基于PISETI管理模型的老年肠镜治疗病人的跌倒管理应用效果

Application value of the fall management in elderly patients treated with colonoscopy based on the PISETI management model

目的:探讨基于PISETI管理模型制定的跌倒管理流程在预防老年肠镜治疗病人跌倒中的应用效果。方法:选择年龄≥60岁的拟行肠镜下治疗的病人130例,随机分为PISETI管理模型组(观察组)和常规护理组(对照组)。观察组从病人、信息、标识、环境、团队合作、家属等方面按基于PISETI管理模型制定的跌倒管理流程采取相应的措施,对照组按护理常规给予预防跌倒的相关措施。比较2组病人在跌倒风险评估的及时率、病人及家属对预防跌倒相关知识掌握情况、防跌倒标识落实率、环境安全落实率及跌倒发生情况。结果:观察组病人跌倒风险评估的及时率、病人及家属对预防跌倒相关知识掌握情况、防跌倒标识落实率、环境安全落实率均优于对照组(P<0.05~P<0.01);2组均无病人跌倒事件发生。结论:基于PISETI管理模型制定的防跌倒管理流程能促使老年肠镜治疗病人相关预防跌倒措施的落实,值得在临床推广使用。

Objective:To explore the application effects of the management process of elderly patients with colonoscopy treatment based on PISETI management model in the prevention of falls.Methods:A total of 130 patients≥60 years old scheduled by colonoscopy were selected,and randomly divided into the PISETI management model group(observation group)and routine care group(control group).The corresponding measures in formulating the fall management process based on PISETI management model in the observation group were implemented according to the patient report,information access,signage,environment,teamwork,involving patient or family and other aspects,and the control group was nursed with routine measures to prevent falls.The differences in the timely rate of fall risk assessment,knowledge of fall prevention of patients and their families,rate of fall prevention markers,rate of environmental safety,and incidence rate of fall between two groups were compared.Results:The timely rate of fall risk assessment,knowledge of fall prevention of patients and their families,rate of fall prevention markers and rate of environmental safety in observation group were significantly better than those in control group(P<0.05 to P<0.01).No patient fell in two groups.Conclusions:The fall prevention management process based on PISETI management model can promote the implementation of relevant fall prevention measures for elderly patients treated with colonoscopy,which is worthy of clinical application.