高龄患者跌倒风险因素分析及围术期护理干预

目的探讨围手术期高龄患者发生意外跌倒的风险因素及实施风险因素分级护理干预的效果。方法将2008年1月—2010年1月129例高龄住院患者(年龄≥65岁)作为对照组,分析患者发生意外跌倒的危险因素,并实施骨科常规护理;将2010年1月—2012年1月136例高龄患者(年龄≥65岁)作为观察组,对危险因素量化评分,前瞻性实施护理干预措施。比较2组患者风险事件发生率、护理服务满意度。结果观察组患者意外跌倒发生率为1.5%,显著低于对照组的7.8%;对照组患者满意度为82%,显著低于观察组的98%。结论在骨科病区进行意外跌倒风险因素分级管理,实施护理干预措施,不仅能够减少高龄患者住院期间意外跌倒不良事件的发生率,而且可以提高三级甲等医院的优质服务水平,值得临床推广应用。

Assessment risk factors of falling accidents in aging-patient group and nursing intervention

Objective To investigate risk factors of falling accidents in aging-patient group during Peroperative Period and launching systematic nursing intervention role.Methods Retrospective analysis on risk factors of falling accidents during January 2008～January 2010 for 129 cases of aging-patients with over age 65 and Using orthopaedic convention nurses and served as A control group（group A）.During January 2010~ January 2012,136 patients with over age 65,for the test group（group B）,conduct systematic nursing intervention.and risk accident incidence rate and degree of satisfaction were observed between groups.Results The routine care group of group A,with falling accidents for incidence 7.8% and degree of satisfaction of 82%,group B occurred,falling accidents for incidence 1.5% and degree of satisfaction of 98%,both were significant difference statistically significant.Conclusion Hierarchical nursing intervention management of Risk factors for aging-patients due to falling accidents in orthopaedic inpatient,reducing falling accidents for incidence,promoting high-quality service level,was worthy appled in clinical nursing.