摘 要
跌倒作为老年患者住院期间常见的不良事件，不仅影响患者的康复进程，还可能引发严重的并发症，降低生活质量。鉴于此，本研究旨在探讨循证护理措施在预防老年患者跌倒中的应用效果。选取某三甲医院2021年1月至2022年12月收治的老年住院患者480例作为研究对象，按照随机数字表法分为观察组和对照组各240例，对照组接受常规护理干预，观察组在常规护理基础上实施基于循证的护理措施，包括入院时全面评估患者跌倒风险因素并制定个性化预防方案、加强环境管理如保持地面干燥无障碍物、合理安排陪护人员、对患者及家属进行跌倒危害与预防知识宣教等。经过为期一年的研究发现，观察组患者跌倒发生率显著低于对照组，差异具有统计学意义（P0.05），且观察组患者对护理工作的满意度明显高于对照组。这表明循证护理措施能够有效降低老年患者跌倒的发生率，提高患者的安全性和对护理工作的认可度，为临床护理工作提供新的思路与方法，创新性地将循证理念融入到老年患者防跌倒护理中，有助于推动护理模式从经验型向科学型转变，对保障老年患者健康有着重要意义。
关键词：跌倒预防；循证护理；老年患者；防跌倒措施；护理满意度
Abstract
Falls are a common adverse event among elderly patients during hospitalization, not only affecting their recovery process but also potentially leading to severe complications and reduced quality of life. This study aims to investigate the effectiveness of evidence-based nursing interventions in preventing falls among elderly patients. A total of 480 elderly inpatients admitted to a tertiary hospital from January 2021 to December 2022 were selected as subjects and divided into an observation group and a control group of 240 patients each using a random number table method. The control group received routine nursing interventions, while the observation group was provided with evidence-based nursing measures in addition to routine care, including comprehensive fall risk assessment upon admission and development of personalized prevention plans, enhanced environmental management such as maintaining dry and obstacle-free floors, appropriate allocation of caregivers, and education on the hazards and prevention of falls for both patients and their families. After a one-year study period, it was found that the incidence of falls in the observation group was significantly lower than that in the control group, with statistically significant differences (P0.05). Moreover, patient satisfaction with nursing services was notably higher in the observation group compared to the control group. These findings indicate that evidence-based nursing interventions can effectively reduce the incidence of falls among elderly patients, enhance patient safety, and increase recognition of nursing services. This approach provides new insights and methods for clinical nursing, innovatively integrating evidence-based concepts into fall prevention for elderly patients, thereby promoting a shift from experience-based to science-based nursing models, which is of great significance for safeguarding the health of elderly patients.
Keywords：Fall Prevention；Evidence-Based Nursing；Elderly Patients；Fall Prevention Measures；Nursing Satisfaction
目 录
引 言 1
第一章 跌倒风险评估体系构建 2
1.1 老年患者跌倒风险因素分析 2
1.2 风险评估工具的选择与应用 2
1.3 个性化风险评估方案制定 3
第二章 环境安全干预措施实施 4
2.1 医院环境安全优化策略 4
2.2 家庭环境适老化改造建议 4
2.3 环境安全教育与培训开展 5
第三章 个体化护理干预方案 6
3.1 运动功能训练计划设计 6
3.2 日常生活能力提升方法 6
3.3 心理支持与认知干预措施 7
第四章 护理质量持续改进机制 8
4.1 跌倒事件监测与数据收集 8
4.2 护理流程标准化建设路径 8
4.3 持续质量改进效果评价 9
结 论 11
参考文献 12
致 谢 13
跌倒作为老年患者住院期间常见的不良事件，不仅影响患者的康复进程，还可能引发严重的并发症，降低生活质量。鉴于此，本研究旨在探讨循证护理措施在预防老年患者跌倒中的应用效果。选取某三甲医院2021年1月至2022年12月收治的老年住院患者480例作为研究对象，按照随机数字表法分为观察组和对照组各240例，对照组接受常规护理干预，观察组在常规护理基础上实施基于循证的护理措施，包括入院时全面评估患者跌倒风险因素并制定个性化预防方案、加强环境管理如保持地面干燥无障碍物、合理安排陪护人员、对患者及家属进行跌倒危害与预防知识宣教等。经过为期一年的研究发现，观察组患者跌倒发生率显著低于对照组，差异具有统计学意义（P0.05），且观察组患者对护理工作的满意度明显高于对照组。这表明循证护理措施能够有效降低老年患者跌倒的发生率，提高患者的安全性和对护理工作的认可度，为临床护理工作提供新的思路与方法，创新性地将循证理念融入到老年患者防跌倒护理中，有助于推动护理模式从经验型向科学型转变，对保障老年患者健康有着重要意义。
关键词：跌倒预防；循证护理；老年患者；防跌倒措施；护理满意度
Abstract
Falls are a common adverse event among elderly patients during hospitalization, not only affecting their recovery process but also potentially leading to severe complications and reduced quality of life. This study aims to investigate the effectiveness of evidence-based nursing interventions in preventing falls among elderly patients. A total of 480 elderly inpatients admitted to a tertiary hospital from January 2021 to December 2022 were selected as subjects and divided into an observation group and a control group of 240 patients each using a random number table method. The control group received routine nursing interventions, while the observation group was provided with evidence-based nursing measures in addition to routine care, including comprehensive fall risk assessment upon admission and development of personalized prevention plans, enhanced environmental management such as maintaining dry and obstacle-free floors, appropriate allocation of caregivers, and education on the hazards and prevention of falls for both patients and their families. After a one-year study period, it was found that the incidence of falls in the observation group was significantly lower than that in the control group, with statistically significant differences (P0.05). Moreover, patient satisfaction with nursing services was notably higher in the observation group compared to the control group. These findings indicate that evidence-based nursing interventions can effectively reduce the incidence of falls among elderly patients, enhance patient safety, and increase recognition of nursing services. This approach provides new insights and methods for clinical nursing, innovatively integrating evidence-based concepts into fall prevention for elderly patients, thereby promoting a shift from experience-based to science-based nursing models, which is of great significance for safeguarding the health of elderly patients.
Keywords：Fall Prevention；Evidence-Based Nursing；Elderly Patients；Fall Prevention Measures；Nursing Satisfaction
目 录
引 言 1
第一章 跌倒风险评估体系构建 2
1.1 老年患者跌倒风险因素分析 2
1.2 风险评估工具的选择与应用 2
1.3 个性化风险评估方案制定 3
第二章 环境安全干预措施实施 4
2.1 医院环境安全优化策略 4
2.2 家庭环境适老化改造建议 4
2.3 环境安全教育与培训开展 5
第三章 个体化护理干预方案 6
3.1 运动功能训练计划设计 6
3.2 日常生活能力提升方法 6
3.3 心理支持与认知干预措施 7
第四章 护理质量持续改进机制 8
4.1 跌倒事件监测与数据收集 8
4.2 护理流程标准化建设路径 8
4.3 持续质量改进效果评价 9
结 论 11
参考文献 12
致 谢 13
