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防跌倒护理流程对老年住院患者健康行为及满意度的影响

Effect of fall prevention nursing process on health behavior and satisfaction in elderly hospitalized patients

摘要:

目的 探讨实施防跌倒护理流程对老年住院患者跌倒发生率、患者预防跌倒健康行为及患者满意度的影响.方法 将476例老年住院患者按随机数字法分为两组,对照组238例按常规防跌倒护理,实验组238例实施跌倒危险分度护理流程.统计患者跌倒发生率,分别于干预前、后测定两组患者预防跌倒健康行为,并于出院前调查患者满意度.结果 对照组住院期间发生4起跌倒,跌倒发生率(1.6%),实验组未发生跌倒,两组比较差异有统计学意义(x2=4.034,P=0.045).干预前对照组预防跌倒总体健康行为评分(56.81±10.23)分,实验组(55.49±11.65)分,干预后对照组评分(69.13±16.58)分,实验组(88.76±11.38)分,两组均较干预前有提高,差异有统计学意义(t分别为-5.137,-16.596;P<0.01),而且干预后两组间比较,实验组评分明显优于对照组,差异有统计学意义(t=-7.930,P<0.01).出院时实验组患者满意度优于对照组,两组比较差异有统计学意义(x2=264.25,P<0.01).结论 跌倒危险分度护理流程降低老年住院患者跌倒发生率,提高患者预防跌倒健康行为及患者满意度.

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abstracts:

Objective To investigate the effect of fall prevention nursing process on elderly hospitalized patients,so as to improve the health behavior of fall prevention of patients and patients' satisfaction.Methods Totals of 476 cases of hospitalized elderly patients were randomly divided into control group and experimental group.The control group (n =238) adopted routine anti-falling nursing,while the experimental group (n =238) adopted fall prevention nursing process.Before and after the intervention,fall prevention health behavior,the incidence of falls and patient satisfaction in the two groups were observed and compared.Results After nursing intervention,4 cases in control group had falls,while no falls occurred in experimental group,and the difference was statistically significant (x2 =4.034,P =0.045).Before the intervention,the score of healthy behavior of falls prevention in control group was (56.81 ± 10.23) and that in experimental group was (55.49 ± 11.65).After the intervention,the healthy behavior of falls prevention of two groups were significantly improved with (69.13 ± 16.58) in control group and (88.76 ± 11.38) in experimental group.And significant difference was found between control group and experimental group after the intervention (t =-7.930,P <0.01).Patient's satisfaction in the experimental group was statistically higher than that in the control group (x2 =264.25,P < 0.001).Conclusions The application of fall prevention nursing process in elderly hospitalized patients reduces the incidence of falls,and improves fall prevention health behavior and patient ' s satisfaction.

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