摘要
目的探讨针对跌倒高危患者,尤其是老年患者,实施预防跌倒的临床干预路径的效果。方法选取2009年12月至2010年12月在老年科入院且年龄≥70岁的老年患者2442名,在入院时均使用《住院患者跌倒危险因素评估及护理措施表》进行评估,根据结果纳入1796例跌倒高危患者,按照预防跌倒的临床干预路径对其进行干预。干预措施包括及时记录评估结果;提供安全的住院环境和设施;针对性的健康教育;加强对跌倒高危患者的护理及关注,做好交接班;合理用药等。结果 1796例跌倒高危患者中仅有4例在住院期间发生跌倒,跌倒发生率为0.22%。造成院内跌倒的危险因素是:患者的性别、年龄、疾病、心理因素、服装;医院环境、设施、药物副作用、跌倒史等。结论通过加强对老年住院患者的跌倒危险因素评估,并针对危险因素及时实施预防跌倒的临床干预路径,可有效的防止老年患者跌倒的发生,减轻老年患者的痛苦。
Objective To explore effective strategies for preventing falls of hospitalized elderly patients using clinical pathway.Methods A total of 2442 patients aged ≥ 70 years who were hospitalized during December 2009 and December 2010 were recruited for the study.The patients were assessed with ＂Falls Risk Assessment and Nursing Care Inventory＂ and 1796 were identified as with high risk of falls.The clinical pathway for preventing falls was applied to those patients with high risk of falls.The interventions included timely assessments,safe environment and facilities,targeted health education,extended nursing care on patients with high risk,improved hand-off,rational use of medicine,and so on.Results Only 4 patients fell,with an incidence of 0.22%.Sex,age,disease,psychological factors,clothing,hospital environment,drug effects,and history of falls were associated with the occurrence of falls.Conclusion Risk assessment and targeted intervention through clinical pathway are effective strategies for preventing falls of hospitalized elderly patients.
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2012年第2期222-225,共4页
Journal of Sichuan University(Medical Sciences)
关键词
老年患者
跌倒
临床路径
Elderly patients Falls Clinical pathway
