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目的:分析神经外科患者坠床跌倒风险原因,探讨护理防范管理对策。方法:回顾性分析2013~2014年浙江省长兴县人民医院神经外科住院患者的资料,对患者发生坠床跌倒的原因进行总结,并提出针对性的坠床跌倒防范对策。结果:2013~2014年发生患者坠床跌倒6例,风险原因包括患者因素、护理人员因素、病房环境因素及后勤保障等因素。针对性防范对策包括规范化健康宣教、完善病房管理、强化护理人员素质、后勤保障及对跌倒后的应对、强化高危人员管理。结论:规范神经外科患者坠床跌倒的风险管理,降低患者坠床跌倒发生率,可提高患者住院安全,提升护理质量。
OBJECTIVE: To analyze the causes of falling risk of falling patients in neurosurgical patients and to discuss the strategies of nursing prevention and management. Methods: The data of inpatients admitted to neurosurgery in Changxing People’s Hospital of Zhejiang Province from 2013 to 2014 were analyzed retrospectively. The causes of patients falling into bed were summarized, and the countermeasures of fall prevention were proposed. Results: In 2013 ~ 2014, 6 patients fell into bed and fell into the hospital. The risk factors included patient factors, nursing staff factors, ward environmental factors and logistical support. Targeted preventive measures include standardized health education, improve ward management, strengthen the quality of nursing staff, logistical support and response to the fall, and strengthen the management of high-risk personnel. Conclusions: To standardize the risk management of falling falls in neurosurgical patients and to reduce the incidence of falls in patients can improve hospitalization safety and improve the quality of nursing.