集束化管理策略联合分级预防措施预防贫血患者跌倒的效果观察

Effects of cluster management combined with grading prevention in preventing falls of anemia patients

目的探讨集束化管理策略联合分级预防措施预防血液内科贫血患者跌倒的效果。方法选取2016年1~12月住院的贫血患者作为观察组,选取2015年1~12月住院的贫血患者作为对照组。对照组按照常规进行风险评估及预防跌倒的健康教育,落实预防跌倒的护理措施。观察组在对照组的基础上实施集束化管理策略联合分级预防。比较2组患者跌倒率、高风险跌倒上报率。结果患者跌倒率由0.265次/(1 000患者·d)降至0.029次/(1 000患者·d),跌倒高风险上报率由0.716次/(1 000患者·d)升至2.488次/(1 000患者·d)。结论集束化管理策略联合分级预防能实现血液内科贫血患者预防跌倒的高效管理,能有效筛选出贫血患者中的跌倒高风险人群,降低其跌倒率,保障患者的安全。

Objective To explore the effect of applying cluster management strategy combined with grading prevention in preventing falls of anemia patients in the hematology department. Methods Anemia patients admitted in 2015 were chosen into a control group, while those admitted in 2016 were selected into an observation group. Both groups were given risk assessment and health education about fall prevention routinely, while the observation group was additionally provided with cluster management and grading prevention. The incidence of fall and high-risk fall report were compared between the two groups. Results The incidence of falls was decreased from 0.265 to 0.029 per a thousand patients every day. The reporting rate of high-risk falls was increased from 0.716 to 2.488 per a thousand patients every day. Conclusions Cluster fall management combined with grading prevention can effectively screen out high-risk population, obviously decrease the incidence of falls and ensure the safety of anemia patients in the hematology department.