不同等级医院老年住院患者病区内环境安全评价

发布时间：2018-02-17 01:16

本文关键词： 老年患者跌倒医院环境安全　出处：《中国卫生事业管理》2016年05期 　论文类型：期刊论文

【摘要】：目的:了解不同等级医院住院老年患者对环境安全评价情况,为医院设施完善提供依据。方法:用《老年跌倒相关住院环境安全因素评估表》调查2014年8月中西南地区10个城市共24家二级及三级医院老年病房住院患者对医院环境的评价情况,分析住院环境中的不安全因素,其每个条目采用Likert五级评分法,分数越高环境安全评价越好。结果:三级医院与二级医院病区地面与通道均分(3.95,3.87)、病房设备均分(4.02,3.92)、病区卫生间均分(3.73,3.55),三级医院均好于二级医院(P0.05);评分最低的项目:地面与通道安全评价为"地面干燥洁净"(3.40,3.65)和"地面及过道无杂物堆放"(3.49,3.55)、病房设备安全评价为"夜间使用地灯"(2.68,3.20),卫生间安全评价为"卫生间设紧急呼叫设备"(2.34,3.12)。结论:本次研究提示三级医院病室内环境设施评分较二级医院好,二级医院需要在具体的各个方面加以改进,所有不同等级医院均应该注意在保持地面干燥洁净、地面及过道无杂物、夜间使用地灯、卫生间设紧急呼叫设备等方面进一步改善,为患者提供安全的住院环境。
[Abstract]:Objective: to investigate the environmental safety assessment of elderly inpatients in different grade hospitals. Methods: a survey of 24 geriatric ward inpatients in 10 cities of middle-southwest region in August 2014 was carried out by using the "assessment table of safety factors of elderly fall-related hospital environment" for the improvement of hospital facilities. The evaluation of the hospital environment, The unsafe factors in the hospitalized environment were analyzed. Each item was evaluated by Likert five-grade scoring method. The higher the score, the better the assessment of environmental safety. Results: the average score of ground and passage was 3.95g / 3.87, the equipment of ward was 4.02 / 3.92 / L, the average score of toilet was 3.73 / 3.550.The third level hospital was better than the second grade hospital (P0.05s). The items with the lowest score were as follows:. The safety evaluation of floor and passageway is "dry and clean ground" 3.40 ~ 3.65) and "ground and aisle without debris stacking" 3.49 ~ 3.55, the safety evaluation of ward equipment is "night use ground lamp" 2.68 ~ 3.20, and toilet safety evaluation is "emergency calling equipment for toilet" 2.343.12.The conclusion is that: (1) the safety assessment of the floor and the passage is "dry and clean on the ground" (3.40 ~ 3.65) and "the floor and aisle are stacked without debris" (3.49). The results of this study suggest that the environmental facilities in the hospitals at the third level are better than those in the hospitals at the second level. Level II hospitals need to be improved in various specific aspects. All hospitals of different levels should pay attention to further improvement in maintaining dry and clean floors, free floors and aisles, night use of floor lamps, and emergency call equipment in bathrooms, etc. Provide a safe hospital environment for patients.
【作者单位】：四川大学华西医院老年医学中心;
【基金】：四川省科技厅软科学“老年跌倒与居住环境安全的调查及健康教育干预”(编号:2012ZR0008);四川省科技厅支撑计划“住院老年跌倒预防指南及跌倒后骨折的多学科团队综合干预模式的建立”(编号:2013FZ0053)
【分类号】：R47

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