组合评估在老年精神障碍住院病人跌倒预防中的应用

Application of combination assessment in prevention of falling in elderly inpatients with mental disorders

目的探讨组合评估在老年精神障碍住院病人跌倒中的应用效果。方法收集2016年1~12月南京脑科医院精神障碍老年住院病人1130例,采用便利抽样的方法,按时间先后将其分为对照组和试验组,对照组采用常规Morse量表进行跌倒风险评估,试验组采用组合评估法进行跌倒评估,对2组病人跌倒发生率、风险病人检出率、预防跌倒依从性进行比较。结果试验组跌倒风险病人检出率(81.83%)明显高于对照组(45.84%),跌倒发生率(0.231‰)明显低于对照组(0.662‰),预防跌倒依从性高于对照组,差异均有统计学意义(P<0.05)。结论组合评估对跌倒有预警作用,同时根据风险因子采取针对性护理措施,可有效降低精神障碍老年住院病人跌倒的发生。

Objective To evaluate the effect of combination assessment in preventing falling in elderly patients with mental disorders. Methods A total of 1130 elderly inpatients with mental disorders in Nanjing Brain Hospital from January 2016 to December 2016 were enrolled in this study. The inpatients were divided into control group and experimental group according to the time to be hospitalized.Control group was assessed with the conventional Morse scale,and experimental group was assessed with the combination assessment method. The falling incidence,detecting rate of inpatients at risk,compliance of falling prevention were compared between the two groups. Results The detecting rate of inpatients at risk in experimental group was significantly higher,the incidence rate of falling was significantly lower in experimental group（ 0. 231‰） than that of control group（ 0. 662‰）（ P0. 05）.The compliance of falling prevention was higher in experimental group than that of control group. Conclusions The combination assessment has an early warning effect on falling,which could effectively reduce the falling incidence.