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医护患协同管理防范肿瘤患者围手术期跌倒的探讨 被引量:5

Study on the Prevention of Falls in Patients With Tumor Patients by Cooperative Management in Perioperative Period
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摘要 目的对外科住院患者实施医护患协同防跌倒管理,降低围手术期患者跌倒发生率。方法根据医护患协同管理的需要,病区建立防跌倒管理小组,医护协同查房,共同评估患者跌倒风险并制定措施,与家属一起共同落实。对患者防跌倒措施落实情况实行四级质量控制管理,对发生的跌倒病例进行资料回访,定期进行总结分析,并提出整改意见。结果 2015年外科患者跌倒发生率较2014年有明显下降,差异具有统计学意义(P<0.01);护理人员对跌倒危机评分准确率和防跌倒护理措施落实率明显提高,差异具有统计学意义(P<0.01)。结论医护患协同管理可提高外科围手术期患者对跌倒预防措施的依从性,减少跌倒的发生。 Objective To decrease the fall rate of perioperative patients by proposing the coordinated management of fall prevention with doctor nurse and patient.Methods Established the fall prevention management group based on the need of the coordinated management of doctor nurse and patient. Doctor and nurse cooperated in the rounds of wards and evaluated the fall risk of impatient and worked out specialized methods with their family members. The implementation of methods was managed based on four levels of quality control. The data of cases with falls were reviewed and analyzed, then the advice was presented to the nursing department. ResultsCompared to 2014, the incidence of falls of inpatients declined signiifcantly in 2015, the difference was statistically signiifcant (P〈0.01),the accuracy of falls risk assessment and the implementation status of falls prevention measures were improved obviously, the difference was statistically signiifcant (P〈0.01).Conclusion The coordinated management of doctor nurse and patient can improve the compliance obedience of fall prevention methods of perioperative patients and decrease the fall rate so as to establish the cooperative doctor-patient relationship.
出处 《中国继续医学教育》 2016年第25期208-210,共3页 China Continuing Medical Education
关键词 跌倒 肿瘤患者 围手术期 管理 Fall Tumor Patients Perioperative period Management
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