住院老年患者跌倒损伤相关因素分析

发布时间：2017-12-31 10:10

本文关键词：住院老年患者跌倒损伤相关因素分析　出处：《中国老年学杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的探究某三甲医院老年住院患者跌倒后发生中重度损伤的高危因素,识别跌倒造成损伤的影响因素。方法对某三甲医院2015年4月至2016年4月间的43例老年跌倒患者不良事件资料进行回顾性分析。结果 43例老年住院患者跌倒造成轻度损伤或无损伤的30例,占69.77%,中重度损伤的13例,占30.23%。单因素分析显示,轻度损伤或无损伤者与中重度损伤比较,在年龄≥70岁、跌倒风险评估高危、跌倒发生时间、跌倒史、陪护、视力障碍、合并慢性基础性疾病方面差异有统计学意义(P0.05);跌倒的多因素分析在发现,有陪护是中重度损伤的保护因素;夜间跌倒、有跌倒史是中重度损伤的危险因素;结论制定科学的针对老年患者的跌倒风险评估工具是预防跌倒的首要环节,对高危患者采取有效防护措施、加强夜间高危时间段的管理、对陪护人员进行防跌倒胜任力的培训,是防范老年患者跌倒及其伤害的重要手段。
[Abstract]:Objective to explore a hospital in hospitalized elderly patients with moderate to severe injury after the fall risk factors, identify factors of injury caused by falls. Methods 43 elderly patients in a hospital from April 2015 to April 2016 between the falls in patients with adverse events were retrospectively analyzed. Results 43 cases of hospitalized elderly patients caused by falls in 30 cases, mild injury or no injury accounted for 69.77%, 13 cases of severe injuries, accounting for 30.23%. single factor analysis showed that mild injury and severe injury or not injured, at 70 years of age or older, fall risk risk, fall occurrence time, fall history, accompanying, visual impairment, there was statistical significance with chronic diseases on the difference (P0.05); multi factor analysis in the fall, there is a protective factor in the accompanying severe injury; at night fall, fall history is a risk factor for severe injury; making conclusion Science for fall risk assessment tools in elderly patients is the most important aspect of fall prevention, take effective protective measures for high-risk patients, strengthen the night time risk management of nursing staff fall prevention competency training is the important means of prevention of falls in elderly patients and hurt.

【作者单位】：蚌埠医学院第一附属医院护理部;
【分类号】：R47
【正文快照】： 跌倒和跌倒所导致的损伤是老年人住院和死亡的主要原因,跌倒损伤所需的医疗费用约占医疗费用总预算的5%[1]。对老年住院患者进行跌倒的风险评估,能够降低跌倒防控的盲目性和被动性。对于跌倒危险相关因素研究虽然较多,而关于跌倒致损伤的影响因素方面的研究很少。本文拟分析老

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