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对中高危跌倒患者应用护理专案管理的效果观察 被引量:9

Effect of Nursing Project Management on Patients with Greater Risk of Falls
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摘要 目的探讨对中高危跌倒患者实施护理专案管理的应用效果。方法成立护理专案小组,采用方便抽样法选取2020年5月—2021年5月厦门市某三级专科医院心内科80名中高危跌倒患者为研究对象,将2020年5月1—15日40例中高危跌倒患者作为对照组,实施常规预防跌倒知识宣教。将2021年5月1—15日40例中高危跌倒患者作为观察组,实施护理专案管理。观察比较2组患者的防跌知识水平、防跌依从性,比较专案干预前后1年心内科患者跌倒发生率。结果观察组防跌知识水平、防跌依从性均显著高于对照组(P<0.001),护理专案实施后1年心内科跌倒发生率由专案实施前1年的0.247‰降至0。结论本护理专案能有效提高患者预防跌倒知识水平及依从性,提高护理质量。 Objective To explore the application effect of nursing project management on patients with greater risk of falls.Methods A nursing project team was established. Using the convenient sampling method, 80 patients with medium and high risk of falls in the Department of Cardiology of a tertiary hospital in Xiamen from May 2020 to May 2021 were selected as the research object. Forty patients with greater risk of falls from May 1 to May 15, 2020 were selected as the control group with routine health education of fall prevention, and another 40 patients with medium and high risk of falls from May 1 to May 15, 2021 were involved in observation group to implement the nursing project management. The fall prevention knowledge and fall prevention compliance of the two groups before and after the project management were compared, and the fall incidence of cardiology patients one year before and after the project management was compared. Results The level of fall prevention knowledge and compliance in the observation group were significantly higher than those in the control group(P<0.001). The incidence of falls in department of cardiology one year after the implementation of project management decreased from 0.247‰ to 0. Conclusion The nursing project management can effectively improve the knowledge of fall prevention and compliance of patients, thus to improve the quality of nursing.
作者 李滢 陈巧松 白雅萍 洪韵婷 吴玉玲 戴秋文 LI Ying;CHEN Qiao-song;BAI Ya-ping;HONG Yun-ting;WU Yu-ling;DAI Qiu-wen(Dept.of Cardiology,Second Ward,Xiamen Cardiovascular Hospital Affiliated to Xiamen University,Xiamen 361004,China;Dept.of Nursing Administration,Xiamen Cardiovascular Hospital Affiliated to Xiamen University,Xiamen 361004,China)
出处 《护理学报》 北大核心 2022年第5期69-73,共5页 Journal of Nursing(China)
关键词 护理专案 跌倒 预防 依从性 nursing project management fall prevention compliance
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