Retrospective analysis of falls in aged inpatients and research on nursing management strategies
10.3760/cma.j.cn115682-20200612-03872
- VernacularTitle:老年住院患者跌倒事件的回顾性分析及护理管理对策研究
- Author:
Zhenhui WANG
1
;
Chao SUN
;
Xia WANG
;
Lei WANG
;
Xin LI
;
Xuelian WANG
;
Xuesong DAI
Author Information
1. 国家老年医学中心 中国医学科学院老年医学研究院 北京医院护理部 100730
- Keywords:
Aged;
Inpatient;
Fall;
Cause analysis;
Nursing strategy
- From:
Chinese Journal of Modern Nursing
2020;26(32):4461-4465
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To describe the clinical characteristics and causes of falls in aged inpatients, and provide a reference for the hospital to improve the nursing management strategies for fall prevention.Methods:Totally 121 falls in aged inpatients reported via the nursing adverse events reporting system in Beijing Hospital from January 2013 to December 2019 were retrospectively collected, and the clinical characteristics and causes of these events were analyzed.Results:Among the 121 falls in aged inpatients, there were 45 in day shift and 76 in night shift. The most common place of fall was 60 at the bedside, accounting for 49.6%, followed by 35 outside the ward, accounting for 28.9%. The top 3 causes of falls accounted for nearly 80%, including 39 caused by nurses, 34 caused by the patients, and 22 caused by the environment. As for the outcome of falls, there were 44 without injury, 47 with mild injury, 6 with moderate injury, 23 with severe injury, and 1 dead case.Conclusions:Aged inpatients are at high risk of falls, which are characterized by high incidence, severe injuries, and complex risk factors and causes. The nursing management of fall prevention for aged inpatients should start from multiple aspects, pay attention to the feedback of health education effects and process supervision, mobilize aged inpatients to participate safety management, find a new balance between functional exercise and safety management of aged patients, and ensure patient safety properly and effectively.
