精细化护理对老年住院患者坠床/跌倒护理不良事件预防效果及护理质量的影响

Effects of meticulous nursing on the prevention of adverse events of falling bed/fall and the quality of nursing in elderly inpatients

目的 探讨精细化护理对老年住院患者坠床/跌倒护理不良事件的预防效果及护理质量的影响.方法 选取2018年4月至2019年4月于本院外科治疗的96例老年患者作为研究对象,按随机数字表法将其分为常规组和干预组,每组48例.常规组行常规坠床/跌倒预防护理,干预组在此基础上加强精细化护理.比较两组患者的护理效果.结果 干预后,干预组Fugl-Meyer评分、护理质量各项评分均高于常规组(P<0.05).干预组坠床、跌倒总发生率低于常规组(P<0.05);两组均无患者出现3级损伤.干预组防坠防跌知识掌握、护理满意度评分均显著高于常规组(P<0.05).结论 老年住院患者治疗期间加强精细化护理,可获得更好坠床/跌倒预防效果.

Objective To explore the effects of meticulous nursing on the prevention of adverse events of falling bed/fall and the quality of nursing in elderly inpatients.Methods A total of 96 elderly patients hospitalized in the surgical department of our hospital from April 2018 to April 2019 were selected as the study objects.According to the random number table method,the patients were divided into conventional group and intervention group,with 48 cases in each group.The conventional group received the routine falling bed/fall prevention nursing,and the intervention group strengthened the meticulous nursing on this basis.The nursing effects of the two groups were compared.Results After intervention,the scores of Fugl-Meyer and nursing quality in the intervention group were higher than those in the conventional group(P<0.05).The total incidence of falling bed and fall in the intervention group was lower than that in the conventional group(P<0.05);there was no grade 3 injury in each group.The scores of knowledge mastery of falling prevention and nursing satisfaction in the intervention group were significantly higher than those in the conventional group(P<0.05).Conclusion Meticulous nursing for the elderly inpatients during the treatment period can get better prevention effect of falling bed/fall.