心内科患者防跌倒风险分级护理管理效果评价分析
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摘要
目的:探讨心内科住院患者实施防跌倒风险分级护理的效果。方法:将180例心内科住院患者按照入院先后顺序分为对照组和管理组,各90例;对照组给予常规护理,管理组先进行跌倒风险等级评估,再给予分级护理措施;比较2组患者干预后的防跌倒知识和态度、健康行为、跌倒率等指标。结果:干预后,管理组的防跌倒知识得分、态度得分均明显高于对照组(P<0.05);管理组患者的自我保护、环境、生活、心理、药物等健康行为量表维度得分均明显高于对照组(P<0.05);管理组的跌倒率为3.3%,明显低于对照组的12.2%(P<0.05)。结论:心内科住院患者实施防跌倒风险分级护理,可提高防跌倒知识和态度,改善健康行为,降低住院跌倒发生率,值得在心内科推广应用。
[Objective]To investigate the effect of implementing risk prevention and fall-prevention nursing in cardiology department inpatients. [Method]180 cases of Cardiology inpatients were divided into control group and management group according to order of admission,with each 90 cases. The control group was given conventional nursing care,and the management group was carried out grading nursing care after risk grading evaluation of fall. [Result]After intervention,the scores of knowledge and attitude of fall prevention in the management group were much higher than that of the control group(P < 0. 01). The scores of Health Behavior Scale such as self-protection,environment,living,psychology and medicine in the management group were all higher than the control group(P < 0. 01). The fall rate in the management group was 3. 3%,obviously lower than the control group(12. 2%,P < 0. 01). [Conclusion]The implementation of grading nursing care for inpatients with cardiology in prevention and treatment of fall risk can improve the knowledge and attitude of fall prevention,improve the health behavior and reduce the incidence of hospitalized fall,which is worth popularizing and applying in cardiology.
[Objective]To investigate the effect of implementing risk prevention and fall-prevention nursing in cardiology department inpatients. [Method]180 cases of Cardiology inpatients were divided into control group and management group according to order of admission,with each 90 cases. The control group was given conventional nursing care,and the management group was carried out grading nursing care after risk grading evaluation of fall. [Result]After intervention,the scores of knowledge and attitude of fall prevention in the management group were much higher than that of the control group(P < 0. 01). The scores of Health Behavior Scale such as self-protection,environment,living,psychology and medicine in the management group were all higher than the control group(P < 0. 01). The fall rate in the management group was 3. 3%,obviously lower than the control group(12. 2%,P < 0. 01). [Conclusion]The implementation of grading nursing care for inpatients with cardiology in prevention and treatment of fall risk can improve the knowledge and attitude of fall prevention,improve the health behavior and reduce the incidence of hospitalized fall,which is worth popularizing and applying in cardiology.
引文
[1]陈林.根因分析法在住院患者防跌倒管理中的应用[J].浙江医学教育,2014,13(2):28-30.
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[9]孙冬梅.跌倒风险分级护理在心内科患者防跌倒管理中的应用[J].心血管病防治知识,2016,16(9):116-118.
[10]招少卿.跌倒风险分级护理干预在高龄老年患者中的效果分析[J].黑龙江医药,2015,28(4):1001-1002.
[2]陈静.心内科住院老年病人意外跌倒的原因分析及护理对策[J].全科护理,2013,11(2):293-294.
[3]王晓丽,王娇.跌倒风险分级护理在心内科患者中的实施[J].中国卫生产业,2014,12(4):28-29.
[4]鲍婧.跌倒风险分级护理在心内科患者防跌倒管理中的应用[J].护士进修杂志,2012,27(21):1958-1959.
[5]胡蕴绮,周兰姝.中文版健康行为能力自评量表的信效度研究[J].中华护理杂志,2012,47(3):261-262.
[6]靳连惠.安全性护理对心内科老年住院患者跌倒发生率的影响[J].护理实践与研究,2016,13(17):47-48.
[7]吴红霞.跌倒风险分级护理在心内科住院患者防跌倒管理中的作用[J].临床研究,2016,24(9):120-121.
[8]邹雪莲.心内科住院患者跌倒的原因分析及护理对策[J].中国实用护理杂志,2012,28(12):22-24.
[9]孙冬梅.跌倒风险分级护理在心内科患者防跌倒管理中的应用[J].心血管病防治知识,2016,16(9):116-118.
[10]招少卿.跌倒风险分级护理干预在高龄老年患者中的效果分析[J].黑龙江医药,2015,28(4):1001-1002.