摘要
目的分析住院患者跌倒造成伤害的风险因素,为预防住院患者跌倒造成伤害提供理论依据。方法采用回顾性调查研究的方法,回顾2009年1月1日至2012年8月8日浙江省护理不良事件上报系统中的跌倒数据库资料,按有无跌倒史分组,进行再次发生跌倒的相关因素分析;按跌倒后造成的后果分成两组,将跌倒造成的伤害(有伤害、无伤害)作为因变量,数据库资料中与跌倒相关的其他变量作为自变量进行危险度分析。结果本组跌倒患者共636例,有跌倒史138例,发生再次跌倒与年龄、视力障碍、肢体活动障碍、头晕、体位性低血压、睡眠障碍、班次、使用器械辅助有关。跌倒造成伤害的风险与高龄、女性、镇静药物使用、医院等级等有关。结论应加强高风险导向性的跌倒伤害暴露因素的预防,加强夜班护理人力资源的合理配置和多部门的合作,完善跌倒评估量表筛选高危人群的特异性、敏感性。
Objective To analyze the risk factors of inpatients＇ fall-related-injuries and provide basis for the prevention of fall-related injuries. Methods A retrospective study was conducted based on the data of falls in the Nursing Adverse Events Report System of Zhejiang Province from January 1st, 2009 to August 8th, 2012. The related factors of recurrent falls and the risk factors of fall-related injuries were analyzed. Results Totally 636 cases were included in the study and 138 cases had a previous fall history. The recurrence of falls was related to the patients＇ age, visual impairment, mobility limitation, dizziness, postural hypotension, sleep disorders, nursing scheduling and use of walking aid. The risk of fall-related injuries was related to patients＇ age, gender, use of sedatives and hospital level. Conclusions It is suggested to strengthen the prevention of risk factors of fall-related injuries, enhance nurse staffing at night shift, promote the collaboration of multiple departments, and improve the specificity and sensibility of the fails assessment scale for screening high-risk population.
出处
《中华护理杂志》
CSCD
北大核心
2013年第4期323-327,共5页
Chinese Journal of Nursing
