住院患者跌倒高发时段和地点的分析与对策

The Analysis and Countermeasures for High Time and Place of Inpatient Falls

目的分析住院患者跌倒原因,建立预防对策。方法选取某三甲医院2007年1月-2009年9月发生的41例住院患者跌倒事件进行回顾性分析。结果跌倒发生时段8pm～次日8am较8am～8pm高,发生在病房床旁的跌倒较非床旁高(χ2=3.873,P<0.05);年龄≥67岁的患者在床旁或非床旁跌倒较年龄≤66岁高(χ2=5.193,P<0.05),差异比较均有统计学意义。结论医院营造安全、舒适的住院环境,建立完善的管理机制,加强对员工\高危患者、家属及陪人的健康教育,从源头上预防,将有助于减少跌倒事件的发生。

Objective To analyze the reasons for inpatients falls, and establish the preventive measures. Methods 41 eases of hospitalized patients fall events occurred in a 3A hospital in January 2007 to September 2009 were analyzed retrospectively. Results Fall occurred in 8 pm to 8 am the next day was higher than that in 8 am to 8 pm, and the falls occurred in the bedside was higher than non-bedside. The difference was statistically significant （Х^2 = 3. 873,P 〈 0.05 ） ;patients whose age ≥67 years old fell at the bedside or non-bedside more frequently when compared with ≤66-year-old （Х^2 = 5. 193, P 〈 0.05）. Conclusion To ereate a safe and comfortable environment, establish a perfect management mechanism, enhance the staff, high-risk patient,family members and accompanying people＇ s health education, preventing from the source will help to reduce the incidence of falls.