预防社区住院老年患者跌倒的护理效果

发布时间:2018-06-24 来源: 美文摘抄 点击:

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  摘 要 目的:探讨对住院老年患者实施预防跌倒措施的效果。方法:选取2016年6月至12月住院老年患者88例,随机分为对照组和观察组各44例。对照组采用常规基础护理,观察组进行基础护理并用跌倒评估监控表进行跌倒预测后,开展预防跌倒护理。比较两组的护理效果。结果:干预后,观察组的跌倒率为2.3%(1/44),对照组为20.5%(9/44),组间差异有统计学意义(P<0.05)。观察组的满意度为97.7%(43/44),对照组为50.0%(22/44),组间差异有统计学意义(P<0.05)。结论:通过跌倒评估监控能更好地降低老年住院患者的跌倒风险,减少跌倒次数,提高患者对自身生活质量和医院的满意度。
  关键词 跌倒;预防;跌倒评估;住院
  中图分类号:R473.5 文献标志码:A 文章编号:1006-1533(2018)04-0037-02
  Nursing effect in preventing fall of hospitalized elderly patients in the community
  ZHANG Xiaochun
  (Third Ward of Zheu Community Health Service Center of Putuo District, Shanghai 200333, China)
  ABSTRACT Objective: To explore the effect of implementing the measures to prevent the fall in hospitalized elderly patients. Methods: From June to December 2016 88 cases of hospitalized elderly patients were selected and randomly divided into a control group and an observation group with 44 cases in each group. The control group was treated with routine basic nursing. After the observation group was treated with the basic nursing and the fall assessment monitoring table was used to predict the fall, the fall nursing was carried out for it. The nursing effect of the two groups was compared. Results: After the intervention, the fall rate of the observation group was 2.3%(1/44) and that of the control group 20.5%(9/44) and the difference between the groups was statistically significant(P<0.05). The satisfaction of the observation group was 97.7%(43/44), and that of the control group was 50%(22/44). The difference between the groups was statistically significant(P<0.05). Conclusion: Monitoring by fall assessment can better reduce the risk of falls, reduce the number of falls in elderly hospitalized patients, and improve the satisfaction with their quality of life and hospitals.
  KEY WORDS fall; prevention; fall assessment; hospitalization
  随着老年入院患者的增加,跌倒发生率也相应增加。患者跌倒后,可引发骨折、脑卒中等一系列疾病,不仅使老年患者的住院时间延长,而且影响身心健康,严重的会导致残疾和死亡[1],所以加强预防跌倒非常重要。本文报道对住院老年患者实施预防跌倒评估和护理的效果。
  1 资料和方法
  1.1 一般资料
  选择2016年6月至12月收治入院的88例老年患者,按随机数字表法分为对照组(44例)和觀察组(44例)。对照组中男性13例,女性31例,年龄62~93岁,平均(72.2±5.2)岁;心血管疾病8例,脑血管疾病21例,糖尿病5例,其他疾病10例;平均住院时间(36.6±3.4)d。观察组中男性18例,女性28例,年龄64~91岁,平均(70.8±5.1)岁;心血管疾病11例,脑血管疾病20例,糖尿病8例,其他疾病5例,平均住院时间(39.5±3.6)d。两组患者一般资料比较差异无统计学意义(P>0.05)。
  1.2 方法
  两组老年患者均给予同样的基础护理。①密切观察患者生命体征,协助做好老年患者的生活护理,对于行动不便者给予帮助。②协助做好患者的各种检查及治疗,了解患者病情变化。③对患者及家属进行疾病的健康教育,让其能了解自身疾病的情况,能更好的配合治疗。同时,观察组采用跌倒评估监控表对患者进行跌倒预测,根据预测结果开展预防跌倒护理,具体如下。

相关热词搜索:跌倒 住院 老年 护理 患者

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