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住院患者发生排泄相关性跌倒情况调查分析及对策

Investigation and analysis on egestion-related falls of inpatients

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【作者】 严加洁何金爱张静辉

【Author】 Yan Jiajie,He Jin’ai,Zhang Jinghui

【机构】 暨南大学附属第一医院

【摘要】 目的探讨住院患者发生排泄相关性跌倒的情况和防范措施。方法回顾性分析和总结影响21例发生排泄相关性跌倒患者的情况。结果发生排泄相关性跌倒的患者有57.14%≥65岁,100.00%认知能力正常,61.90%生活完全能自理,57.14%行动自如,85.71%在跌倒前24h内用药,61.90%排泄型态改变,90.48%视力正常,80.95%跌倒后受伤1~2级,跌倒地点为卫生间有52.38%、床旁有33.33%。清晨6:00~8:00和夜晚20:00~22:00为发生跌倒的2个高峰期。结论增强护理人员安全意识,建立跌倒高危患者的评估制度,对患者进行健康教育和改善住院环境、设施对预防排泄相关性跌倒的发生具有积极的意义。

【Abstract】 Objective To investigate egestion-related falls of hospitalized patients and the precautions.Method The histories of 21 patients were retrospectively analyzed to summarize the factors of egestion-related falls.Results The factors for egestion-related falls was found to include advanced ages (≥ 65 years) (57.14%),normal cognitive ability (100.00%),self-care (61.90%),easy movement (57.14%),medication within 24h (85.71%) and changed egestion patterns (61.90%).Falling at grade 1 ~ 2 was observed in 80.95%,falling spots were at the toilet (52.38%) or beside the bed (33.33%).The fall peak time was at the periods of 6:00 ~ 8:00 and 20:00 ~ 22:00.Conclusion Such measures as enhancing the safety awareness of nurses,establishing the assessment system for high-risk falling patients,health education and improving the environment and facilities are positive for the prevention of egestion-related falls.

【关键词】 跌倒排泄住院患者
【Key words】 fallsegestioninpatients
  • 【文献出处】 现代临床护理 ,Modern Clinical Nursing , 编辑部邮箱 ,2012年01期
  • 【分类号】R473
  • 【被引频次】23
  • 【下载频次】153
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