頁籤選單縮合
題名 | 住院病患跌倒事件分析--以某區域教學醫院為例=Falls among Hospital Inpatients: The Case of a Regional Teaching Hospital in Taiwan |
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作者姓名(中文) | 莊蕙琿; 黃焜煌; 王素美; 劉穗蘭; | 書刊名 | 澄清醫護管理雜誌 |
卷期 | 4:3 2008.07[民97.07] |
頁次 | 頁23-28 |
分類號 | 419.38 |
關鍵詞 | 住院病人; 跌倒; 病人安全; Inpatients; Falls; Patient safety; |
語文 | 中文(Chinese) |
中文摘要 | 本研究乃針對住院病患跌倒事件之相關因 素作深入探討,以了解住院病忠跌倒事件的現況 及病忠跌倒之相關因素分析,並提出適切可行建 議供醫療院所管理階層和醫護人員參考,以及提 升病忠照護的品質。本研究採回溯性調查研究方 法,研究對象以中部某區域教學醫院2004年1月至 2007年6月期間,有紀錄通報之住院病人跌倒意外 事件共118案例,針對跌倒病息之性別、年齡、住 院單位、主要診斷、入院天數、發生時段、發生 地點、正在進行的活動、傷害等級、受傷部位及 跌倒原因等,進行變項分析。研究結果發現住院 病患跌倒事件中,各變項發生率最多者分別是: 性別方面以男性居多,佔65.56%;年齡方面則以 60歲以上者,佔6l.02% ;至於病忠住院單位以綜 合外科佔22.03%;病怠主要疾病的診斷,為呼吸 及神經系統疾病:跌倒發生於病患入院後第2-3天 最多;最常發生時間為中午12點至15點59分:跌 倒最常見的地點為病室:發生時病人多數正在行 走中:跌倒當時以有家屬陪伴最多;跌倒所造成 的傷害多數為輕級(一級)傷害:受傷部位為頭部 受傷最多:造成跌倒原因則為身體虛弱最多。根 據研究結果,本論文提出建議,希冀透過醫護人 員、醫療院所管理階層及醫院設施等三方面的努 力,可以確保提升住院病人的安全,增進病患醫 療照護品質。 |
英文摘要 | This study was conducted to examine factors related to incidents of falling among hospital inpatients. The goals were to determine the conditions under which falls occurred, analyze factors related to falls, and provide suggestions for hospitals regarding prevention of falls. We reviewed 1I8 recorded incidents of falling in a teaching hospital in central Taiwan. The variables analyzed included gender, age, hospital unit, primary diagnosis, number of days of hospitalization at the time of the incident, time and place of the incident, activity preceding the incident, type and severity of the injury, and reasons for falling. Most incidents involved men (65.6%) and patients older than 60 years (61.02%). Falls occurred mostfrequently in the surgery department, and the most common primaη, diagnoses were diseases of the respiratory and nervous systems. The incident typically occurred after 2 to 3 days of hospitalization and took place between 12:00 AM and 3:59 PM in the sickroom. The most common activity preceding the incident was walking. The study results point to various methods of ensuring the safety of hospital inpatients and improving the quality of patient care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。