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精神分裂症住院患者跌倒预防标准操作规程的效果

Efficacy of standard operating procedures for fall protection in hospitalized patients with schizophrenia.

作者信息

Li Hui, Liu Caixing, Ge Zengyun, Mu Xishu, Wang Xuan, Xiu Meihong, Wang Xinfu, Li Zezhi

机构信息

Hebei Province Veterans Hospital, Baoding, China.

Qingdao Mental Health Center, Qingdao, China.

出版信息

Schizophrenia (Heidelb). 2023 Oct 17;9(1):73. doi: 10.1038/s41537-023-00396-3.

Abstract

Fall-related injury is the most common cause of functional disability and mortality in the older population. Falls in patients with schizophrenia are one of the major concerns in psychiatric hospitals. This study aimed to examine the impact of standardized operating procedures (SOP) on falls in veterans with schizophrenia. Veterans with schizophrenia were allocated to the control group (n = 345) and to the fall protection standardized operating procedures (FP-SOP) group (n = 342). Patients in the control group were given routine nursing for falls, and patients in the FP-SOP group were intervened with FP-SOP plus routine nursing. All patients were observed for one year. The study methods comply with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. We found a fall rate of 1.5% in the FP-SOP group and 4.6% in the control group, with a significant difference in the fall rate between the two groups. In addition, the difference in patient satisfaction between the two groups was statistically significant. Our findings suggest that FP-SOP is an effective strategy for fall prevention in psychiatric hospitals.

摘要

跌倒相关伤害是老年人群功能残疾和死亡的最常见原因。精神分裂症患者的跌倒问题是精神病医院的主要关注点之一。本研究旨在探讨标准化操作程序(SOP)对精神分裂症退伍军人跌倒的影响。将精神分裂症退伍军人分为对照组(n = 345)和跌倒预防标准化操作程序(FP-SOP)组(n = 342)。对照组患者接受常规跌倒护理,FP-SOP组患者接受FP-SOP干预加常规护理。对所有患者进行为期一年的观察。研究方法符合加强流行病学观察性研究报告(STROBE)清单。我们发现FP-SOP组的跌倒率为1.5%,对照组为4.6%,两组跌倒率存在显著差异。此外,两组患者满意度的差异具有统计学意义。我们的研究结果表明,FP-SOP是精神病医院预防跌倒的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fde3/10582107/f6de60624714/41537_2023_396_Fig1_HTML.jpg

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