頁籤選單縮合
題 名 | 綜合科病房預防病患跌倒發生之改善對策=Strategies for the Prevention of Falls for Patients in a General Ward |
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作 者 | 王雅靜; 曾恩娣; 黃湘萍; 韓晶彥; | 書刊名 | 長庚科技學刊 |
卷 期 | 11 2009.12[民98.12] |
頁 次 | 頁49-55 |
分類號 | 419.38 |
關鍵詞 | 跌倒; 內科病房; 住院病人; Fall; General ward; In-patient; |
語 文 | 中文(Chinese) |
中文摘要 | 本病房自直腸肛門外科轉型爲内外綜合科過程中,護理人員除了要適應及學習内外綜合科的各類疾病照護外,另一部份則是面對不同疾病特性所衍生的問題,首先是病患跌倒意外事件的增加。有鑑於此,本專案藉由制定預防病患跌倒照護標準、設立衛教單張與訂定監控計劃等方式及舉辦預防病患跌倒在職教育方式,降低病患跌倒之發生。專案結果顯示,護理人員在跌倒篩選認知評核成績的部份,專案執行前爲82.08分,專案執行後提升至100分。在填寫『跌倒高危險群篩選表』的部份,專案執行前的正確率爲59%、執行率爲84%,在專案執行後均提升至100%,跌倒事件發生次數爲零。經由本專案的執行結果,建議加強護理人員對預防跌倒的認知,制定預防病患跌倒照護標準,設立衛教單張及訂立監控計劃,可降低病患跌倒之發生,減少因跌倒引起之身心傷害與住院天數延長以及降低病人之經濟負擔與國家社會醫療資源的利用。 |
英文摘要 | The hospital ward in this study was changed from a proctologic surgical ward to a general medical-surgical ward. After the changeover, nurses in the ward had difficulty assisting medical patients. Nurses working in the ward were expected not only to adapt to caring for different types of patients, but also to deal with the related problems of a general medical-surgical ward, such as patients’ accidental falling. The purpose of the project in this study was to reduce the rate of patient falls in the ward through a variety of coordinated methods. The methods included designing a patient-education leaflet, establishing a monitoring plan, and holding an in-service educational workshop. The result of this project was very positive. The nurses' scores on a test of high-risk screening rose from an average of 82.08 to 100. The average score on the screening sheet for patients at high risk for falling and its implementation rate rose from 59% and 84% respectively to 100%. In addition, no patients fell following the implementation of the project. The results of this project suggest that establishment of such nursing standards is significant, since the prevention of falls reduces the physical and mental impact on in-patients during their hospital stay, shortens the duration of hospitalization, eases financial burdens, and lessens the use of medical resources. |
本系統中英文摘要資訊取自各篇刊載內容。