Application of graded management of fall prevention in elderly patients in internal medicine
预防跌倒分级管理在内科老年患者中的应用

摘要

目的 探讨预防跌倒分级管理在内科老年患者中的应用效果。方法 选取我院心血管、神经内科2020年1月-12月期间收住的所有65岁以上住院老年患者共1107例作为研究对象，观察组跌倒/坠床高危患者587例，为实施预防跌倒分级管理措施；对照组跌倒/坠床高危患者520例，为常规预防跌倒管理，观察两组老年高危患者跌倒发生率、患者对预防跌倒健康教育依从性及对护理工作的综合满意度。结果 经过不同的管理干预后，观察组老年高危患者跌倒发生率明显低于对照组(P＜0.005)，观察组对预防跌倒健康教育依从性及对护理工作的综合满意度均高于对照组(P＜0.05)。结论 在内科病房实施预防跌倒分级管理能降低老年高危患者跌倒发生率，提高对防跌倒健康教育的依从性及对护理工作的综合满意度，值得在临床推广应用。

Abstract

Objective to explore the effect of grading management of fall prevention in elderly patients in internal medicine department.
Methods A total of 1107 hospitalized elderly patients over 65 years old in the Department of Cardiology and neurology of our hospital from January to December 2020 were selected as the research object. 587 patients in the observation group were at high risk of falling / falling off the bed, in order to implement graded management measures to prevent falls; 520 high-risk patients in the control group were treated with routine fall prevention management. The incidence of falls, patients' compliance with fall prevention health education and comprehensive satisfaction with nursing were observed.
Results After different management interventions,the incidence of falls in the observation group was significantly lower than that in the control group (p < 0.005) . The compliance of the Observation Group to Health Education for prevention of falls and the comprehensive satisfaction of nursing care were higher than that in the control group (p < 0.05) .
Conclusion   the Prevention of falls in medical wards can reduce the incidence of falls, improve the compliance of health education and improve the overall satisfaction of nursing, which is worthy of clinical application.