摘要
目的调查护理人员对预防跌倒知识掌握的情况,以提高其对防跌倒相关知识的认知水平,减少住院患者跌倒的发生。方法用自编住院患者跌倒相关知识掌握量表对护理人员进行问卷调查。结果护理人员对跌倒知识的掌握正确率最高为跌倒分级64.04%、最低为跌倒后干预措施17.10%。外科护理人员对患者跌倒风险评估时机的把握为88.69%,妇儿科护理人员的正确率(71.11%)高(χ^(2)=21.319,P=0.003),住院患者发生跌倒后的处理正确率急诊为76.67%,高于门诊的42.67%(χ^(2)=27.651,P<0.001);在把握患者跌倒风险评估的时机方面工作年限<5年的护理人员为89.81%,比工作年限>20年的护理人员(64.15%)更容易把握患者跌倒风险评估的时机(χ^(2)=18.921,P<0.001),工作年限11~20年的护理人员对住院患者预防跌倒的干预措施正确率为24.66%,比工作年限<5年的护理人员(11.46%)高(χ^(2)=9.678,P=0.022);工作年限>20年的护理人员对住院患者发生跌倒后的处理正确率为58.49%比工作年限<20年以下的护理人员(34.25%)高(χ^(2)=12.787,P=0.005)。结论护理人员跌倒预防相关知识掌握度总体较低,应加强对护理人员关于患者跌倒预防知识的系统培训,减少住院患者跌倒的发生。
Objective To investigate the mastery of falls prevention knowledge among nursing staffs,in order to improve their cognitive level of falls prevention related knowledge and reduce the occurrence of falls in hospitalized patients.Methods A questionnaire survey was conducted among nursing staffs with a self-designed questionnaire on the mastery of falls related knowledge among hospitalized patients.Results The highest accuracy rate of nursing staffs’mastery of falls knowledge was 64.04%for falling classification,and the lowest was 17.10%for falls intervention measures.Nursing staffs’accuracy of the timing of patient fall risk assessment was 88.69%in surgery,which was higher than 71.11%in nursing staff in obstetrics,gynecology,and pediatrics(χ^(2)=21.319,P=0.003).The accuracy of emergency treatment for hospitalized patients after falls was 76.67%,which was higher than 42.67%in outpatient treatment(χ^(2)=27.651,P<0.001).The accuracy of the timing of patient fall risk assessment in nursing staffs with less than 5 years of work experience was 89.81%,which was better than nursing staff with more than 20 years of work experience(64.15%)(χ^(2)=18.921,P<0.001).Nursing staff with 11-20 years of work experience had a correct intervention rate for preventing falls in hospitalized patients of 24.66%,which was higher than nursing staffs with less than 5 years of work experience(11.46%)(χ^(2)=9.678,P=0.022).The accuracy rate of handling falls in hospitalized patients by nursing staffs with more than 20 years of work experience was 58.49%,which was higher than that of nursing staff with less than 20 years of work experience,which is 34.25%(χ^(2)=12.787,P=0.005).Conclusions Overall,nursing staff had a low level of falls prevention knowledge,and systematic training on patient fall prevention should be strengthened to reduce the occurrence of falls in hospitalized patients.
作者
叶伟
徐玥
杨艺璐
李爱华
宋斌
冯慧婷
YE Wei;XU Yue;YANG Yilu;LI Aihua;SONG Bin;FENG Huiting(Department of Joint Surgery and Sports Medicine,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China;Biomedical Innovation Center,the Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China;Department of Neurosurgery/Hematology,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China;Department of Rehabilitation Medicine,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China;Guangdong Rehabilitation Medicine Clinical Medical Research Center,Guangzhou 510655,China)
出处
《广州医药》
2024年第12期1414-1420,1436,共8页
Guangzhou Medical Journal
基金
国家临床重点专科
广东省康复医学临床医学研究中心项目(2023B110003)
广东省自然科学基金面上项目(2022A1515010215)。
关键词
护士
跌倒
预防
掌握度
调查
nurse
falls
prevention
mastery degree
survey
