.6%以上；對行走輔助、步態、認知狀態的條目評估準確率較低，為86.0%以下。責任護士在患者入院時、Morse跌倒評估得分≥24分、轉科和跌倒後評估時機選擇準確率較高，為90.2%以上；在患者病情變化、口服瞭會導緻跌倒藥物時評估時機選擇準確率較低，為67.9%以下。結論加彊護士培訓，提高量錶的使用及評估時機選擇的準確率，使防跌倒的評估和預防工作貫穿于臨床護理工作中，最大限度地預防患者跌倒事件的髮生。
목적：탐토책임호사응용Morse질도평고량표정황。방법책임호사응용Morse질도평고량표대21378례환자진행평고，채용자행설계조사표，료해책임호사응용Morse질도평고량표대환자질도풍험평고정황；선택질도풍험평고시궤，동시료해질도풍험환자발생질도정황。결과본조21378례환자중，유222례환자존재질도풍험。책임호사재질도풍험평고중대질도사、초과1개의학진단、정맥수입적조목평고준학솔교고，위91.6%이상；대행주보조、보태、인지상태적조목평고준학솔교저，위86.0%이하。책임호사재환자입원시、Morse질도평고득분≥24분、전과화질도후평고시궤선택준학솔교고，위90.2%이상；재환자병정변화、구복료회도치질도약물시평고시궤선택준학솔교저，위67.9%이하。결론가강호사배훈，제고량표적사용급평고시궤선택적준학솔，사방질도적평고화예방공작관천우림상호리공작중，최대한도지예방환자질도사건적발생。
Objective To investigate the clinical application of Morse Fall Scale by primary nurses.Methods Morse Fall Scale was used to assess the falling risk in 21,378 patients by the primary nurses.The application of the Morse Fall Scale, choices of right time for assessment and the occurrence of falls in patients with risks of falling were evaluated by a self-designed questionnaire.Results Among 21,378 patients, 222 patients were at risk of falling.In terms of the items like the history of falls,more than one diagnosis,intravenous injection,the accuracy of assessment was above 91.6%.In terms of the items like aided walking,gait,cognitive state,the assessment accuracy is below 86.0%.The accuracy of assessment timing selection in the situations like admission,the score by Morse fall scale over 24at admission and the accuracy in choosing right time for assessment was was above 90.2% after transferring to other deparments and falling.The accuracy in choosing the right time for fall assessment was below 67.9% under such conditions as apostasies,and oral administration of drugs probably leading to fall. Conclusions It is acceptable that the primary nurses use the Morse fall scale to assess patients with risky falls and for the right choice of assessment.Attention should be paid to strengthen the nurses training to improve the accuracy of the scale,to make sure to choose right time for the assessment so as to prevent the falls of patients to the greatest extent.
