在住院脊髓损伤康复病房中开发一项防摔计划:一个参与式行动研究研究
Shoeleh Rahimi1,2, Hamid Reza Khankeh3, Abbas Ebadi4,5
1PhD in Nursing, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, IR Iran.
PloS one
|July 10, 2024
概括
一项用于脊髓损伤康复的新型跌倒预防计划显著减少了患者的跌倒和受伤. 干预改善了患者监测,教育和环境安全,突出了综合护理策略的重要性.
科学领域:
- 康复医学 康复医学 康复医学
- 患者安全 患者安全
- 神经学 神经学
背景情况:
- 脊髓损伤 (SCI) 是一种终身残疾,需要在住院康复期间进行早期跌倒管理.
- 专门用于SCI康复的防摔策略的研究是有限的.
研究的目的:
- 在住院SCI康复单元内开发和实施一项防摔计划.
- 为了解决SCI落预防和管理方面的研究不足.
主要方法:
- 使用了参与式行动研究方法,采用前后混合方法设计.
- 通过采访,焦点小组和检查清单从19名康复团队成员收集数据.
- 使用了定性内容分析和统计测试 (配对的t测试,Chi-square).
主要成果:
- 跌倒在50岁以上的患者和男性中更为普遍.
- 这项干预措施在患者监测,教育和环境安全方面取得了显著改善 (P<0.001).
- 跌倒的主要原因包括政策缺陷和患者/护理人员知识不足;该计划减少了跌倒发生率 (P=0.02).
结论:
- 多方面的干预有效地提高了对SCI患者跌倒风险的了解.
- 开发的程序大大减少了跌倒的发生率和相关的轻微伤害.
- 这项研究强调了SCI康复环境中综合防摔计划的价值.
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