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目的 探讨PISETI跌倒管理模型在预防老年患者跌倒中的应用效果.方法 选取某三级甲等综合性医院老年病房住院患者为研究对象,将2014年7月—2015年7月住院患者1063例为对照组;2015年8月—2016年8月住院患者1197例为研究组,采用PISETI跌倒管理模型进行干预,主要包括跌倒相关知识的培训、入院患者的跌倒评估、患者信息的交流、跌倒警示标识的使用、团队合作、予患者家属宣教与配合.比较两组患者住院期间的跌倒发生率.结果 研究组跌倒发生率为0.58%,对照组为2.63%,差异有统计学意义(χ2=15.51,P<0.05).结论 对老年患者实施PISETI管理模型能提高患者安全,降低跌倒发生率,促进护理质量的持续改进,减少医疗纠纷的发生.

Objective To explore the application and effect of the PISETI fall management model in preventing the fall of geriatric patients.Methods Geriatric inpatients from a tertiary general hospital were selected in this study,with 1063 patients hospitalized between July 2014 and July 2015 as a control group and 1197 patients hospitalized from August 2015 to August 2016 as a treatment group. The patients in the treatment group were treated with the PISETI fall management model,including training about fall-related knowledge, evaluation of fall in inpatients,sharing of patients' information,use of warning signs,teamwork as well as education and coordination with patients' family members. The incidence of fall were then compared between the patients in the two groups.Results The incidence of fall of the patients in the treatment group was 0.58%, while that of the patients in the control group was 2.63% (χ2 =15.51,P<0.05).Conclusions The PISETI fall management,when applied to geriatric patients,can effectively improve patients' safety,reduce their incidence of fall,promote nursing quality and diminish medical disputes.