跌倒坠床管理流程及风险评估与干预措施在神经内科应用.docVIP

跌倒坠床管理流程及风险评估与干预措施在神经内科应用 　　【摘要】目的 探讨跌倒坠床管理流程及跌倒?坠床风险评估与干预措施在神经内科中的应用效果。方法 选择2011年1月－2011 年9月本科室收治的住院患者706例,随机分为两组。对照组采用常规的防跌倒护理，实验组应用跌倒?坠床管理流程及风险评估与干预措施对患者实施防跌倒护理，比较两组患者的跌倒发生率。结果 实验组患者跌倒发生率低于对照组差异具有统计学意义（P＜0.01）。结论 跌倒/坠床管理流程及风险评估与干预措施表的使用能有效降低住院老年患者跌倒的发生率，保障老年住院患者的护理安全。 　　【关键词】管理流程 跌倒/坠床风险评估 干预措施 老年患者 护理安全 　　中图分类号：R473.6文献标识码：A文章编号：1005-0515（2011）12-027-02 　　Fall into bed management process and risk assessment and interventions in neurological medicine application 　　LEI Xue 　　（Sichuan Province neurology department of Guangyuan Second Peoples Hospital 628017） 　　【Abstract】Objective We will discuss the management processes of fall bed and the application in the risk assessment of fall/fall bed and the application of intervention sheet in Neurology. Method We chose the 706 patients who was admitted in hospital from January to September in 2011 and they were randomly divided into two groups. The control group was with conventional anti-fall care and the experimental group took the anti-fall care by using fall bed management process, risk assessment and intervention sheet to compare their incidence of falls. Result The result between two groups is P＜0.01. This difference has statistically significant. Then the fall incidence of patients in experimental group is lower than the control group. Conclusion The application of fall / fall bed management process , risk assessment and the in tervention sheet can effectively reduce the fall incidence in elderly patients and protect the care safety of elderly hospitalized patients. 　　【Key words】management processes fall / fall bed risk assessment interventions elderly patients care safety 　　跌倒是我国伤害死亡的第四位原因，而在65岁以上的老年人中则为首位。神经内科患者多高龄, 加之意识、感觉、运动障碍及用药等，使跌倒与坠床的危险性增大。跌倒除了导致老年人死亡外，还导致大量残疾，并且影响老年人的身心健康。跌倒后的恐惧可以降低老年人的活动能力，使其活动范围受限，生活质量下降。为减少和避免患者跌倒与坠床的发生，降低由此引起的不良后果，同时为提高护理人员的风险意识，我们在借鉴国内外研究的基础上，建立了跌倒管理流程[1]，实施了“风险评估与干预措施表”，有效地预防了跌倒事件的发生。 　　1 方法 　　1.1 跌倒坠床管理流程 　　1.1.1 高危跌倒坠床筛查 实验组在入院评估上增加了跌倒、坠床风险评估评分，使新入院患者跌倒坠床风险评估常规化。制定了跌倒与坠