住院患者发生排泄相关性跌倒情况调查分析及对策

目的探讨住院患者发生排泄相关性跌倒的情况和防范措施。方法回顾性分析和总结影响21例发生排泄相关性跌倒患者的情况。结果发生排泄相关性跌倒的患者有57.14%≥65岁,100.00%认知能力正常,61.90%生活完全能自理,57.14%行动自如,85.71%在跌倒前24h内用药,61.90%排泄型态改变,90.48%视力正常,80.95%跌倒后受伤1～2级,跌倒地点为卫生间有52.38%、床旁有33.33%。清晨6：00～8：00和夜晚20：00～22：00为发生跌倒的2个高峰期。结论增强护理人员安全意识,建立跌倒高危患者的评估制度,对患者进行健康教育和改善住院环境、设施对预防排泄相关性跌倒的发生具有积极的意义。

Investigation and analysis on egestion-related falls of inpatients

Objective To investigate egestion-related falls of hospitalized patients and the precautions.Method The histories of 21 patients were retrospectively analyzed to summarize the factors of egestion-related falls.Results The factors for egestion-related falls was found to include advanced ages （≥ 65 years） （57.14%）,normal cognitive ability （100.00%）,self-care （61.90%）,easy movement （57.14%）,medication within 24h （85.71%） and changed egestion patterns （61.90%）.Falling at grade 1 ～ 2 was observed in 80.95%,falling spots were at the toilet （52.38%） or beside the bed （33.33%）.The fall peak time was at the periods of 6：00 ～ 8：00 and 20：00 ～ 22：00.Conclusion Such measures as enhancing the safety awareness of nurses,establishing the assessment system for high-risk falling patients,health education and improving the environment and facilities are positive for the prevention of egestion-related falls.