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[1]田娅.跌倒风险预警机制在老年住院患者安全管理中的应用效果[J].慢性病学杂志,2020,21(08):1155-1158.
　TIANYa.Application effect of warning system for fall risks in safety management of elderly inpatients[J].,2020,21(08):1155-1158.
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跌倒风险预警机制在老年住院患者安全管理中的应用效果

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年08期
页码:
1155-1158
栏目:
论　著
出版日期:
2020-08-28

文章信息/Info

Title:
Application effect of warning system for fall risks in safety management of elderly inpatients
作者:
田娅
郑州人民医院，郑州 450000
Author(s):
TIANYa
ZhengzhouPeople’sHospital,Zhengzhou450000,China Correspondingauthor:TIAN Ya,E-mail:pei5te@163.com
关键词:
风险预警机制; 跌倒; 安全管理
Keywords:
Warning system for fall risks;  Fall;  Safety management
分类号:
R473.5
DOI:
-
摘要:
目的 探讨跌倒风险预警机制在老年住院患者安全管理中的应用效果。方法 选取2017年1月—2018 年12月郑州人民医院收治的482例老年慢性病住院患者，以2017年1—12月实施常规预警机制的241例老年住院 患者为对照组，以2018年1—12月实施跌倒风险预警机制的241例老年住院患者为干预组，将10位资深护师与3 位风险管理办公室成员组成跌倒风险预警机制小组，收集对照组患者信息，制订医院灾害脆弱性分析评分表 （HVA），筛选出影响老年住院患者跌倒风险因素中风险值（RISK）排名前5位的RISK事件。对照组进行常规护 理，干预组在对照组的护理基础上实施跌倒风险预警机制方案进行干预，干预周期为3个月，跌倒风险预警机制 小组统计干预组前5位风险事件的RISK值，对比两组患者的风险事件发生情况、跌倒发生率及伤害严重程度， 对跌倒风险预警机制效果进行评判。结果 前5位RISK事件分别为环境危险、药物因素、意识不清楚、肢体活 动障碍和视力障碍，干预组RISK值低于对照组，差异有统计学意义（P<0.05）；干预组患者的跌倒率、跌倒严 重程度以及再次跌倒率均低于对照组，差异有统计学意义（P<0.01）；干预组再跌倒发生率与伤害严重程度低于 对照组，差异有统计学意义（P<0.05）。结论 跌倒风险预警机制能有效地筛选出引起跌倒主要风险因素，制订 改善方案，有效地降低跌倒率、跌倒严重程度以及再次跌倒率。
Abstract:
Objective To investigate the application effect of warning system for fall risks in safety management of elderly inpatients.Methods A total of482 elderly inpatients admitted to the Zheng-zhou People’s Hospital from January 2017 to December 2018 were enrolled in the study. Totally241 cases of elderly inpatients admitted during the period from January to December 2017 before the imple-mentation of warning system for fall risks were included in the control group, and241 cases of elderly inpatients admitted during the period from January to December 2018 after the implementation were in-cluded in the intervention group. Ten senior nurses and three risk management office members formed a fall risk early warning group. The information of patients in the control group was collected and Haz-ard vulnerability assessment（HVA）scoring scale was formulated. The top 5 RISK events affecting fall risk in elderly inpatients were screened. The control group was given routine nursing while the in-tervention group was given the intervention based on warning system for fall risks for three months. The RISK values of the top5 risk events in the intervention group were counted by the warning group. The incidence of risk events and falling rate and the severity of injury were compared betweenthe two groups. The effect of warning system for fall risks was evaluated. Results The top5 RISK events affecting fall risk in elderly inpatients were environmental risk, drug factors, unconsciousness, limb activity disorder and visual impairment. The RISK value of the intervention group was significant-ly lower than that of the control group. The incidence of falls, the severity of falls and the incidence of falling down again in the intervention group were lower than those in the control group. Conclusion The warning system for fall risks can effectively screen out the main risk factors causing falls. Therefore, improvement plans can be effectively developed to reduce the incidence and severity of falls, and the incidence of falling down again.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：田娅，大学本科，主管护师，研究方向：全科护理学 通信作者：田娅，E-mail: pei5te@163.com
更新日期/Last Update: 2020-08-28