摘 要 目的：探討對(duì)住院老年患者實(shí)施預(yù)防跌倒措施的效果。方法：選取2016年6月至12月住院老年患者88例，隨機(jī)分為對(duì)照組和觀察組各44例。對(duì)照組采用常規(guī)基礎(chǔ)護(hù)理，觀察組進(jìn)行基礎(chǔ)護(hù)理并用跌倒評(píng)估監(jiān)控表進(jìn)行跌倒預(yù)測(cè)后，開(kāi)展預(yù)防跌倒護(hù)理。比較兩組的護(hù)理效果。結(jié)果：干預(yù)后，觀察組的跌倒率為2.3%（1/44），對(duì)照組為20.5%（9/44），組間差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組的滿意度為97.7%（43/44），對(duì)照組為50.0%（22/44），組間差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：通過(guò)跌倒評(píng)估監(jiān)控能更好地降低老年住院患者的跌倒風(fēng)險(xiǎn)，減少跌倒次數(shù)，提高患者對(duì)自身生活質(zhì)量和醫(yī)院的滿意度。
　　關(guān)鍵詞 跌倒；預(yù)防；跌倒評(píng)估；住院
　　中圖分類(lèi)號(hào)：R473.5 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0037-02
　　Nursing effect in preventing fall of hospitalized elderly patients in the community
　　ZHANG Xiaochun
　�。═hird 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
　　隨著老年入院患者的增加，跌倒發(fā)生率也相應(yīng)增加�；颊叩�倒后，可引發(fā)骨折、腦卒中等一系列疾病，不僅使老年患者的住院時(shí)間延長(zhǎng)，而且影響身心健康，嚴(yán)重的會(huì)導(dǎo)致殘疾和死亡[1]，所以加強(qiáng)預(yù)防跌倒非常重要。本文報(bào)道對(duì)住院老年患者實(shí)施預(yù)防跌倒評(píng)估和護(hù)理的效果。
　　1 資料和方法
　　1.1 一般資料
　　選擇2016年6月至12月收治入院的88例老年患者，按隨機(jī)數(shù)字表法分為對(duì)照組（44例）和觀察組（44例）。對(duì)照組中男性13例，女性31例，年齡62～93歲，平均（72.2±5.2）歲；心血管疾病8例，腦血管疾病21例，糖尿病5例，其他疾病10例；平均住院時(shí)間（36.6±3.4）d。觀察組中男性18例，女性28例，年齡64～91歲，平均（70.8±5.1）歲；心血管疾病11例，腦血管疾病20例，糖尿病8例，其他疾病5例，平均住院時(shí)間（39.5±3.6）d。兩組患者一般資料比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。
　　1.2 方法
　　兩組老年患者均給予同樣的基礎(chǔ)護(hù)理。①密切觀察患者生命體征，協(xié)助做好老年患者的生活護(hù)理，對(duì)于行動(dòng)不便者給予幫助。②協(xié)助做好患者的各種檢查及治療，了解患者病情變化。③對(duì)患者及家屬進(jìn)行疾病的健康教育，讓其能了解自身疾病的情況，能更好的配合治療。同時(shí)，觀察組采用跌倒評(píng)估監(jiān)控表對(duì)患者進(jìn)行跌倒預(yù)測(cè)，根據(jù)預(yù)測(cè)結(jié)果開(kāi)展預(yù)防跌倒護(hù)理，具體如下。

相關(guān)熱詞搜索：跌倒 住院 老年 護(hù)理 患者