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目的:探讨针对住院老年患者开展预见性防跌倒护理的临床效果。方法:选取2013年9月至2015年9月本院神经内科一区住院收治的老年患者568例,随机分为对照组与观察组各284例,对照组采用常规临床护理方式,观察组给予预见性防跌倒护理,比较两组患者住院过程跌倒事件发生率以及临床满意度。结果:观察组患者对曾跌倒(近一年内有过跌倒史)、超过一个医学诊断、使用助行器、静脉输液/置管/使用药物治疗、步态、精神状态6个跌倒危险因素的认知度显著高于对照组,具有统计学意义(P<0.05);观察组患者住院期间跌倒事件发生率小于对照组(7.7%vs 19.7%,P<0.05),临床满意度显著高于对照组(98.6%vs 81.0%,P<0.05)。结论:住院老年患者行预见性防跌倒护理具有良好的临床效果,在抑制跌倒事件发生的同时也能够提高患者对医院的满意程度。
Objective: To investigate the clinical effect of predictive fall prevention treatment in hospitalized elderly patients. Methods: From September 2013 to September 2015, 568 senile patients admitted to the hospital of neurology department of our hospital were randomly divided into control group and observation group (284 cases each). The control group received routine clinical nursing and the observation group Preventive care falls, the incidence of falls and hospital satisfaction were compared between two groups. Results: The patients in the observation group had a history of falling (the history of fall over the past year), more than one medical diagnosis, the use of aids, intravenous fluids / catheterization / medication, gait and mental status (P <0.05). The incidence of falls in the observation group was less than that of the control group (7.7% vs 19.7%, P <0.05), and the clinical satisfaction was significantly higher than that of the control group (98.6% vs 81.0%, P <0.05). CONCLUSION: The predictive fall prevention nursing in hospitalized elderly patients has a good clinical effect, which can also improve patient satisfaction with the hospital while inhibiting the occurrence of falls.