预见性护理预防老年精神分裂症患者跌倒的效果(1)
[摘要] 目的 探析預见性护理预防老年精神分裂症患者跌倒的效果。方法 于2017年1月—2019年1月从太仓市第三人民医院精神科方便择取38例老年精神分裂症患者，按照数字奇偶法将其分成对照组(19例)和研究组(19例)，对照组行以常规护理，研究组行以预见性护理，对照分析两组跌倒预防效果。结果 从高危跌倒患者例数上来看，护理后对照组和研究组分别为9例、3例，研究组少于对照组(χ2=4.385，P=0.036);从病房地面防滑评分、病房照明系统评分、卫生间扶手评分、高危跌倒预警评分上来看，研究组分别为(93.57±1.48)分、(95.63±1.22)分、(95.52±2.63)分、(97.52±1.63)分，对照组分别为(79.40±2.78)分、(79.62±2.60)分、(78.40±3.58)分、(78.40±5.58)分，研究组高于对照组(t=19.612、24.299、16.799、14.337，P=0.000);从跌倒意识行为评分上来看，经过护理干预，研究组心理情绪意识评分、环境意识评分、药物意识评分、生活习惯意识评分、自我保护意识评分、预防跌倒总体意识评分分别为(95.71±9.55)分、(90.08±11.50)分、(76.31±9.14)分、(91.97±14.43)分、(86.48±7.15)分、(83.87±10.25)分，对照组分别为(71.45±12.01)分、(70.23±8.76)分、(68.41±13.89)分、(73.58±19.34)分、(75.84±15.68)分、(62.08±6.79)分，研究组高于对照组(t=6.892、9.985、2.071、3.322、2.691、7.725，P=0.000)。 结论 对于老年精神分裂症患者来说，预见性护理的应用可以有效预防跌倒情况，使患者安全得到保障，临床效果确切，具有显著临床价值。
[关键词] 预见性护理;老年患者;精神分裂症;跌倒;效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)08(c)-0157-04
[Abstract] Objective To analyze the effect of predictive nursing on preventing falls in elderly patients with schizophrenia. Methods From January 2017 to January 2019， 38 elderly patients with schizophrenia were convenient selected from the Department of Psychiatry of Taicang Third People's Hospital. They were divided into control group (19 cases) and study group (19 cases) according to the numerical parity method， the control group was treated with routine care， and the study group conducted predictive care and analyzed the fall prevention effect of the two groups. Results From the number of patients with high-risk falls， the control group and the study group were 9 cases and 3 cases， respectively， and the study group was fewer than the control group (χ2=4.385， P=0.036); from the ward floor slip score， ward lighting In terms of system score， bathroom handrail score， and high-risk fall warning score， the study group was (93.57±1.48)points， (95.63±1.22)points， (95.52±2.63)points， and (97.52±1.63)points， and the control group was (79.40±2.78)points， (79.62±2.60)points， (78.40±3.58)points， (78.40±5.58)points， the study group was higher than the control group (t=19.612， 24.299， 16.799， 14.337， P=0.000). From the point of view of fall consciousness behavior， after the nursing intervention， the research group's psychological and emotional awareness score， environmental awareness score， drug awareness score， living habit awareness score， self-protection awareness score， and prevention of fall overall consciousness score were (95.71±9.55)points，(90.08±11.50)points，(76.31±9.14)points， (91.97±14.43)points， (86.48±7.15)points， (83.87±10.25)points， and the control group were (71.45±12.01)points， (70.23±8.76)points， (68.41±13.89)points， (73.58±19.34)points， (75.84±15.68)points， (62.08±6.79)points， the study group was higher than the control group (t=6.892， 9.985， 2.071， 3.322， 2.691， 7.725， P=0.000). Conclusion For elderly patients with schizophrenia， the application of predictive nursing can effectively prevent falls， ensure patient safety， and have clinically significant results with significant clinical value., http://www.100md.com(张来军)
[关键词] 预见性护理;老年患者;精神分裂症;跌倒;效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2019)08(c)-0157-04
[Abstract] Objective To analyze the effect of predictive nursing on preventing falls in elderly patients with schizophrenia. Methods From January 2017 to January 2019， 38 elderly patients with schizophrenia were convenient selected from the Department of Psychiatry of Taicang Third People's Hospital. They were divided into control group (19 cases) and study group (19 cases) according to the numerical parity method， the control group was treated with routine care， and the study group conducted predictive care and analyzed the fall prevention effect of the two groups. Results From the number of patients with high-risk falls， the control group and the study group were 9 cases and 3 cases， respectively， and the study group was fewer than the control group (χ2=4.385， P=0.036); from the ward floor slip score， ward lighting In terms of system score， bathroom handrail score， and high-risk fall warning score， the study group was (93.57±1.48)points， (95.63±1.22)points， (95.52±2.63)points， and (97.52±1.63)points， and the control group was (79.40±2.78)points， (79.62±2.60)points， (78.40±3.58)points， (78.40±5.58)points， the study group was higher than the control group (t=19.612， 24.299， 16.799， 14.337， P=0.000). From the point of view of fall consciousness behavior， after the nursing intervention， the research group's psychological and emotional awareness score， environmental awareness score， drug awareness score， living habit awareness score， self-protection awareness score， and prevention of fall overall consciousness score were (95.71±9.55)points，(90.08±11.50)points，(76.31±9.14)points， (91.97±14.43)points， (86.48±7.15)points， (83.87±10.25)points， and the control group were (71.45±12.01)points， (70.23±8.76)points， (68.41±13.89)points， (73.58±19.34)points， (75.84±15.68)points， (62.08±6.79)points， the study group was higher than the control group (t=6.892， 9.985， 2.071， 3.322， 2.691， 7.725， P=0.000). Conclusion For elderly patients with schizophrenia， the application of predictive nursing can effectively prevent falls， ensure patient safety， and have clinically significant results with significant clinical value., http://www.100md.com(张来军)