降低兒科病房住院病童跌落率之專案

Reducing Fall of Hospitalized Children in a Pediatric Ward

李佩芳(Pei-Fang Lee) ； 杜金錠(Chin-Ting Tu) ； 胡雅惠(Ya-Hui Hu) ； 管珮如(Pei-Ju Kuan) ； 吳素玲(Su-Ling Wu)

《馬偕護理雜誌》 9卷1期 (2015/01) Pp. 31-41

https://doi.org/10.29415/JMKN.201501_9(1).0003

摘要

病人在住院期間若發生跌倒，將會造成病人身體傷害、延長住院時間、增加醫療費用，亦可能導致醫療糾紛、增加醫護人員工作壓力，而影響其工作滿意度。本專案旨在降低兒科病房住院病童跌落率，回溯分析本病房2007年7月~2008年6月病童跌落資料發現，病童跌落率高達0.16%，其主要原因為：（1）病童特性、（2）安全設施不完備、（3）照顧者警覺性不足。經參考文獻及討論後，施行以下策略：改善護理指導標準作業流程、製作適當的輔助工具、改善現有設備，結果病童跌落率由0.16%降至0.06%，達目標值，維護了病童住院中最基本的安全需求，也提升了護理照護品質。

關鍵字

兒科病房 ； 住院病童 ； 跌落

並列摘要

If falls occur during hospitalization, it can cause injury to patient's body, prolonging hospital stays, increasing medical costs, leading to medical disputes, increasing health care workers' work load and influencing job satisfaction. This project aims to reduce fall in the hospitalized children. According to fall records in the ward, the reasons of fall in children are mainly due to: the children's characteristics, inadequate safety equipment and decreased alertness of caregivers. From the literatures, three strategies were used to reduce the rate of fall in hospitalized children including improving standards for nursing education, availability of useful tools and improving ward facilities. By implementing the above strategies, the rate of fall of hospitalized children dropped from 0.16% to 0.06%. The purpose of this project has achieved by maintaining the basic needs of safety in children during hospitalization, and therefore the quality of nursing care has improved.

並列關鍵字

pediatric ward ； hospitalized children ； falls