摘要
目的探讨4R危机管理对神经内科住院患者跌倒的影响。方法选取2015年1月—2016年12月在连云港市第一人民医院神经内科(二)住院的2 919例患者为研究对象,按照入院时间分为对照组(2015年1—12月)1 455例和干预组(2016年1—12月)1 464例。对照组采取常规跌倒管理方法 ,干预组在常规跌倒管理的基础上运用4R危机管理理论进行跌倒管理,比较2组患者跌倒的发生情况。结果观察组1 455例中8例发生跌倒,发生率为0.55%;干预组1 464例中1例发生跌倒,发生率为0.07%。干预组跌倒发生率低于对照组,差异有统计学意义(P<0.05)。结论 4R危机管理可以显著降低神经内科住院患者的跌倒发生风险。
Objective To explore the influence of 4R crisis management on fall in inpatients of Neurology Department. Methods A total of 2,919 patients hospitalized in Neurology Department from January 2015 to December 2016 were enrolled in the study and divided into the control group with 1,455 cases（from January 2015 to December 2015） and the intervention group with 1,464 cases（from January 2016 to December 2016） according to the time of admission. Routine fall management was implemented in the control group. On the basis of routine fall management, 4R crisis management was implemented in intervention group. The incidence of fall was observed and compared between the two groups. Results The fall rate was 0.55% with 8 patients fall in control group and0.07% with 1 patients fall in intervention group. The incidence of fall was significantly lower in intervention group than that in control group（P〈0.05）. Conclusion The implementation of 4R crisis management can reduce the occurrence of fall in inpatients of Neurology Department and it is worth of popularization clinically.
作者
徐艳
王慧
XU Yan a;WANG Huib(a.Dept. of Internal Medicin;b.Dept. of Neurology, the First People爷s Hospital of Lianyungang, Lianyungang 222002,China冤)
出处
《护理学报》
2017年第21期11-14,共4页
Journal of Nursing（China）
