Application of care bundles in fall risk management of inpatients in the Department of Neurology (集束化护理干预在神经内科住院患者跌倒风险管理中的应用)

Abstract

Objective To investigate the effect of care bundles in fall risk management of inpatients in Department of Neurology. Methods Totally 260 inpatients with high risk of falling were randomly divided into the control group and observation group, with 130 cases in each group. All patients received routine nursing strategy for fall prevention. Based on the literature review and interview analysis, intervention strategy with care bundles was established to enhance the fall prevention. Incidence of in-hospital fall status and patient satisfaction were measured and compared between two groups. Results The incidence of in-hospital fall status in the observation group was lower than that in the control group (13. 85% vs. 27. 69%, P＜0. 05). The score of satisfaction assessment in the observation group was higher than that in the control group(P＜0. 01). Conclusion Care bundles have proven to be effective in the fall prevention among inpatients in the Department of Neurology. It can reduce the Incidence of in-hospital falls and ensure patient safety during hospitalization (目的 探讨集束化护理干预策略在神经内科住院高危跌倒患者风险管理中的应用。方法 选取2023年1月—5月医院住院的高危跌倒患者260例随机分为对照组和观察组, 各130例。对照组实施防跌倒常规措施; 观察组在常规护理措施基础上, 基于文献阅读和访谈结果制定集束化护理方案。评估两组患者跌倒状态发生情况, 调查患者满意度。结果 观察组跌倒状态发生率13. 85%(18/130), 低于对照组的27. 69%(36/130), 差异有统计学意义(P＜0. 05)。观察组满意度评分高于对照组的, 差异有统计学意义(P＜0. 01)。结论 对神经内科住院患者实施集束化护理干预措施, 能有效降低患者跌倒状态发生率, 提高患者医疗安全。)

Keywords

• care bundles
• neurology department
• fall
• health education
• 集束化护理
• 神经内科
• 跌倒
• 健康宣教