期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (9) ; 7-9 ; DOI: 10.12208/j.jacn.20250443.

Effect of stratified nursing on fall risk assessment in elderly hospitalized patients with hematologic diseases on fall prevention and knowledge, information and action
跌倒风险评估下的分层护理对老年血液病住院患者预防跌倒及知信行的作用

作者: 何蓉 *, 陆伟燕, 李珍珠

上海市中医医院 上海

*通讯作者: 何蓉,单位:上海市中医医院 上海;

发布时间: 2025-09-15 总浏览量: 244

摘要

目的 分析跌倒风险评估下分层护理对老年血液病住院患者预防跌倒及知信行的作用。方法 选择我院在2024年3月份至2025年3月份收治的70例患者参与研究,平均分成对照组和实验组,每组35例患者,对照组常规护理,实验组跌倒风险评估下的分层护理,对比两组患者的跌倒发生率以及知信行评分、尊严评分。结果 实验组患者的跌倒发生率更低,p<0.05,评估患者知信行评分、尊严评分,实验组更佳,p<0.05。结论 对老年血液病住院患者提供跌倒风险评估下的分层护理,可以降低患者出现跌倒的风险,提升患者的知信行评分,提高患者的尊严水平,值得提倡。

关键词: 跌倒风险评估;分层护理;老年血液病;住院患者;预防;跌倒;知信行

Abstract

Objective To analyze the effects of stratified nursing under fall risk assessment on preventing falls and improving knowledge, belief, and practice (KBP) among elderly hospitalized patients with hematologic diseases.
Methods A total of 70 patients admitted to our hospital between March 2024 and March 2025 were selected for this study. They were evenly divided into a control group (35 patients) and an experimental group (35 patients). The control group received routine nursing care, while the experimental group received stratified nursing under fall risk assessment. The two groups were compared in terms of fall incidence, KBP scores, and dignity scores.
Results The experimental group showed significantly lower fall incidence (p<0.05), with better KBP and dignity scores (p<0.05).
Conclusion   Implementing stratified nursing under fall risk assessment for elderly hospitalized patients with hematologic diseases can reduce fall risks, improve KBP scores, and enhance patients 'dignity levels. This approach is recommended as it effectively reduces fall risks, enhances knowledge, belief, and practice (KBP), and improves patients' dignity.

Key words: Fall risk assessment; Stratified nursing; Elderly hematologic disease patients; Hospitalized patients; Prevention; Fall; KBP

参考文献 References

[1] 张燕,史琴娣,薛丽娜,季玲.跌倒风险评估下的分层护理对老年血液病住院患者预防跌倒及知信行的作用[J].护理实践与研究,2023,20(13):1983-1987.

[2] 常曾,王晓霞.基于跌倒风险评估策略的分层护理对老年帕金森病患者预防跌倒知信行的影响分析[J].中文科技期刊数据库(文摘版)医药卫生,2024(12):162-165.

[3] 王珍,白雪.基于跌倒风险评估的分层护理预防老年帕金森患者跌倒的效果观察[J].中西医结合护理,2023,9(8): 114-118.

[4] 余智慧,陈霞.二元疾病管理理论在预防老年住院患者跌倒中的应用[J].中文科技期刊数据库(引文版)医药卫生,2024(11):091-094.

[5] 周丽萍.Morse跌倒评分结合预见性护理对恶性血液病住院化疗患者跌倒知识掌握情况及不良事件发生率的影响[J].现代医学与健康研究电子杂志,2025,9(3):128-130.

[6] 王红.预防措施联合跌倒风险分级护理在老年内科病患中的应用及对危险事件发生率影响[J].中文科技期刊数据库(文摘版)医药卫生,2025(3):205-208.

[7] 朱杉杉,毛盼,王璐,路俊英,常陆.预防老年病人跌倒并减少跌倒损伤的循证护理实践[J].护理研究,2024,38(17): 3160-3165.

[8] Southerland T L ,Chesko D ,Arendts G , et al.Outcomes of Physical and Occupational Therapy Evaluation in the Emergency Department for Older Adults With Falls: A Retrospective Multicenter Cohort.[J].Journal of the American College of Emergency Physicians open,2025,6(4):100141.

[9] Yongqiang Z ,Yanzhi S ,Fan Y , et al.Better Outcomes of Allogeneic Hematopoietic Stem Cell Transplantation with Reduced-Intensity Conditioning in Elderly Patients with Hematological Malignancies[J].Blood,2021,138(S1):4864-4864.

[10] A. S G ,S. L S ,M. T K , et al.Erratum to Clinical Research in Older Adults with Hematologic Malignancies: Opportunities for Alignment in the Veterans Affair [Seminars in Oncology (2019) 341-345][J].Seminars in Oncology,2020,47(1):93-93.

引用本文

何蓉, 陆伟燕, 李珍珠, 跌倒风险评估下的分层护理对老年血液病住院患者预防跌倒及知信行的作用[J]. 临床护理进展, 2025; 4: (9) : 7-9.