Tzeng Huey-Ming, Yin Chang-Yi
The University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, Ann Arbor, MI 48109-0482,
J Clin Nurs. 2008 Jun;17(11):1503-9. doi: 10.1111/j.1365-2702.2007.02086.x.
The aim of this study was to ascertain the average height of occupied patient beds in a general medical ward and to investigate the relationship between staff working-height for patient beds, time and whether the patient was on fall precaution.
The height of occupied patient beds can be an overlooked contributor to inpatient falls. Better physical design of hospital equipment such as patient beds may reduce patient falls and injuries.
This study took place in an acute medical ward of a Michigan medical center. One researcher collected all the data and used the same metric for all the measurements. Univariate analyses were performed.
The average staff working-height measurement taken at the weekend was significantly higher than that taken on weekdays. The average height of patient beds on fall precaution was significantly higher than of those not on fall precaution.
A higher patient/nurse ratio at weekends than on weekdays may result in fewer bedside nursing hours and nurses being less conscientious about keeping beds in the low position after treatments. In an effort to prevent high-fall-risk patients from falling, nurses may have consciously or unconsciously kept their beds in higher positions. Relevance to clinical practice. If the patient bed can be manually or automatically adjusted, nurses must lower the height of the bed to the lowest position after completing treatments or tasks. This after-procedure activity should be enforced and monitored regularly as part of a hospital's patient fall prevention programme. Low beds should be used for patients at high risk of falling. Future research should investigate patients' and staff's views on hospital equipment to provide evidence-based information for policy-makers determining the design-regulation standard for hospital bedframes.
本研究旨在确定综合内科病房中被占用病床的平均高度，并调查病床的医护人员工作高度、时间与患者是否采取防跌倒措施之间的关系。
被占用病床的高度可能是住院患者跌倒的一个被忽视的因素。改善诸如病床等医院设备的物理设计可能会减少患者跌倒及受伤情况。
本研究在密歇根州一家医疗中心的急性内科病房进行。一名研究人员收集了所有数据，并对所有测量采用相同的度量标准。进行了单变量分析。
周末测量的医护人员平均工作高度显著高于工作日测量的高度。采取防跌倒措施的病床平均高度显著高于未采取防跌倒措施的病床。
周末的患者/护士比例高于工作日，这可能导致床边护理时间减少，且护士在治疗后将病床保持在低位的尽责程度降低。为防止高跌倒风险患者跌倒，护士可能有意或无意地将病床保持在较高位置。与临床实践的相关性。如果病床可以手动或自动调节，护士在完成治疗或任务后必须将病床高度降至最低位置。作为医院患者跌倒预防计划的一部分，这一术后操作应得到强化并定期监测。对于高跌倒风险患者应使用低病床。未来的研究应调查患者和工作人员对医院设备的看法，为政策制定者确定医院床架设计规范标准提供循证信息。
