住院精神病患者跌倒特点分析

目的了解精神病患者发生跌倒的特点,为减少精神病患者发生跌倒提供依据。方法对2002年1月1日-2007年6月31日在我院住院治疗期间发生跌倒的患者,以查阅病历、访谈和实地观察跌倒环境获取资料进行回顾性分析。结果117名患者共发生跌倒139人次,男77人次,女62人次。发生跌倒患者平均年龄57.5岁,其中≥60岁者66人次,占47.5%。跌倒在日间发生73次,占52.5%,夜间66次,占47.5%。跌倒地点以洗漱室38人次（27.3%）,普通病室29人次（20.9%）,饭厅28人次（20.1%）最多见。跌倒的形式以行走时不慎滑倒42人次（30.2%）,体位改变时跌倒26人次（18.71%）常见。跌倒后致外伤81人次（58.27%）,骨折53人次（38.13%）,外伤合并骨折2人次（1.44%）,其它3人次（2.16%）。结论精神科老年患者容易跌倒,易致外伤及骨折。

Characteristics and Analysis of the Psychiatric Patient Falls During Hospitalization

Objective To study the characteristics of the psychiatric patient falls during hospitalization in the period 01/01/2001-31/6/2007.Methods All incidents recorded from the period 01/01/2002 to 31/06/2007 were retrospectively analyzed for demographic variables,psychiatric diagnoses,inpatient time,form of fall,and the place at the time of incident.Results The 117 people who had fallen 139 times,male 77 times and female 62 times,average age 57.5.Seventy-three times falling occurred at daytimes,66 at night.Thirty-eight times falling occurred at toilet,29 at ward,28 at dining room.The form of fall include slowdown 42,fall when from sitting to stand 26.Most of the patients with falls had damage in varying degrees.81 bruise and 53 times fracture.Conclusion Old psychiatric inpatient was the people who have high-risk of fall.After fall,Most of the patients had damage in varying degrees.Such as skin bruise and fracture.