降低某醫學中心精神科急性病房病人跌倒發生率

Methods to Decrease the Incidence of Falls in a Medical Center's Psychiatric Ward

潘寶霞(Pao-Hsia Pan) ； 陳麗雪(Li-Hsueh Chen) ； 黃柔茹(Jou-Ju Huang)

《馬偕護理雜誌》 1卷2期 (2007/07) Pp. 57-67

https://doi.org/10.29415/JMKN.200707_1(2).0007

摘要

發現單位自2006年1月至6月跌倒發生率為0.46%，較台灣醫學中心跌倒發生率0.22%為高，更佔全院跌倒發生率之24%，有感於住院病人跌倒是醫院照護極重要問題，引發改善動機故成立專案小組，本專案旨在降低急性精神科病房跌倒發生率，建立預防精神病人跌倒的有效策略。經現況分析，確立問題為護理人員預防跌倒認知不足、護理人員未提供病人服藥後之密切照顧措施以及地面潮濕，經由進行護理人員教育訓練提高對於預防跌倒的認知、建立一套服用藥物後之照護標準，研擬地面潮濕監控機制等解決方案後，護理人員預防跌倒認知率由62%提高至91%，跌倒發生率由0.46%下降至0.25%達本專案目的，並藉此建立精神科病房預防跌倒的照護模式。

關鍵字

急性精神科病房 ； 精神病人 ； 跌倒

並列摘要

The incidence of falls among patients in the psychiatric ward of our medical was 0.46% in January to June, 2006, higher than the average rate (0.22%) of all medical centers in Taiwan. Falls in the psychiatric ward accounted for 24% of the total incidence in the medical center. Because this is a serious issue for hospitalized patients, a project was designed to reduce the incidence of falls in the acute psychiatric ward. In order to develop a prevention strategy, the reasons for falls were investigated. They included diseases the patients might have, an unsteady gait, antipsychotic or sedative medications, changes in level of consciousness, or not wearing proper slippers. Environmental risk factors included a wet floor, problems with the side bar of the bed, and insufficient knowledge on the part of the nursing staff to prevent falls. The prevention program focused on addressing the lack of awareness of the nursing staff. After implementation, the staff's awareness about prevention of falls increased from 62% to 91%, and the incidence of falls decreased from 0.46% to 0.25%, demonstrating the effectiveness of the prevention strategy.

並列關鍵字

acute psychiatry ward ； psychiatric patient ； fall