客製化防跌措施降低住院病人跌倒發生率之專案

A Project of Implementing Individualized Tailored Intervention (ITI) Reduces the Incidence Rate of Inpatients' Falls

溫明寰(Ming-Huan Wen) ； 吳雅萍(Ya-Ping Wu) ； 楊佳諭(Chia-Yu Yang) ； 林小玲(Shirling Lin)

《高雄護理雜誌》 35卷2期 (2018/08) Pp. 37-52

https://doi.org/10.6692/KJN.201808_35(2).0004

摘要

醫學中心胃腸科病房跌倒發生率居高不下，2013年更高達0.154%(閾值為0.1%)。經實證查閱文獻後，專案單位於2014年進行改進，推行客製化防跌措施以降低跌倒發生率，但執行正確率低，僅有27%，經查檢及分析原因：缺乏客製化防跌措施相關的在職教育及對意識障礙者防跌照護知識、工作忙碌無暇執行，造成護理人員對客製化防跌措施內容不熟悉和防跌措施未確實執行等。針對原因進行改善：制定ITI作業標準、在職教育訓練等。專案期間為2014年1月至2015年9月，專案實施後，執行正確率提升至70.0%，跌倒發生率降至0.078%。專案推展後護理人員能正確評估跌倒危險因子，適確提供客製化防跌計畫，降低病人跌倒發生率，提升照護品質。

關鍵字

客製化防跌措施 ； 預防跌倒

並列摘要

The incidence rate of fall has been high in the gastrointestinal ward of a medical center since 2009 and the rate went up to 0.154% in 2013 (threshold: 0.1%). According to evidence-based study, the project unit improved the fall incidence by carried out an individualized tailored intervention (ITI). However, the compliance of the ITI was only 27%. Analysis of the cause imputed low compliance to lack of in-service education, nurse unfamiliarity with the content of ITI, lack of nursing knowledge in preventing falls in the group of conscious-disturbance patients, non-execution of the preventative fall measures exactly, and a heavy workload. An enforced improvement project aimed at these causes introduced from January 2014 to September 2015 resulted in ITI compliance being elevated to 70.0% and the fall incidence being reduced to 0.078%. Nurses could evaluate the risk factor of falls correctly and provide individualized projects to reduce the incidence of falls and improve the quality of care during the process of popularizing the project.

並列關鍵字

individualized tailor intervention ； fall prevention

參考文獻

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