防跌倒护理风险管理在精神科住院患者的应用分析

Application of anti-fall care risk management in psychiatric hospitalized patients

采用回顾性分析方法选择2015年4月—2017年1月我院精神科收诊的180例精神障碍患者,随机分为观察组(防跌倒护理风险管理组)与对照组(常规安全护理管理组)各90例,应用简明精神病量表(BPRS)统计分析两组患者干预措施实施前后数值、摔倒现象出现的相关因素及跌倒发生率。干预措施实施后,所有患者BPRS总分与干预前相比较,均有所降低(P<0.05),观察组采用防跌倒护理风险措施干预后的5个月BPRS总分下降幅度更大,组间差异有统计学意义(P<0.05)。观察组患者意外跌倒的发生率为6.7%,和对照组(16.7%)之间差异显著(P<0.05),尤其是互相戏耍打架而意外跌倒的发生率两组数据有明显差异(P<0.05)。和普通常规安全护理管理模式比较,采用防跌倒护理风险管理可以降低意外跌倒事件发生率,具有临床应用价值。

A retrospective analysis was conducted in 180 patients with psychiatric disorder who were randomly divided into observation group and control group（ N = 90）,BPRS were used to analyze correlation factors and the incidence of falls in two groups before and after the implementation of the intervention measures. After the implementation of the intervention,the total score of BPRS in all patients was lower than that before intervention（ P〈0. 05）. The BPRS score decreased in the observation group after 5 months of intervention. The difference was statistically significant（ P〈0. 05）. The incidence of accidental falls in the observation group was 6. 7%,and the difference between the control group（ 16. 7%） was significant（ P〈0. 05）,and the incidence of accidental falls was significantly different（ P〈0. 05）.Anti-fall care risk management can reduce the incidence of accidental falls with clinical value.