精神科女性住院患者跌倒的根因分析及护理对策

Reasonable analysis of falls of female inpatients in psychotics department and nursing methods

目的 探讨精神科女性住院患者跌倒原因,并制订有效护理措施.方法 对2014年4～8月的289例精神科女性住院患者中发生跌倒的9例患者相关资料应用根因分析法进行原因分析并制订对策. 结果 289例患者中9例发生跌倒,跌倒发生率为3.11%（9/289）.其原因包括缺乏动态风险评估,防跌倒措施不到位和关键时间点人力资源不足.结论 精神科女性住院患者跌倒的根本原因包括缺乏动态风险评估、防跌倒措施落实不到位、关键时间点护理人力资源不足,制定的护理对策包括动态管理风险评估及落实防跌倒措施,加强培训和健康宣教,持续质量监控等,从而预防和减少患者跌倒的发生,确保住院安全.

Objective To analyze the falls of female inpatients with the psychotics diseases and summarize effective nursing intervention. Method Two hundred and eighty-nine psychiatric female inpatients from April 2014 to August 2014 were collected, and the reasons of falls cases during this period were analyzed and nursing methods were formulated. Result Nine patients fell, with an incidence of 3.11%（9/289） including the reason of lack of risk dynamic evaluation, lack of fall prevention measures and shortage of nursing personnel. Conclusions The reasons for the falls of the hospitalized psychiatric female patients include lack of risk dynamic evaluation, lack of fall prevention measures, shortage of nursing personnel. The nursing countermeasures include risk assessment of dynamic management and the implementation of the fall prevention measures , strengthening training and health education so as to prevent and reduce the occurrence of falls and ensure patients＇safety.