综合评估在预防老年精神障碍住院患者跌倒中的应用效果

摘要

Objective To explore the effect of comprehensive geriatric assessment on the prevention of falls in hospitalized older patients with mental disorders.Methods A total of 150 elderly patients with mental disorders admitted into our hospital from June 2017 to May 2018 were randomly divided into the conventional group (n =75)and the comprehensive geriatric assessment group(n=75).The conventional group received routine nursing interventions based on risk evaluation via the Morse scale,and the comprehensive assessment group adopted targeted nursing interventions based on comprehensive assessment outcomes.The detection rate of risk for falls,the incidence of falls,the compliance with prevention measures and the satisfaction level of nursing services were compared between the groups.Results The detection rate of risk for falls was higher (80.0％ vs.45.3％,x2 =19.263,P=0.000),the incidence of falls was lower(1.3％ vs.9.3％,x2 =4.754,P =0.029),and the compliance with prevention measures(93.3％ vs.82.7％,x2 =4.040,P =0.044) and the satisfaction level of nursing services(96.0 ％ vs.86.7％,x2=4.127,P =0.042)were higher in the comprehensive assessment group than in the routine group.Conclusions Comprehensive geriatric assessment has a forewarning effect on falls in hospitalized older patients with mental disorders.Targeted nursing interventions can help reduce the incidence of falls and improve the satisfaction level of nursing care.%目的探讨综合评估在预防老年精神障碍住院患者跌倒中的应用效果. 方法 选取2017年6月至2018年5月我院收治的150例老年精神障碍患者,随机将其分为常规组(75例)和综合评估组(75例),常规组根据Morse量表评估风险实施常规处理,综合评估组采取综合评估评估法实施针对处理,并比较不同组患者跌倒风险检出率、跌倒发生率、预防跌倒依从性以及患者满意度. 结果 跌倒风险检出率高于常规组(80.0％和45.3％,x2=19.263,P=0.000);综合评估组患者跌倒发生率低于常规组(1.3％和9.3％,x2=4.754,P=0.029);预防跌倒依从性高于常规组(93.3％和82.7％,x2 =4.040,P=0.044);服务满意度高于常规组(96.0％和86.7％,x2=4.127,P=0.042). 结论综合评估法对老年精神障碍住院患者跌倒具有预警作用,针对性采取干预有助于减少跌倒发生率以及提高患者满意度.