新型“防滑小红袜”对老年住院患者跌倒预防的临床研究
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摘要
目的探讨新型"防滑小红袜"对老年住院患者跌倒的预防作用。方法选择2015年12月～2017年6月在本院老年科、心血管科和神经内科住院的老年患者600例为研究对象,随机分为试验组与对照组各300例。对照组给予常规干预,试验组在此基础上应用新型"防滑小红袜",比较住院期间两组患者跌倒发生率、跌倒伤害程度,预防跌倒知识、态度及行为评分。结果试验组住院期间1例发生跌倒,发生率0.3%,对照组9例发生跌倒,发生率3.0%。两组比较差异有统计学意义(P<0.05)。试验组1例跌倒,为1级,对照组3例1级,4例2级,2例3级,差异有统计学意义(P<0.05)。干预后,试验组的预防跌倒知识、态度、行为得分均显著高于对照组,差异有统计学意义(P<0.05)。结论老年住院患者应用新型"防滑小红袜"能够有效预防住院期间跌倒发生率,降低跌倒伤害程度,改善预防跌倒知识、态度及行为。
Objective To explore the effect of the new type "slip-resistant small red sock" on the fall prevention in elderly inpatients. Methods A total of 600 elderly patients who were hospitalized in the Department of Geriatrics, Department of Cardiology and and Department of Neurology in our hospital from December 2015 to June 2017 were selected as study subjects and were randomly divided into the experimental group and the control group, with 300 cases in each group. The control group was given routine intervention, and the experimental group was given the new type "slip-resistant red small socks" on this basis. The incidence rate of falls, the degree of fall injury, and the scores of the knowledge, attitudes, and behaviors of fall prevention were compared between the two groups during hospitalization.Results One case fell during the hospitalization in the experimental group, and the incidence rate was 0.3%, while in the control group, 9 cases fell, and the incidence rate was 3.0%, the difference between the two groups was statistically significant(P<0.05). One case fell in the experimental group, which was level 1, in the control group, 3 cases were level1, 4 cases were level 2, and 2 cases were level 3, and the difference was statistically significant(P<0.05). After the intervention, the scores of fall prevention knowledge, attitude and behavior in the experimental group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The application of the new type "slip-resistant small red socks" for the elderly inpatients can effectively prevent the incidence rate of falls during hospitalization, reduce the degree of fall injury, and improve the knowledge, attitudes and behaviors of fall prevention.
Objective To explore the effect of the new type "slip-resistant small red sock" on the fall prevention in elderly inpatients. Methods A total of 600 elderly patients who were hospitalized in the Department of Geriatrics, Department of Cardiology and and Department of Neurology in our hospital from December 2015 to June 2017 were selected as study subjects and were randomly divided into the experimental group and the control group, with 300 cases in each group. The control group was given routine intervention, and the experimental group was given the new type "slip-resistant red small socks" on this basis. The incidence rate of falls, the degree of fall injury, and the scores of the knowledge, attitudes, and behaviors of fall prevention were compared between the two groups during hospitalization.Results One case fell during the hospitalization in the experimental group, and the incidence rate was 0.3%, while in the control group, 9 cases fell, and the incidence rate was 3.0%, the difference between the two groups was statistically significant(P<0.05). One case fell in the experimental group, which was level 1, in the control group, 3 cases were level1, 4 cases were level 2, and 2 cases were level 3, and the difference was statistically significant(P<0.05). After the intervention, the scores of fall prevention knowledge, attitude and behavior in the experimental group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The application of the new type "slip-resistant small red socks" for the elderly inpatients can effectively prevent the incidence rate of falls during hospitalization, reduce the degree of fall injury, and improve the knowledge, attitudes and behaviors of fall prevention.
引文
[1]甘艳军,刘云宏.预防跌倒细节护理对神经内科老年患者发生意外骨折的影响[J].海南医学,2016,27(7):1197-1198.
[2]http://www.mca.gov.cn/article/zwgk/mzyw/201406/20140600654488.shtml.
[3]高茂龙,宋岳涛.中国老年人跌倒发生率meta分析[J]北京医学,2014,36(10):796-798.
[4]慕姮,吴雪莲,林云玲,等.改良Morse跌倒评估量表的可行性分析[J].现代医院,2014,14(11):10-11.
[5]房兆,余丽君,胡敏,等.健康教育对老年住院患者跌倒预防知识、态度、行为的影响效果研究[J].全科护理,2013,11(3):675-678.
[6]付棉,胡才友,吕泽平,等.老年人跌倒的流行现状及危险因素分析[J].中国老年保健医学杂志,2014,12(3):80-81.
[7]饶富兰,葛永琼,何清,等.团体干预对老年住院患者跌倒的影响[J].检验医学与临床,2017,14(2):236-237.
[8]郑雪梅,常芸,张倩,等.无线防跌倒报警系统装置在心内科老年住院患者跌倒预防中的应用[J].护理研究,2018,32(4):615-617.
[9]霍晓鹏,杜红娣,刘晓萱,等.CATCH跌倒管理模型在老年住院患者跌倒预防管理中的应用[J].护理学报,2017,24(18):13-16.
[10]Wong CA,Recktenwald AJ,Jones ML,et al.The cost of serious fall-related injuries at three midwestern hospitals[J].Jt Comm J Qual Patient Saf,2011,37(2):81-87.
[11]Spoelstra SL,Given BA,Given CW.Fall prevention in hospitals:An integrative review[J].Clin Nurs Res,2012,21(1):92-112.
[12]Isomi MM,Susanne H,David AG,et al.Inpatient fall prevention programs as a patient safety strategy:a systematic review[J].Ann Intern Med,2013,158(5):390-396.
[13]韩艳红,黄菁菁,张雪妨.精细化防跌倒宣教流程在住院脑卒中患者安全管理中的应用[J].中西医结合心血管病杂志(电子版),2016,4(16):100-101.
[14]张瑜,薛慧琴,王彦.安全教育对预防老年住院患者跌倒发生的效果分析[J].世界最新医学信息文摘(电子版),2018,1(41):173-174.
[15]张淳.广州某高校社区老年人跌倒预防知信行现况调查与干预评价[J].现代医院,2013,13(9):152-154.
[16]Markus H,Christian T,Jens S,et al.Slip resistance of non-slip socks-An accelerometer-based approach[J].Gait Posture,2011,33(4):740-742.
[17]Otago Medical School.Otago exercise programme to prevent falls in older adults[M].Otago:University of Otago,2003:21.
[18]刘智利,黄惠根,魏丽君,等.老年住院患者跌倒危险因素的研究[J].护理研究:下旬版,2014,28(3):1093-1095.
[19]陈兵阳,宋艳杰,杨玉玲.精细化护理管理在减少住院患者跌倒不良事件中的应用[J].解放军医院管理杂志,2015,22(2):197-198.
[20]刘美芹,朱玮玮,金琳.品管圈活动在降低住院患者跌倒发生率中的应用[J].齐鲁护理杂志,2018,24(11):47-49.
[2]http://www.mca.gov.cn/article/zwgk/mzyw/201406/20140600654488.shtml.
[3]高茂龙,宋岳涛.中国老年人跌倒发生率meta分析[J]北京医学,2014,36(10):796-798.
[4]慕姮,吴雪莲,林云玲,等.改良Morse跌倒评估量表的可行性分析[J].现代医院,2014,14(11):10-11.
[5]房兆,余丽君,胡敏,等.健康教育对老年住院患者跌倒预防知识、态度、行为的影响效果研究[J].全科护理,2013,11(3):675-678.
[6]付棉,胡才友,吕泽平,等.老年人跌倒的流行现状及危险因素分析[J].中国老年保健医学杂志,2014,12(3):80-81.
[7]饶富兰,葛永琼,何清,等.团体干预对老年住院患者跌倒的影响[J].检验医学与临床,2017,14(2):236-237.
[8]郑雪梅,常芸,张倩,等.无线防跌倒报警系统装置在心内科老年住院患者跌倒预防中的应用[J].护理研究,2018,32(4):615-617.
[9]霍晓鹏,杜红娣,刘晓萱,等.CATCH跌倒管理模型在老年住院患者跌倒预防管理中的应用[J].护理学报,2017,24(18):13-16.
[10]Wong CA,Recktenwald AJ,Jones ML,et al.The cost of serious fall-related injuries at three midwestern hospitals[J].Jt Comm J Qual Patient Saf,2011,37(2):81-87.
[11]Spoelstra SL,Given BA,Given CW.Fall prevention in hospitals:An integrative review[J].Clin Nurs Res,2012,21(1):92-112.
[12]Isomi MM,Susanne H,David AG,et al.Inpatient fall prevention programs as a patient safety strategy:a systematic review[J].Ann Intern Med,2013,158(5):390-396.
[13]韩艳红,黄菁菁,张雪妨.精细化防跌倒宣教流程在住院脑卒中患者安全管理中的应用[J].中西医结合心血管病杂志(电子版),2016,4(16):100-101.
[14]张瑜,薛慧琴,王彦.安全教育对预防老年住院患者跌倒发生的效果分析[J].世界最新医学信息文摘(电子版),2018,1(41):173-174.
[15]张淳.广州某高校社区老年人跌倒预防知信行现况调查与干预评价[J].现代医院,2013,13(9):152-154.
[16]Markus H,Christian T,Jens S,et al.Slip resistance of non-slip socks-An accelerometer-based approach[J].Gait Posture,2011,33(4):740-742.
[17]Otago Medical School.Otago exercise programme to prevent falls in older adults[M].Otago:University of Otago,2003:21.
[18]刘智利,黄惠根,魏丽君,等.老年住院患者跌倒危险因素的研究[J].护理研究:下旬版,2014,28(3):1093-1095.
[19]陈兵阳,宋艳杰,杨玉玲.精细化护理管理在减少住院患者跌倒不良事件中的应用[J].解放军医院管理杂志,2015,22(2):197-198.
[20]刘美芹,朱玮玮,金琳.品管圈活动在降低住院患者跌倒发生率中的应用[J].齐鲁护理杂志,2018,24(11):47-49.