专职陪护干预对于降低老年住院患者跌倒事故发生率的应用分析

Application Analysis of Full-Time Escort Intervention in Reducing the Incidence of Fall Accidents in Elderly Hospitalized Patients

目的:调查专职陪护人员对于降低老年住院患者跌倒事故发生率的影响。方法:选取2022年1月~2023年1月我院老年病科长期住院患者108名,按照住院原因、住院时长和行动能力等一般资料将该108例患者分为对照组和实验组各54例。对照组陪护人员主要为未掌握专业陪护技能的患者家属以及家用陪护。实验组在对照组基础上给予专职陪护干预。实验结束后,对比实验组与对照组的老年住院患者在陪护过程中的跌倒事故发生率,并比较两组老年患者对于陪护人员的护理满意度情况以及两组陪护人员的跌倒评估能力、预防跌倒相关知识以及跌倒处理能力达标率。结果:实验结束后数据显示实验组老年患者的跌倒事故发生率明显低于对照组,差异有统计学意义(P < 0.05)。实验组护理满意度明显高于对照组,差异有统计学意义(P < 0.05)。实验组护理人员的跌倒评估能力、预防跌倒相关知识以及跌倒处理能力达标率远远高于对照组,差异有统计学意义(P < 0.05)。结论:专职陪护的陪护质量较高,能够明显降低老年住院患者跌倒事故发生概率,提高患者对于护理的满意度,可在护理工作中大力推广专职陪护进行陪护患者。

Objective: To investigate the effect of full-time nursing staff on reducing the incidence of fall acci-dents in elderly hospitalized patients. Methods: A total of 108 long-term inpatients in the geriatrics department of our hospital from January 2022 to January 2023 were selected and divided into con-trol group and experimental group with 54 cases in each group according to general data such as hospitalization reason, length of stay and mobility. In the control group, the caregivers were mainly family members of patients who had not mastered professional nursing skills and family caregivers. The experimental group was given full-time escort intervention on the basis of the control group. After the end of the experiment, the incidence of fall accidents in the escort process between the experimental group and the control group was compared, and the nursing satisfaction of the two groups of elderly patients for the escort staff, as well as the fall assessment ability, fall prevention knowledge and fall treatment ability of the two groups were compared. Results: After the end of the experiment, the data showed that the incidence of fall accidents in the experimental group was sig-nificantly lower than that in the control group, and the difference was statistically significant (P < 0.05). The nursing satisfaction of the experimental group was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). The experimental group of nursing staff fall assessment ability, fall prevention knowledge and fall treatment ability to meet the standard rate was much higher than the control group, the difference was statistically signifi-cant (P < 0.05). Conclusion: The quality of full-time escorts is higher, which can significantly reduce the probability of elderly inpatients falling accidents and improve patients’ satisfaction with nurs-ing. Full-time escorts can be vigorously promoted in nursing work to escort patients.