摘要目的 探讨神经内科住院脑血管病患者跌倒的原因及护理对策,提高脑血管病患者住院护理安全.方法 回顾性收集2014年1月至2017年12月本院神经内科60例住院脑血管病患者发生医院内跌倒的年龄、时间、地点、原因、后果并进行分析.结果 70～92岁是神经内科住院脑血管病患者发生跌倒的高危人群;42例(70.00％)患者跌倒发生在中午和夜间;51例(85.00％)患者跌倒的地点在卫生间、床边;47例(78.33％)患者服用特殊药物后发生跌倒;24例(40.00％)患者跌倒发生的原因与走动有关;38例(63.33％)患者无家属及陪护时发生跌倒;52例(86.67％)患者跌倒造成了不同程度的伤害.结论 进行正确的跌倒风险因素评估,对住院环境进行审核和纠正,加强特殊时间段护理巡视,做好用药指导及观察,提高患者预防跌倒的健康教育依从性,可以有效预防住院脑血管病患者跌倒的发生.

abstractsObjective To explore the causes and nursing countermeasures of fall of inpatients with cerebrovascular diseases at department of neurology,and improve the nursing safety.Methods The age,time,site,causes,and consequences of 60 inpatients with cerebrovascular diseases treated at the department of neurology of our hospital from January,2014 to December,2017 were retrospectively collected and analyzed.Results 70-92 years old patients were in high-risk.42 cases (70.00％) fell at the noon or midnight.51 cases (85.00％) fell at the bathroom or by the bed.47 cases (78.33％) fell after taking special drugs.24 cases (40.00％) fell when walking.38 cases (63.33％) fell when they were alone.52 cases (86.67％) got varied degrees of damage due to the falls.Conclusions Correctly assessing fall risk factors,reviewing and correcting hospital environment,strengthening nursing rounds during special period,using drugs under the guidelines and observation,and improving fall-prevention health education can effectively prevent the falls of inpatients with cerebrovascular diseases.