預防病人於復健治療室跌倒之對策

Strategies for Preventing Patient Falling in the Rehabilitation Therapy Room

李佳(Chia Lee) ； 莊國瑋(Kuo-Wei Chuang) ； 黃亭韶(Ting-Shao Huang) ； 曾彥儒(Yen-Ju Tseng) ； 陳志軒(Chih-Hsuan Chen) ； 高木榮(Mu-Jung Kao)

《北市醫學雜誌》 5卷6期 (2008/12) Pp. 609-618

https://doi.org/10.6200/TCMJ.2008.5.6.05

摘要

目的：針對復健科病人於治療室跌倒問題，先就現況分析並探討跌倒之原因，然後設定目標並配合對策之實施，以降低病人於治療室跌倒發生率。方法：採特性要因分析(cause and effect diagram)跌倒問題，確立問題原因為治療師未落實預防指導、病人體力透支、藥物副作用、家屬或看護工預防概念差、照顧者轉位技巧差，實施以下對策：對於個案進行能力評估與指導，加強治療師的預防跌倒之在職教育、監控個案體能狀況、瞭解個案服藥情形、進行照顧者的預防跌倒衛教、落實正確轉位等對策。結果：跌倒發生率由0.396‰降低至0.15‰。結論：多因子(multifactorial)介入的對策證實可以確實降低跌倒之發生率，但在執行上尚有所限制，期待後續學者可以有更完善之預防跌倒之方案。

關鍵字

跌倒 ； 特性要因分析 ； 復健

並列摘要

Objective: To analyze the current falling factors in the therapeutic room and to develop the strategies and goals for decreasing the falling rate of rehabilitation patients. Methods: We applied cause and effect diagram on the problems that usually cause falling. The possible reasons include: poor instruction to prevent falling from therapist, exhausted of physical strength for patient, side-effects of drugs, poor prevention concept in care givers, and poor posture in position transfer. Base on these factors, we performed the detail evaluation and instructions for subjects, enhanced the education for staffs, closely monitored the physical strength of subjects, footnote the drug uptake, incorporated the falling prevention education on care giver, and make sure the correct posture for transition. Results: The falling rate decreased from 0.396 ‰ to 0.15‰. Conclusion: The multifactorial intervention can secure the prevention of falling. However, there might be some limitations in practical situation. We hope to improve the strategies for preventing the falling in the future.

並列關鍵字

fall ； cause and effect diagram ； rehabilitation