跌倒风险评估与综合干预对住院精神患者跌倒发生率影响.docVIP

跌倒风险评估与综合干预对住院精神患者跌倒发生率影响 　　[摘要] 目的 探讨在预防住院老年患者跌倒中应用风险评估的临床价值。方法 此次研究对象来源于该院住院部2016年7月―2017年7月收治的老年住院患者1 420例，随机分成两组，对照组700例，观察组720例。对照组一直使用常规预防方法，即入院后护士宣教，观察组在应用风险评估前也使用常规预防方法，而后增加风险评估法，比较两组患者跌倒发生率，探讨风险评估的预防价值。结果 两组改善前跌倒发生率比较差异无统计学意义（P0.05），改善后观察组跌倒发生率为0.69%，明显低于对照组4.29%与本组改善前4.86%，比较差异有统计学意义（P0.05）；观察组0.14%病情变化，0.14%骨折，0.14%伤，0.28%扭伤，其中病情变化与伤发生率均低于对照组，比较差异有统计学意义（P0.05）。结论 在住院老年患者跌倒中应用风险评估可有效预防老年人跌倒，值得推广。 　???[关键词] 风险评估；住院老年患者；跌倒；预防；价值 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）10（b）-0165-03 　　[Abstract] Objective To explore the clinical value of risk assessment in the prevention of falls in hospitalized elderly patients. Methods The study object from our hospital inpatient department in July 2016 to 2017 July treated 1 420 elderly hospitalized patients， were randomly divided into two groups， 700 cases in the control group， 720 cases in the observation group. The control group has been using conventional prevention methods， namely after admission nurse education， the observation group in the application of risk assessment before the use of conventional methods of prevention， and then increase the risk assessment method， compared two groups of patients with the incidence of falls prevention， to explore the value of risk assessment. Results Tthe two groups improved before the fall rate was no significant difference（P0.05）， after the improvement of the observation group the incidence of falls was 0.69%， significantly lower than the control group 4.29% improved before 4.86% with this group， the difference was statistically significant（P0.05）； the observation group of 0.14% patients， 0.14% fractures， 0.14% injured among them， 0.28% strains， the condition change and the incidence of injury was lower than the control group， the difference was statistically significant （P0.05）. Conclusion Risk assessment can effectively prevent falls in elderly patients， and is worthy of promotion. 　　[Key words] Risk assessment； Hospitalized elderly patients； Fall； Prevention； Valu