摘要
目的:分析住院患者发生跌倒的原因及特点,探讨如何减少跌倒事件的发生。方法:对96例跌倒的患者进行回顾性分析,用根本原因分析法(RCA)分析跌倒发生的原因。结果:发生跌倒的患者年龄≥60岁的占67.71%;因为健康原因发生跌倒的占38.54%;在卫生间跌倒的占41.67%;发生跌倒的患者原发病为高血压、冠心病、糖尿病的占37.51%;有陪护发生跌倒的占79.20%;易发生跌倒的时间为18:00-24:00及4:00-8:00。患者跌倒的主要原因与护士对跌倒因素评估能力不足、安全意识不强、防护措施不完善、相关培训不足等有关。结论:应从加强防跌倒的培训教育工作,合理配置护理人力,鼓励患者报告安全隐患,重视环境和设施安全方面着手,不断改进护理措施,从而减少跌倒事件的发生。
Objectives： To analyze the causes and features of hospitalized patients＇ falls and to explore the of reducing falls. Methods： Totally 96 falls were retrospectively analyzed by the root cause analysis （RCA）. Results： About 67.71% patients were over 60 years old. About 38.54% falls were due to health reasons. About 41.67% falls occured in the bathroom,and 37.51% patients had primary diseases, such as hypertension, coronary heart disease and diabetes. About 79.20% patients had attendants. The fall time took place from 18：00 to 24：00 and from 4：00 to 8：00. The risk factors of falls included insufficient assessing abilities and safety awareness of nursese, inadequate preventive measures and training. Conclusions： The fundamental of reducing falls were to strengthen preventive training of falls, to allocate nursing manpower reasonably to pay attention to environmental and equipment safety around the patients, and continuously improve the nursing interventions to reduce falls.
出处
《中国护理管理》
CSCD
2013年第2期43-45,共3页
Chinese Nursing Management
基金
广西医疗卫生重点科研课题(200838)
关键词
住院患者
跌倒
根本原因分析
对策
hospitalized patients
fall
root cause analysis
countermeasure
