首页|基于"安全-支持-合作"模式的高危跌倒护理方案在神经内科中的应用效果

基于"安全-支持-合作"模式的高危跌倒护理方案在神经内科中的应用效果

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目的 探讨基于"安全-支持-合作"模式的高危跌倒护理方案在神经内科的应用效果.方法 选取2022年3月至2023年3月在钦州市第二人民医院神经内科接受治疗的患者200例,随机分为对照组和观察组,每组100例,给予对照组常规护理,观察组于对照组基础上行基于"安全-支持-合作"模式的高危跌倒护理方案,对比2组护理方法对患者跌倒预防自我管理能力(《预防跌倒自我管理行为调查问卷》评价)、跌倒风险(Morese跌倒评估量表评估)、跌倒发生率、护理满意度(纽卡斯尔护理服务满意度量表评价)的影响.结果 2组护理前的《预防跌倒自我管理行为调查问卷》、跌倒风险比较,差异无统计学意义(P>0.05);2组护理后的《预防跌倒自我管理行为调查问卷》高于护理前,且观察组高于对照组;跌倒风险则低于护理前,且观察组低于对照组(P<0.05).观察组跌倒发生率低于对照组(P<0.05).观察组护理满意度高于对照组(P<0.05).结论 基于"安全-支持-合作"模式的高危跌倒护理方案应用于神经内科中可有效改善患者跌倒预防自我管理能力,降低跌倒风险,减少跌倒的发生,并提高患者护理满意度.
Application effect of nursing care for high-risk falls in neurology department based on the"safety-support-cooperation"model
Objective To explore the application effect of nursing care for high-risk falls in neurology department based on the"safety-support-cooperation"model.Methods A total of 200 patients treated in the Department of Neurology of the Second People's Hospital of Qinzhou from March 2022 to March 2023 were selected.They were randomly divided into control group(n=100)and observation group(n=100).Routine nursing care was applied to all patients,and nursing care for high-risk falls based on the"safety-support-cooperation"model was additionally applied to patients of the observation group.The self-management ability for fall prevention and the risk of fall were assessed using the self-management behavior for fall prevention questionnaire and the Morse Fall Scale,respectively,Nursing satisfaction was evaluated using the Newcastle Satisfaction with Nursing Scale.The incidence of fall was recorded.Results There were no significant differences in the self-management behavior and the risk of fall before nursing between the two groups(P>0.05).The scores of the self-management behavior for fall prevention questionnaire after nursing in both groups were significantly higher than those before nursing,and the risk of fall was significantly lower in both groups,which were more pronounced in the observation group than those of control group(P<0.05).The incidence of fall was significantly lower in the observation group than in the control group(P<0.05),whereas,the nursing satisfaction was significantly higher in the observation group(P<0.05).Conclusion The application of the nursing care for high-risk fall in neurology department based on the"safety-support-cooperation"model can effectively improve patients'self-management ability of fall prevention,reduce the risk and incidence of fall,and improve patients'nursing satisfaction.

"safety-support-cooperation"modelnursing care for high-risk fallsdepartment of neurologyfallingprevention

陆琼兰、黎冠银、罗远玲、刘廷智、黄华萍

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535000 广西壮族自治区钦州市第二人民医院护理部

535000 广西壮族自治区钦州市第二人民医院神经内科

"安全-支持-合作"模式 高危跌倒护理 神经内科 跌倒 预防

钦州市科学技术局科技攻关计划

20223044

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(14)