改良简易跌倒危险因素评估量表确定高危跌倒人群对预防血液病患者跌倒影响研究.docVIP

改良简易跌倒危险因素评估量表确定高危跌倒人群对预防血液病患者跌倒影响研究 　　[摘要] 目的 探讨应用改良简易跌倒危险因素评估量表确定高危跌倒人群对预防血液病患者跌倒的影响。 方法 选择2013年3月～2014年2月本科血液病住院患者1317例为对照组，采用全院普用的跌倒危险因素评估量表确定跌倒人群；选择2014年3月～2015年2月本科血液病住院患者1715例为观察组，采用改良简易跌倒危险因素评估量表确定高危跌倒人群，两组均实施相同的预见性护理干预，统计患者发生跌倒的情况、患者对护理人员服务态度满意度及护理人员对患者病情知晓率。 结果 对照组意外跌倒7例，观察组意外跌倒2例，差异具有统计学意义（P0.05）。观察组对护理人员服务态度满意度高于对照组。护理人员对观察组病情知晓率高于对照组。结论 应用改良简易跌倒危险因素评估量表确定高危跌倒人群能有效地预防血液病患者跌倒，可在临床上推广。 　　[关键词] 血液科；高危跌倒人群；预防；跌倒 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2016）33-0150-04 　　[Abstract] Objective To explore the effect of modified simple falling risk factor assessment scale on the determination of the population with high risk of falling for prevention of falling in the patients with hematological diseases. Methods 1317 hospitalized patients with hematological diseases who were admitted to our department from March 2013 to February 2014 were selected as the control group， and the population of falling was determined by the assessment scale of risk factors of falling universally applied in our hospital. 1715 hospitalized patients with hematological diseases who were admitted to our department from March 2014 to February 2015 were selected as the observation group， and the population with high risk of falling was determined by modified simple falling risk factor assessment scale. Afterwards， the two groups were both given same predictive nursing intervention. The falling， the patients attitudes towards the nursing staff and the nurses awareness of the patients condition were compared between the two groups. Results Accidental falling was observed in 7 patients in the control group， and accidental falling was observed in 2 patients in the observation group. The difference was statistically significant（P0.05）. The attitude of the observation group to the nursing staff was higher than the control group. The awareness rates of the patients in observation group was higher than that in control group. Conclusion Determination of the population with high risk of fall