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专科护士主导的跌倒后随访对预防老年患者再次跌倒的效果观察

Observation on The Effect of The Follow Up after Falls Led by Specialist Nurses on Preventing The Elderly Patients from Falling Again

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【作者】 卢少萍魏丽君黄巧徐永能马慧欣任晓晓

【Author】 LU Shao-ping;WEI Li-jun;HUANG Qiao;XU Yong-neng;MA Hui-xin;REN Xiao-xiao;Guangdong General Hospital,Guangdong Academy of Medical Sciences,Guangdong Geriatric Institute;

【通讯作者】 黄巧;

【机构】 广东省人民医院广东省医学科学院广东省老年医学研究所

【摘要】 目的探讨专科护士主导的跌倒后随访对预防老年患者再次跌倒的效果。方法对住院期间跌倒的31例患者进行跌倒后回访,患者出院后1周内、1个月、3个月、6个月分别上门随访1次,平时根据情况每1~2周电话随访1次,有特殊情况时随时上门随访,对防跌倒进行指导,了解患者防跌倒措施的落实情况、调查再次跌倒的情况并指导康复训练。结果 31例老年患者住院期间跌倒后,仅有2例在出院1周内发生跌倒;对防跌倒措施落实依从性较好。结论由经过专科培训的老年专科护士主导的跌倒后随访,能有效提高老年患者对防跌倒措施的落实率,减少再次跌倒的发生。

【Abstract】 Objective To investigate the effect of follow-up after falling which led by specialist nurses onpreventing elderly patients from falling again. Methods Thirty-one patients who fell down during hospitalization werefollowed up by home visit at the first week,1-month,3-month and 6-month. At usual,there is a telephone follow-upevery 1~2 weeks on the basic of their situation. If there are something special,we will visit them at any time,guide theprevention of falls,understand the implementation of measures to prevent falls,investigate the situation of falls again,and guide rehabilitation training. Results Only 2 of 31 elderly patients fell down within 1 week after hospitalization. Thecompliance of measures to prevent falls has gained great achievement. Conclusion The follow-up of elderly falls led bythe nurses who was trained by specialists can effectively improve the implementation rate of measures to prevent falls andreduce the occurrence of repeated falls among elderly patients.

【关键词】 老年患者跌倒再次跌倒
【Key words】 elderly patientsfallfall again
【基金】 广东省医学科学技术研究基金资助项目(A2015459);广东省科学技术厅2013年度省企业技术研发与升级改造专项资金资助项目(2013B021800187)
  • 【文献出处】 循证医学 ,The Journal of Evidence-Based Medicine , 编辑部邮箱 ,2018年05期
  • 【分类号】R47
  • 【被引频次】2
  • 【下载频次】197
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