住院患者跌倒的根本原因分析及防范对策

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

张雨燕¹ 

关键词: 住院患者;    跌倒;    根本原因分析法;    护理管理;    自理能力;   

DOI  :  10.11997/nitcwm.201808025

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the causes of falls in hospitalized patients, and to provide related prevention and nursing countermeasures for the hospital. Methods 〓Totally 59 falls in hospitalized patients were retrospectively analyzed by using root cause analysis. Results 〓Patients over 60 years old, female patients, from internal medicine clinics, with grade 2 nursing, with non-high-risk evaluation, without history of falls, with medication of sedative or hypotensive drugs, with full or partial self-care, with care service by caregivers were more vulnerable to falls. About 35.59% falls occurred in the bathroom, 27.12% falls due to the body position change after defecation. About 45.76% falls occurred at night time(18:00~8:00). Conclusion 〓The falls in hospitalized patients may related to senility, disease, medication, self-care ability, body position change after defecation and inadequate number of nurses at night time. It is required to enhance the training of nurses, strengthen the management of patients and caregivers, and improve the environment and facilities, in order to reduce the risk of falls in hospitalized patients.

【 授权许可】

CC BY-NC