精神科医务人员对患者防跌认知的调查分析

Analysis of Psychiatrists' Awareness of Preventing Patient Fall

目的了解精神科临床医师对防跌管理的认知现状,寻求降低住院患者跌倒发生的最佳管理流程。方法采用自行设计问卷调查方式,对绍兴地区三家精神专科医院90名医生与165名护士进行调查。结果精神科医生和护士在跌倒防控知识培训、采取的防跌措施、专科化知识宣教、跌倒评估表内容知晓度等方面的知识相比,其差异有统计学意义(P<0.01),医护之间在患者防跌管理上相互沟通较少,高职称医生比低职称医生更认为跌倒可以预防,有少部分医生认为跌倒不一定是工作失误,无损伤的跌倒不会对患者身心产生危害,可以不上报。结论精神科医生跌倒防控知识知晓率低,防跌管理参与意识不强,应加强对医护人员尤其是医生的防跌教育培训,加强多部门协作,防范患者跌倒。

Objectives： To understand the status quo of psychiatrists awareness of the prevention against patient fall, and to search the best management flow to reduce the incidence of inpatient fall. Methods： Self-designed questionnaires were administered to 90 doctors and 165 nurses from three psychiatry specialized hospitals in Shaoxing. Results： Statistically significant （P〈0.01） differences existed between psychiatric doctors and nurses on several aspects including fall prevention education, fall prevention measures, specialized education, knowledge rate of contents in fall assessment scales. The two groups lacked communication on preventing patients from fall. More doctors of higher ranks tend to consider falling preventable than those of lower ranks. A small group of doctors thought that patient fall were not doctors faults, or that falling without injuries would not harm patients and thus not require reporting. Conclusions： The awareness of knowledge about preventing patients falling down was low among psychiatrists, as was their sense of participation in its management. Education of preventing patients falling should be promoted among health practitioners, especially doctors. All departments should cooperate to prevent patients from fall.