老年患者对院内跌倒真实体验和应对需求的质性研究

A Qualitative Study on the Real Experience and Coping Needs of Elderly Patients with Falls in Hospital

目的探索住院期间发生跌倒的老年患者对自身跌倒风险的认知及真实体验。方法对12例在住院期间发生跌倒的老年患者进行深度访谈,并采用现象学分析法分析资料。结果患者的真实体验可归纳为:认知、体验、需求3个主题。老年患者对跌倒风险的认知存在不足;住院期间发生跌倒会给他们带来负性体验;对防跌的信息需求并不迫切。结论了解住院期间发生跌倒的老年患者认知及真实体验,有助于增进医护人员对该人群的了解,以提供针对性的预防措施,帮助减少跌倒事件对患者造成的负性影响。

Objective To explore the cognition and real experience of elderly patients with falls during hospitalization.Methods A total of 12 elderly patients who fell during hospitalization were interviewed in depth,and the data were analyzed by phenomenological analysis.Results The real experience of patients was summarized into three themes:cognition,experience and demand.The elderly patients had insufficient awareness of the risk of falls;falls during hospitalization can bring negative experiences to them;the need for information to prevent falls is not urgent.Conclusion Understanding the cognition and real experience of elderly patients with falls during hospitalization is helpful to improve the understanding of medical staff,provide targeted preventive measures,and help reduce the negative impact of falls on patients.