不同等级医院老年住院患者病区内环境安全评价

The Hospital Ward Environment Safety Evaluation among the Different Levels Hospitalized Elderly Patients

目的:了解不同等级医院住院老年患者对环境安全评价情况,为医院设施完善提供依据。方法:用《老年跌倒相关住院环境安全因素评估表》调查2014年8月中西南地区10个城市共24家二级及三级医院老年病房住院患者对医院环境的评价情况,分析住院环境中的不安全因素,其每个条目采用Likert五级评分法,分数越高环境安全评价越好。结果:三级医院与二级医院病区地面与通道均分(3.95,3.87)、病房设备均分(4.02,3.92)、病区卫生间均分(3.73,3.55),三级医院均好于二级医院(P<0.05);评分最低的项目:地面与通道安全评价为"地面干燥洁净"(3.40,3.65)和"地面及过道无杂物堆放"(3.49,3.55)、病房设备安全评价为"夜间使用地灯"(2.68,3.20),卫生间安全评价为"卫生间设紧急呼叫设备"(2.34,3.12)。结论:本次研究提示三级医院病室内环境设施评分较二级医院好,二级医院需要在具体的各个方面加以改进,所有不同等级医院均应该注意在保持地面干燥洁净、地面及过道无杂物、夜间使用地灯、卫生间设紧急呼叫设备等方面进一步改善,为患者提供安全的住院环境。

Objective Through the assessment of the safety of hospital word environment by the elderly patients, we try to pro- vide evidences for the hospital word facilities. Methods To survey 24 hospitals different levels located in lO cities in southwest of China with ＂assessment form of fail＇related factors of hospital environment for elderly patients＂. Likert five grades score was used for each item, the higher score demonstrated the safer hospital environment. Results Average scores in tertiary-class hospitals were better than those in second-class hospitals, including ground channel environment （3.95 vs. 3.87）, ward facilities （4.02 vs. 3. 92 ） and bathroom facilities. （3.73 vs. 3.55 ）, （ P 〈 0. 05 ）. The lowest scores in ground channel project safety assessment as ＂sur- face clean and dry＂ （ 3.40-3.65 ） and ＂the ground and no debris piled up the aisle＂ （3.49-3.55）, in the ward facilities as ＂night lights＂ （2.68-3.20）, in the bathroom facilities as ＂bathroom design of safety evaluation for the emergency call device＂ （2.34-3. 12）. Conclusion This study suggests hospital word environment scores in second-class hospitals were lower than those in tertiary hospitals, suggesting that facilities and environment need to improve in order to prevent fall for elderly patients. All hospitals should be noted that in keeping the floor dry and clean, free of debris piled on floor and hallway, at night using lights and toilet facilities of emergency call to further improve the word environment.