论文部分内容阅读
目的::通过探讨分析导致老年病房住院患者发生跌倒的危险因素,为预防老年病房住院患者跌倒造成伤害提供理论依据。方法:对2015年1月~2016年6月期间我院收治的12例老年病房住院患者,均诊断明确,在住院期间发生了跌倒意外,对这12例患者的临床资料进行分析,从中找出导致老年病房疾病患者发生跌倒的危险因素。结果:导致老年病房住院患者发生跌倒的危险因素主要有:患者听力障碍、视力障碍、肢体活动障碍和认知障碍程度高。患者的年龄在59-82岁之间。发生再次跌倒与年龄、视力障碍、肢体活动障碍、头晕、体位性低血压、睡眠障碍、班次、使用器械辅助有关。跌倒造成伤害的风险与高龄、疾病、物使用等有关。结论:在临床上,患者的听力差、视力差、运动能力差、认知障碍程度高、年龄在59-82岁之间和所患疾病相对较重但可自行下床活动是导致老年病房住院患者发生跌倒的主要危险因素,上述情况应引起医护人员的注意。应加强高风险导向性的跌倒伤害暴露因素的预防,加强夜班值班人力资源的合理配置和多部门的合作,完善跌倒评估量表筛选高危人群的特异性、敏感性。,objective: to result in geriatric ward are discussed by falls in hospitalized patients with risk factors for prevention of geriatric ward inpatients fall damage. Methods: from January 2015 to June 2016 our hospital during the period of 12 patients with geriatric ward in the hospital, diagnose clearly, fall accident happened during hospitalization, to analyze the clinical data of 12 patients, ifnd cause disease in the elderly ward patients fall risk factors. Results: the risk factorsleading to falls in hospitalized patients with geriatric ward are: patients with hearing impairment, visual impairment, physical inactivity and high degree of cognitive impairment. Age of the patients between the ages of 59-82. Happen again fall down with age, visual impairment, physical inactivity, dizziness, orthostatic hypotension, sleep disorder, divisions, auxiliary related equipment. Risk of injury to the fall with age, disease, and use and so on. Conclusion: clinically, the patient’s hearing is poor, poor eyesight, poor sports ability, high degree of cognitive impairment, aged 59-82 is relatively heavy, and the disease is bed but can result in geriatric ward falls in hospitalized patients with major risk factors, the above situation should arouse the attention of the medical staff. Should strengthen the high-risk exposures guidance fall injury prevention, strengthening the rational allocation of human resources on night watch and multi-sectoral cooperation, improve the fall assessment scale screening high-risk groups of speciifcity and sensitivity.