住院手术患者的跌倒认知与教育需求

Fall Cognition and Health Education Needs among Hospitalized Surgical Patients

目的了解住院手术患者跌倒相关知识的来源、感知、反馈及健康教育需求,促进患者参与患者安全,共同防范跌倒。方法 2013年9月1日至10月31日,便利抽样法选择在重庆医科大学附属第一医院住院术后患者205例为研究对象,进行跌倒的感知、知识来源、知识掌握情况及患者跌倒健康教育需求访谈,记录反馈信息,采用SPSS统计软件进行分析。结果100%的住院手术患者感知到所在医院跌倒防范标志和宣传,97.50%的患者认为医院环境安全。患者跌倒相关知识分别来自护士(51.20%)、医生(7.90%)、病友(5.90%),三者皆有(35.00%)。60.10%的患者明确跌倒防范要点,43.3%的患者知晓术前用药可能致跌倒。结论护士是跌倒教育的主导者,需强化术前用药可能导致患者跌倒的认识和指导,加强患者跌倒教育,刺激其健康教育需求,提高患者防跌倒参与度。

Objective To explore the sources of fall relevant knowledge,perceptions,reflections and needs of fall- ing health education among surgical hospitalized patients, in order to promote patients participating into patient safety,and to prevent the fall together.Methods By convenience sampling,205 cases of patients were selected and investigated about their cognition, resources, and mastery level of fall relevant knowledge. All datas were recorded and analyzed with SPSS.Results 100% of the hospitalized patients realized the fall prevention signage and promotion.97.5% of the patients considered that the hospital environment was safe.Patients falling relevant knowledge came from nurses（51.20%）,surgeons（7.90%）. patients（5.90%）and all three（35.00%）.60.10% of the patients understood key point of fall prevention,and 43.3% of the patients knew that the preoperative medication might cause fall. Conclusion Nurses are leading fall conductors of prevention education. The point of preoperative medication may lead to fall should be srengthened.It is suggested to enhance the patient＇s fall education, stimulate patients＇ health education needs, and improve patient＇ participation.