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院内跌倒不良事件临床分布特征分析

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目的 回顾性分析厦门大学附属第一医院跌倒不良事件,追溯事件的原因,分析事件发生的临床分布特征。方法 选取2020 年 1 月—2022 年 12 月在厦门大学附属第一医院图特系统内上报的跌倒护理不良事件共 311 例。分析跌倒人群的临床特征、时间及地点分布以及严重程度分级。结果 311 例跌倒患者中男女比例 163∶148。>59 岁、小学文化跌倒发生率最高。所属内科、患病类型为恶性肿瘤者最易跌倒。发生跌倒的季节分布比例持平。发生班次以白班为主。跌倒的地点主要分布在床边、洗手间及病房房间内的其他区域,分别占 30。89%(96/311)、26。69%(83/311)、17。04%(53/311)。跌倒严重程度以≤1 级伤害为主。当班护士表现为随着工作年限的延长和职称的增高,跌倒不良事件发生率逐步降低。文化程度差异及跌倒/坠床前的状态对跌倒损伤的严重程度影响差异有统计学意义(P<0。05)。结论 老年、文化程度偏低、处于活动状态的患者需制定特殊的陪护政策及专科化防跌倒措施,以降低跌倒的发生率和跌倒后的伤害程度。
Analysis of Clinical Distribution Characteristics of Fall Adverse Events in Hospital
Objective Retrospective analysis of the adverse events of falls in the First Affiliated Hospital of Xiamen University,tracing the causes of the events,and analyzing the clinical distribution characteristics of the events.Methods A total of 311 cases of adverse events of fall nursing reported in the hospital Tute system Classification of the First Affiliated Hospital of Xiamen University from January 2020 to December 2022 were selected.The clinical features,time and place distribution and severity classification of falls were analyzed.Results The ratio of male to female in 311 patients with falls was 163∶148.>59 years old,primary school culture the highest incidence of falls.The patients whose internal medicine and disease type of malignant tumors were the most likely to fall.The seasonal distribution of falls remained the same.The frequency of occurrence was mainly day shift.The places of falls were mainly distributed in bedside,toilet and other areas in the ward room,accounting for 30.89%(96/311),26.69%(83/311)and 17.04%(53/311),respectively.The severity of falls was mainly≤1 level injury.Nurses on duty showed that with the extension of working years and the increase of professional titles,the incidence of fall adverse events gradually decreased.The difference of education level and the state before falling/falling out of bed had statistical significance on the severity of fall injury(P<0.05).Conclusion Elderly,less educated and active patients need to develop special care policies and specialized fall prevention measures to reduce the incidence of falls and the degree of injury after falls.

fallretrospective studyadverse eventsclinical characteristicsinjuredistribution characteristic

邓建玉、王凤娟

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厦门大学附属第一医院护理部,福建 厦门 361003

厦门大学附属第一医院老年医学科,福建厦门 361003

跌倒 回顾性研究 不良事件 临床特征 伤害 分布特征

福建省卫健委科技计划项目软科学研究课题

2021RKB011

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(14)