摘要
目的分析脊柱退行性疾病患者跌倒的相关危险因素，制订针对性护理措施，预防和减少患者跌倒事件。方法回顾性分析2015年1月至2016年4月共13例住院患者跌倒事件资料，找出导致跌倒的各种危险原因。采用Morse跌倒风险评估表进行跌倒危险评估；跌倒结局分级采用患者安全事件分级标准。结果13例住院患者均为Morse跌倒评估高危患者。跌倒危险因素：时间段为0：00—2：00、6：00—8：00、14：00-16：00、18：00-20：00，入院后3d和术后2周内；合并心血管疾病、糖尿病及膝关节骨性关节炎等疾病；伴有肌力、肌张力异常情况；使用相关药物；需要他人陪护或辅助行走；安全意识不足；地面湿滑，活动空间被压缩，照明不足。结论脊柱退行性疾病患者跌倒是由患者不同生理差异、疾病因素、药物因素、患者及陪护人员安全意识薄弱等因素共同作用导致的，且其发生具有特定的时间性，专科特性。针对性护理措施有助于预防和减少住院患者跌倒。
Objective To formulate targeted nursing measures and prevent or reduce falls of inpatients through the analysis of related risk factors of falls of spinal degenerative disease patients. Methods Review and analysis falls of inpatients happened between January 2015 and April 2016 in our department and find out that all kinds of dangerous reasons lead to falls. All inpatients risk assessments are evaluated with Morse Fall Scale on admission and during hospitalization. The grading standard of patient safety events was used in the classification of fall outcomes. Results A total of 13 inpatients were all high risk patients by Morse Fall Scale. Risk factors of falls： periods between 0：00 and 2：00, 6：00 and 8：00am, 18：00 and 20：00, in 3 days and 2 weeks after admission; combined diseases such as cardiovascular disease, diabetes, osteoarthritis of the knee; accompanied by muscle strength, muscle tension abnormalities, use related drugs; need of accompany or assisted walking; lack of safety awareness; slippery ground, compressed activity space and lack of light. Conclusions Falls of inpatients with spinal degenerative diseases are caused by the joint action of physiological difference, disease, medicine and weak safety consciousness of inpatients and caregivers, with specialty and occurrence in a certain time. Nursing measures can help to avoid and reduce the falls of inpatients.
作者
欧肇兰
陈碧英
罗春晓
朱燕
罗晓璇
Ou Zhaolan;Chen Biying;Luo Chunxiao;Zhu Yan;Luo Xiaoxuan(Department of Spine Surgery, the 3rd Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China)
出处
《中国实用护理杂志》
2018年第13期984-988,共5页
Chinese Journal of Practical Nursing
关键词
脊柱
意外跌倒
危险因素
护理
退行性疾病
Spine
Accidental fall
Risk factors
Nursing care
Degenerative disease
