作者单位：518019深圳市广东省深圳市罗湖区妇幼保健院

方秀春：女，大专，主管护师

住院患儿坠床的危险因素分析及护理对策

方秀春丁燕婷

摘要目的：探讨住院患儿坠床的危险因素并制定相应护理对策，以降低患儿坠床的发生率。方法：选择2012年1月～2013年4月我院儿科收治的1395例患儿，共发生坠床事件4例次，分析患儿坠床的危险因素，制定相应护理对策，比较护理对策实施前后患儿的坠床发生率、高危坠床患儿健康教育覆盖率、家属防范坠床知晓率及护理满意度。结果：患儿坠床的危险主要包括患儿因素、家长因素、护理因素和设备因素等，通过制定实施相应护理对策，持续改进护理质量，患儿的坠床发生率低于实施前，护理干预后高危坠床风险患儿健康教育覆盖率、家属防范坠床知晓率及护理满意度明显高于实施前。结论：分析患儿坠床的危险因素并制定实施相应护理对策，能有效预防患儿坠床等高风险事件发生，提高护理质量。

关键词住院患儿；坠床；危险因素；护理对策doi:10.3969/j.issn.1672-9676.2015.08.056

收稿日期：(2014-08-05)

Analysis of falling out of bed risk factor and nursing countermeasures in hospitalized children

FANG Xiu-chun,DING Yan-ting(Shenzhen Luohu Women and Children Health Care Hospital,Shenzhen518019)

AbstractObjective:To analyze the falling out of bed risk factors and formulate corresponding nursing countermeasures in hospitalized children，in order to reduce the incidence of fall children in hospitalized children.Methods:1395 pediatric patients from January 2012 to April 2013 in our pediatric were observed,analyzed the falling out of bed risk factors and implemented related nursing measures.To compare incidence rate of fall,risk falling out of children health education coverage,families to prevent fall awareness and nursing satisfaction before and after nursing.Results:Falling out of bed risk factors in hospitalized children included children,parents,care factors and equipment factors,through formulated and implemented corresponding nursing countermeasures,continue improve the quality of nursing,incidence rate of fall after nursing was significantly lower than before.High risk of falling risk bed children health education coverage,families to prevent falling bed awareness and nursing satisfaction after nursing were significantly higher than before.Conclusion:That analysis of fall risk factors in hospitalized children and formulate corresponding nursing countermeasures,can effectively prevent the children falling riskier events,improve the quality of nursing.

Key wordsHospitalized children；Falling out of bed；Risk factors;Nursing countermeasures

儿科住院患儿多活泼好动，尤其是年龄较小的患儿缺乏危险意识且无自我护理能力，发生意外伤害的潜在危险性较大，是儿科住院患儿中的高危风险患儿[1]。坠床是儿科住院患儿较为常见的意外伤害之一，轻者导致患儿受到惊吓、软组织挫伤等，严重者可导致四肢骨折、颅脑损伤，甚至危及患儿生命，极易引发医患纠纷[2-3]。为了减少儿科住院患儿坠床事件的发生，我科对患儿坠床的危险因素进行总结分析，实施相应护理对策，获得了满意的护理效果，现报道如下。……