Application of case scenario simulation in fall management of high-risk fall patients in rehabilitation department
Objective To explore the application of scenario simulation combined with case studies in the management of falls in high-risk fall patients in the rehabilitation department.Methods Seventy high-risk fall patients who were hospitalized in the Rehabilitation Medi-cine Department of the Second Affiliated Hospital of Wannan Medical College from January to December 2020 were selected as the research subjects.They were randomly divided into the intervention group and the control group using a lottery method,with 35 patients in each group.The control group received education on routine fall prevention knowledge and skills,while the intervention group received simulated education based on case scenarios on the basis of the control group.The differences were compared in fall prevention knowledge and behavior levels,fall incidence rate,and injury incidence between the two groups of patients.Results Before intervention,there was no statistically significant dif-ference in the scores of fall prevention knowledge and behavior between the two groups(P>0.05);after intervention,the intervention group had higher scores of knowledge and behavior in preventing falls than the control group(P<0.05).The difference in knowledge and behavior in pre-venting falls before and after intervention in the intervention group was higher than that in the control group,and the differences were statisti-cally significant(P<0.05).After intervention,the incidence of falls in patients decreased from 1.18%to 0.146%,with a statistically significant difference(P<0.05);the incidence of injuries above level 2 has decreased from 75%to 0.Conclusions Combining case scenario simulation can improve the knowledge and skill level of fall prevention for high-risk fall patients in the rehabilitation department,and reduce the inci-dence of falls and level 2 or above injuries,which is worthy of clinical promotion and use.
Case scenario simulationFall prevention knowledge and behaviorHigh risk fallsDamage