基于患者参与框架的住院老年患者跌倒预防干预策略的实施

目的探讨基于患者参与框架的住院老年患者跌倒预防干预策略的实施效果。方法根据住院时间将2019年1~6月收治的58例老年患者作为对照组,2019年7~12月收治的58例作为观察组。对照组按常规实施预防跌倒措施,观察组基于患者参与框架制订并实施住院老年患者跌倒预防干预策略,包括“告知、参与、赋权、合作及电子化信息支持”五部分内容。比较干预前后两组参与跌倒预防知信行水平、跌倒效能水平及跌倒发生率。结果干预后观察组参与跌倒预防知识、态度及行为得分和跌倒效能得分显著高于对照组(P<0.05,P<0.01);观察组住院期间无跌倒发生,对照组发生2例。结论基于患者参与框架实施预防住院老年患者跌倒干预策略,可提高患者参与跌倒预防知信行水平和跌倒效能,降低跌倒发生率,保障患者安全。

Practice of a fall prevention program for the hospitalized elderly based on patient engagement framework

Objective To explore the practice effect of a fall prevention program for the hospitalized elderly based on patients engagement framework.Methods A total of 58 elderly inpatients admitting from January to June 2019 were taken as a control group,and another 58 elderly inpatients admitting from July to December 2019 were regarded as an intervention group.The control group received routine fall prevention strategy,while the intervention group received a fall prevention program based on patient engagement framework,which was consisted of informing,participating,empowering,collaborating and electronic information supporting.Before and after the intervention,the knowledge,attitude,practice level of participating fall prevention,fall efficacy level and fall incidence between the two groups were compared.Results After the intervention,the knowledge,attitude,practice level of participating fall prevention and fall efficacy level of the intervention group were significantly higher than those of the control group(P<0.05,P<0.01).During hospitalization,nobody fell in the intervention group,while 2 patients fell in the control group.Conclusion Practice of the fall prevention program for the hospitalized elderly based on patient engagement framework improves patients'knowledge,attitude and practice level of participating fall prevention and their level of fall efficacy,then reduces fall incidence and ensures patient safety.