老年精神病患者跌倒危险因素分析及预防干预

目的探讨老年精神病患者跌倒的危险因素及预防干预措施。方法对我院老年科住院患者发生跌倒的36例作回顾性分析。结果女性、高龄、有跌倒史、老年性痴呆、慢性疾病多、环境设施不合理、混合用药是跌倒的危险因素;护理人员安全意识淡薄、陪护人员责任心不强、患者认知缺乏是跌倒的主要原因。结论对老年精神病患者作跌倒危机评估,针对危险因素实施防范;加强护理人员、陪护人员教育和培训;做好患者跌倒知识宣教,可降低患者跌倒的发生。

Risk Factors Analysis and Prevention Intervention for Senile Psychosis Patients' Tumble

Objective To explore the risk factors and prevention intervention for senile psychosis patients＇ tumble. Methods A retrospective analysis focusing on 36 senile psychosis patients＇ tumble incidences was carried out at our geriatrics department. Results We found that some risk factors, such as female, age, history of tumble, senile dementia, chronic diseases, unreasonable environmental facility and combined medication, were related to tumble. Nurses＇ weak safety consciousness, caregivers ＇ lack of responsibility and patients＇ unawareness were some of the main reasons for tumble. Conclusions Taking necessary measures will reduce risks of tumble, such as risk assessment for senile psychosis patients, adoption of relevant preventive measures, education and training for nurses, caregivers and patients.