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目的:探讨风险管理应用在呼吸科老年患者中预防坠跌时间的护理效果及应用价值。方法:将义乌市中心医院呼吸科住院老年患者130例根据护理方式不同分为观察组和对照组,对照组给予内科常规护理,观察组采取风险管理护理干预,对比两组护理效果。结果:观察组预防跌倒总体健康行为评分(90.65±5.68)分,环境健康行为(94.66±4.88)分,药物健康行为(95.18±4.79)分,生活习惯健康行为(93.59±6.48)分,自我保护健康行为(84.66±6.89)分,心理情绪健康行为(91.49±5.97)分;对照组上述各项评分分别为(81.34±2.18)分,(86.11±1.54)分,(85.38±2.06)分,(82.64±3.19)分,(72.38±3.85)分,(80.95±3.14)分,组间对比差异有统计学意义(P<0.05)。观察组健康知识评分(23.16±1.02)分,服务态度评分(24.58±0.41)分,生活护理评分(23.54±1.06)分,心理护理评分(23.67±1.04)分,总分评分(95.88±2.88)分;对照组上述各项评分分别为(18.64±3.45)分,(20.06±1.84)分,(19.05±3.14)分,(18.76±3.87)分,(89.97±5.97)分,组间对比差异有统计学意义(P<0.05)。结论:护理风险管理模式应用在呼吸科老年患者中能够降低老年患者坠跌风险,为患者提供安全可靠的治疗环境,值得在临床上推广应用。
Objective: To explore the nursing effect and application value of risk management in preventing fall time in elderly patients of respiratory department. Methods: One hundred and thirteen elderly patients admitted to Respiratory Department of Yiwu Central Hospital were divided into observation group and control group according to different nursing methods. The control group was given routine medical care. The observation group was given risk management nursing intervention. The nursing effect was compared between the two groups. Results: The scores of general health behaviors (90.65 ± 5.68), environmental health behaviors (94.66 ± 4.88), health behaviors of drugs (95.18 ± 4.79), lifestyle health behaviors (93.59 ± 6.48) (81.34 ± 2.18), (86.11 ± 1.54), (85.38 ± 2.06) points, ((85.38 ± 2.06)) points respectively in the control group 82.64 ± 3.19) points, (72.38 ± 3.85) points and (80.95 ± 3.14) points respectively. There was significant difference between the two groups (P <0.05). The score of health knowledge in the observation group was 23.16 ± 1.02, the service attitude score was 24.58 ± 0.41, the nursing score was 23.54 ± 1.06, the psychological nursing score was 23.67 ± 1.04, the total score was 95.88 ± 2.88, (18.64 ± 3.45), (20.06 ± 1.84) points, (19.05 ± 3.14) points, (18.76 ± 3.87) points and (89.97 ± 5.97) points in the control group respectively. There was significant difference between the two groups Statistical significance (P <0.05). Conclusion: The application of nursing risk management model in elderly patients with respiratory diseases can reduce the risk of falls in elderly patients and provide a safe and reliable treatment environment for patients, which is worth popularizing and applying in clinic.