Analysis of nursing prevention strategies and practical effects for falls and bed falls in cancer patients during chemoradiotherapy
肿瘤患者放化疗期间跌倒坠床的护理防控策略与实践效果分析

摘要

目的 分析肿瘤患者放化疗期间进行跌倒坠床护理防控的具体策略，并探讨其实践效果。方法 研究收集在我院接受放化疗治疗的肿瘤患者共80例，时间分布在2025年1月至2025年12月，根据不同护理方案将研究样本均分为两组，对照组患者实施常规放化疗护理，其余观察组患者在常规护理的基础上增加个性化跌倒、坠床防控护理，并对患者放化疗期间跌倒、坠床等不良事件发生率、护理满意度、患者跌倒风险评分、自我防护能力、睡眠质量、放化疗相关并发症发生率等指标进行评估和对比。结果 观察组患者经过护理后，跌倒坠床发生率及跌倒风险评分显著较低，患者自我防护能力、睡眠质量明显提高（P<0.05）；观察组患者护理后放化疗相关并发症发生率较低，护理满意度明显较高（P<0.05）。结论 为肿瘤放化疗患者实施个性化跌倒坠床防控策略能够显著改善患者自护能力及睡眠质量，降低跌倒、坠床发生风险和放化疗相关并发症发生风险，提高患者护理满意度，有利于改善护患关系，提高护理质量。

Abstract

Objective To analyze specific nursing prevention strategies for falls and bed falls in cancer patients during chemoradiotherapy and evaluate their practical effects.
Methods A total of 80 cancer patients undergoing chemoradiotherapy in our hospital from January 2025 to December 2025 were enrolled. The study subjects were divided into two groups based on different nursing protocols. The control group received conventional chemoradiotherapy nursing, while the observation group received personalized falls and bed falls prevention nursing in addition to conventional care. The incidence rates of adverse events such as falls and bed falls, nursing satisfaction, patient fall risk scores, self-protection ability, sleep quality, and incidence rates of chemoradiotherapy-related complications were assessed and compared.
Results After nursing intervention, the observation group showed significantly lower incidence rates of falls and bed falls and significantly lower fall risk scores (P<0.05). Patient self-protection ability and sleep quality were markedly improved (P<0.05). The incidence rates of chemoradiotherapy-related complications were lower, and nursing satisfaction was significantly higher in the observation group (P<0.05).
Conclusion   Implementing personalized falls and bed falls prevention strategies for cancer patients undergoing chemoradiotherapy can significantly improve self-protection ability and sleep quality, reduce the risks of falls, bed falls, and chemoradiotherapy-related complications, enhance nursing satisfaction, improve nurse-patient relationships, and elevate nursing quality.