实施多因素跌倒干预模型以指导医院护士:一个准实验性的前后研究
Changju Liao1, Linghong Guo2,3, Pengjie Li4
1Department of Nursing, Zigong First People's Hospital, Zigong, Sichuan, China.
Scientific reports
|March 14, 2026
概括
一个新的多因素跌倒干预模型 (MFIM) 显著减少了患者在医院中的跌倒和跌倒伤害. 这种全面的模型使护士能够提高患者的安全性,并有效地减轻跌倒风险.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 患者安全 患者安全
背景情况:
- 布带来了严重的公共卫生挑战,严重的后果和经济成本.
- 护士在预防和管理医疗机构的跌倒方面至关重要.
- 现有的防摔策略需要加强,以获得更好的患者结果.
研究的目的:
- 为医院护士开发和评估一个全面的秋季干预模型.
- 评估多因素跌倒干预模型 (MFIM) 在减少患者跌倒方面的有效性.
- 为了确定MFIM对落相关伤害严重性的影响.
主要方法:
- 这是一项准实验性研究,比较了标准护理组 (153,601名患者,2015-2016年) 与干预组 (171,776名患者,2017-2018年) 的情况.
- 从医疗记录中提取的数据,以追踪跌倒事件和受伤严重程度.
- 干预组使用了新设计的多因素秋季干预模型 (MFIM).
主要成果:
- 与对照组 (0.31%) 相比,MFIM组的跌倒率明显较低 (0.22%).
- 在MFIM组中,每1000个患者日的跌倒率下降 (0.22‰对比0.29‰).
- 在MFIM群体中,跌倒的次数显著减少,跌倒相关的伤害也少得多.
结论:
- 多因素跌倒干预模型 (MFIM) 有效地减少住院患者的跌倒和跌倒伤害.
- 实施MFIM提高了医院环境中的整体患者安全.
- 该MFIM显示,它有望得到更广泛的采用,以减轻医疗保健中的跌倒风险.
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