Hendrich Ⅱ跌倒风险评估量表在眼科低视力住院病人中的应用

訾珂珂; 杨洪霞; 范宇晨; 赵思婕; 梅杰

doi:10.13898/j.cnki.issn.1000-2200.2022.12.031

Hendrich Ⅱ跌倒风险评估量表在眼科低视力住院病人中的应用

Application of Hendrich Ⅱ fall risk assessment scale in hospitalized patients with low vision in ophthalmology

摘要

摘要:
目的探讨基于Hendrich Ⅱ跌倒风险评估量表的个性化护理对预防眼科低视力住院病人跌倒的效果。
方法选取2021年4-10月眼科低视力住院病人50例作为观察组，2020年9月至2021年3月眼科低视力住院病人50例作为对照组。对照组实施常规预防护理，观察组实施基于Hendrich Ⅱ跌倒风险评估量表的个性化护理。比较2组在接受护理后住院期间预防跌倒相关知识的知晓掌握情况、发生跌倒不良事件的概率、跌倒所造成的损伤程度以及满意度。
结果观察组预防跌倒相关知识的知晓掌握情况方面明显高于对照组（P < 0.01）。住院期间观察组跌倒病人1例，对照组发生跌倒5例。观察组住院期间发生跌倒不良事件的发生率低于对照组，但差异无统计学意义（校正χ²=1.60，P>0.05）。观察组病人出院时满意度高于对照组（P < 0.05）。
结论建立在以Hendrich Ⅱ跌倒风险评估量表的个性化护理能降低低视力病人在住院期间跌倒风险和跌倒带来的损伤程度，提升对护理工作满意度，提高病人的生活质量，帮助其形成安全的住院环境。

Abstract:
ObjectiveTo investigate the effect of personalized care based on the Hendrich Ⅱ fall risk assessment scale on preventing falls in hospitalized patients with low vision in ophthalmology.
MethodsA total of 50 patients with low vision in ophthalmology department from April 2021 to October 2021 were selected as the observation group, and 50 patients with low vision in ophthalmology department from september 2020 to March 2021 were selected as the control group.The control group was given routine preventive care, and the observation group was given personalized care based on the Hendrich Ⅱ fall risk assessment scale.The probability of adverse events of falls, the degree of injury caused by falls, and the satisfaction level during hospitalization after nursing were compared between the two groups.
ResultsThe observation group had significantly higher knowledge of fall prevention than the control group(P < 0.01).During hospitalization, there was 1 patient with a fall in the observation group, and 5 patients fell in the control group.The incidence of adverse falls during hospitalization in the observation group was lower than that in the control group, but the difference was not statistically significant (adjusted χ²=1.60, P>0.05).The satisfaction of patients in the observation group at discharge was higher than that in the control group (P < 0.05).
ConclusionsPersonalized care based on the Hendrich Ⅱ fall risk assessment scale can reduce the risk of falls and the degree of injury caused by falls in patients with low vision during hospitalization, improve the satisfaction of nursing work, improve the quality of life of patients, and help them create a safe hospital environment.

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