Analysis of the impact of interview education on falls in hospitalized patients
基于访谈式宣教对住院患者跌倒的影响分析

摘要

目的 通过改变宣教模式，提高住院患者对跌倒宣教的依从性，从而降低住院患者的跌倒发生率。 方法 采用便利抽样法，调查对象选取在上海某二级医院康复科于2022年1月份至2023年12月份的住院患者，使用医院统一的跌倒评估工具评估，跌倒评分为高危的患者，排除因各种原因不能下地行走或站立的卧床患者、精神异常患者，2022年入组患者 375例，使用一般宣教方式，2023年入组397例，使用访谈式宣教方式。采用数据分析判断访谈式宣教对患者依从性、接受度、跌倒率等影响。结果 2022年高危跌倒患者5例，年跌倒率 0.31‰，2023年高危跌倒患者1例，年跌倒率0.05‰，P值＜0.05。结论 对高危跌倒患者使用访谈式宣教后，住院患者跌倒率下降，护士可采用患者接受度高的访谈式宣教。

Abstract

Objective To improve the compliance of inpatients to fall education by changing the education mode, so as to reduce the incidence of fall in inpatients.
Methods Convenience sampling method was used to select hospitalized patients in the rehabilitation department of a secondary hospital in Shanghai from January 2022 to December 2023, and the hospital's unified fall assessment tool was used to evaluate the patients with high risk of falling. Bedridden patients who could not walk or stand for various reasons and patients with mental disorders were excluded. In 2022, 375 patients were enrolled using the general education method, and in 2023, 397 patients were enrolled using the interview education method. Data analysis was used to determine the impact of interview education on patient compliance, acceptance and fall rate.
Results In 2022, there were 5 high-risk fall patients with an annual fall rate of 0.31‰, and in 2023, there was 1 high-risk fall patient with an annual fall rate of 0.05‰, P < 0.05.
Conclusion   After the use of interview education for high-risk fall patients, the fall rate of hospitalized patients is reduced, and nurses can use the interview education with high acceptance of patients.