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住院患儿跌倒/坠床预防与管理的循证护理实践

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目的:将住院患儿跌倒/坠床预防与管理的证据应用于临床实践并评价其效果,为提升住院患儿护理质量提供参考.方法:采用便利抽样法,选择 2021年 6月—11月广州市某三级甲等医院呼吸科189 例患儿及其照顾者,以及在科室工作的 23 名护士作为研究对象.通过两轮循证审查,比较基线审查、两轮审查的护士及患儿照顾者的认知水平分数,审查指标的执行率,患儿跌倒/坠床率.结果:护士层面,与基线审查比护士认知水平有所提高(P<0.05),且两轮审查的各审查指标的执行率均高于基线审查,部分指标差异有统计学意义(P<0.05);患儿层面,3 次审查住院患儿跌倒/坠床发生率分别为 6.5%、1.7%、0,差异无统计学意义(P>0.05);照顾者层面,与基线审查比患儿照顾者认知水平亦有所改善(P<0.05).结论:通过制定住院患儿跌倒/坠床预防与管理的实践方案并应用于临床,可降低住院患儿跌倒/坠床发生率,同时提高护士与患儿照顾者认知水平,增强护士对证据执行的依从性,促进护理质量提升.
Evidence-based nursing practice for the prevention and management of falls in hospitalized children
Objective:To apply the best evidence on the prevention and management of fall in hospitalized children to clinical practice and evaluate its effect,so as to provide reference for improving the quality of care for hospitalized children.Methods:From June 2021 and November 2021,a total of 189 children and 23 nurses in the respiratory department of a tertiary-level hospital in Guangzhou were selected with convenience sampling method.The knowledge scores of nurses and caregivers,the implementation rate of the criteria,and fall rate were compared among the baseline review,the first review,and the second review.Results:For the data of nurses,the knowledge scores increased(P<0.05),and the implementation rates of each indicator in the two rounds of review were higher than those in the baseline,and the differences in some indicators were statistically significant(P<0.05).For the data of children,the incidence of fall was 6.5%,1.7%,and 0 respectively in the three rounds of review,but the difference was not statistically significant(P>0.05).For the data of caregivers,the knowledge scores improved compared with that in the baseline(P<0.05).Conclusion:By developing the practice program for the prevention and management of falls in hospitalized children and applying it to clinical practice,the incidence of falls in hospitalized children can be reduced,the awareness level of nurses and caregivers can be improved,and the compliance of nurses to the implementation of the best evidence can be strengthened,and promoting the improvement of nursing quality.

hospitalized childrenfallsbest evidencenursingevidence-based practice

王飞飞、赵斯静、张彩凤、胡肖银、陆晶莹、高艳

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广州医科大学附属妇女儿童医疗中心呼吸科,510120 广州市

住院患儿 跌倒/坠床 证据 护理 循证实践

广州市卫生健康科技项目

20211A011037

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(8)