目的 围绕神经内科患者，在美国医疗机构评审国际联合委员会(Joint Commission on Accreditation of Healthcare Organizations，JCI)标准下实施各项跌倒预防风险管理，评定其干预效果。方法 选取2022年8月—2023年8月邵东市人民医院神经内科收治的160例住院患者为研究对象。将2022年8月—2023年2月收治的80例作为对照组，实施常规跌倒风险管理;另把2023年3—8月收治的80例作为观察组，开展以JCI标准为基础的跌倒预防风险管理。比较2组跌倒发生情况、跌倒损伤程度、跌倒预防行为评分、Morse跌倒评分、护理满意度。结果 观察组跌倒发生率为2。50％，低于对照组的11。25％，差异有统计学意义(P<0。05)。观察组跌倒损伤程度优于对照组，差异有统计学意义(P<0。05)。入院第7天时，2组跌倒预防行为评分均高于入院时，且观察组跌倒预防行为评分高于对照组，差异有统计学意义(P<0。05)。入院第7天时，2组Morse跌倒评分低于入院时，且观察组Morse跌倒评分低于对照组，差异有统计学意义(P<0。05)。观察组护理总满意度为97。50％，高于对照组的87。50％，差异有统计学意义(P<0。05)。结论 通过对神经内科患者实施以JCI标准为基础的跌倒预防风险管理干预，可使其跌倒情况得以降低，其跌倒损伤程度得以减轻;同时还有助于增强防跌倒意识，提高满意度。
Effect Analysis of Implementing Fall Prevention Risk Management Based on JCI Standards in Neurology Department
Objective To implement various fall prevention risk management measures and evaluate the intervention effects for neurology patients under the standards of the Joint Commission on Accreditation of Healthcare Organizations (JCI) in the United States. Methods A total of 160 hospitalized patients admitted to the department of neurology,Shaodong People's Hospital from August 2022 to August 2023 were selected as the study objects. A total of 80 patients admitted from August 2022 to February 2023 were selected as the control group,and routine fall risk management was implemented. In addition,a total of 80 patients admitted from March to August 2023 were selected as the observation group,and fall prevention risk management based on JCI standards was carried out. Fall occurrence,fall injury degree,fall prevention behavior score,Morse fall score and nursing satisfaction were compared between the two groups. Results The incidence of fall in the observation group was 2.50％,which was lower than 11.25％ in the control group,the difference was statistically significant (P<0.05). The fall injury degree of the observation group was better than that of the control group,the difference was statistically significant (P<0.05). On the 7th day of admission,the scores of fall prevention behavior in 2 groups were higher than those at admission,and the scores of fall prevention behavior in observation group were higher than those in control group,the differences were statistically significant (P<0.05). On the 7th day of admission,the Morse fall score in the 2 groups was lower than that at admission,and the Morse fall score in the observation group was lower than that in the control group,the differences were statistically significant (P<0.05). The total satisfaction of nursing in the observation group was 97.50％,which was higher than 87.50％ in the control group,the difference was statistically significant (P<0.05). Conclusion The risk management intervention of fall prevention based on JCI standard can reduce the incidence of fall and the degree of fall injury in neurology patients. At the same time,it also helps to enhance the awareness of fall prevention and improve satisfaction.
neurology departmentfall prevention risk managementJoint Commission on Accreditation of Healthcare Organizationsfall injuryfall prevention behaviornursing satisfaction
万方数据
维普
