Bakarich A, McMillan V, Prosser R
Flinders Medical Centre, South Australia.
Aust J Adv Nurs. 1997 Sep-Nov;15(1):26-31.
This paper describes the evaluation of a fall prevention protocol that combined the assessment of the mobility and confusion status of 2,023 patients aged 70 years and over and a toileting regimen for at risk patients who were both confused and having mobility problems. The six months' study was conducted in a 450 bed metropolitan teaching hospital and involved approximately 500 nursing staff in the hospital's medical and surgical wards. Almost five percent (4.7%) of patients in the study group fell; 13 patients fell more than once and the total number of falls was 112. Twenty-four percent of patients (n = 482) were assessed as being at risk of falling and 54% of falls (n = 61) occurred in the at risk group. Sixteen percent of these falls occurred in the sub-group who had been toileted according to the study protocol and 84% in the sub-group who had not been toileted according to the protocol. There were 53% fewer patient falls during shifts which complied with both the assessment and toileting protocol than during non-compliant shifts. Given the simplicity and effectiveness of the study protocol, the finding that it was not followed on 43% of shifts is of concern.
本文描述了一项预防跌倒方案的评估，该方案结合了对2023名70岁及以上患者的活动能力和意识状态评估，以及针对有跌倒风险且存在意识障碍和活动问题的患者的如厕方案。这项为期六个月的研究在一家拥有450张床位的大都市教学医院进行，涉及该医院内科和外科病房的约500名护理人员。研究组中近5%（4.7%）的患者跌倒；13名患者跌倒不止一次，跌倒总数为112次。24%的患者（n = 482）被评估为有跌倒风险，54%的跌倒事件（n = 61）发生在有跌倒风险的患者组中。这些跌倒事件中有16%发生在按照研究方案接受如厕护理的亚组中，84%发生在未按照方案接受如厕护理的亚组中。与未遵守方案的班次相比，同时遵守评估和如厕方案的班次中患者跌倒次数减少了53%。鉴于研究方案的简单性和有效性，43%的班次未遵循该方案这一发现令人担忧。
