刘珍 董鲜苗 谢继群 许曲 欧阳小芬

[摘要]目的 分析綜合护理管理对老年精神障碍患者跌倒的干预作用。方法 选取2017年4月～2019年4月我院收治的90例老年精神障碍患者作为研究对象，根据入院时间的不同将其分为基础组（2017年4月～2018年3月收治）和综合组（2018年4月～2019年4月收治），每组各45例。基础组给予常规护理管理，综合组给予综合护理管理。比较两组的生活质量[生活质量核心量表（QLQ-C30）]，并观察其跌倒发生情况、家属护理满意度。结果 经护理管理后，综合组各项QLQ-C30评分高于基础组;综合组的跌倒发生率（2.22%）低于基础组（17.78%）;家属护理总满意度（95.56%）高于基础组（82.22%），差异均有统计学意义（P<0.05）。结论 将综合护理管理模式用于老年精神障碍患者，可有效减少跌倒情况的发生，提高生活质量及家属护理满意度。

[关键词]老年精神障碍;跌倒;综合护理;护理管理;干预

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0247-03

Intervention effect of comprehensive nursing management on falls of elderly patients with mental disorders

LIU Zhen   DONG Xian-miao   XIE Ji-qun   XU Qu   OUYANG Xiao-fen

Compulsory Medical Center， Mental Hospital of Guangzhou Civil Affairs Bureau， Guangdong Province， Guangzhou   510430， China

[Abstract] Objective To analyze the intervention effect of comprehensive nursing management on falls in elderly patients with mental disorders. Methods A total of 90 elderly patients with mental disorders admitted to our hospital from April 2017 to April 2019 were selected as the study objects. The patients were divided into the basic group （from April 2017 to March 2018） and the comprehensive group （from April 2018 to April 2019） according to the different admission time， 45 cases in each group. The basic group of patients were given conventional nursing management， comprehensive group of patients were given comprehensive nursing management. The quality of life （QLQ-C30） of the patients in the two groups was analyzed and compared， and the incidence of falls and the satisfaction of family members′ nursing were observed. Results After the nursing management， the QLQ-C30 scores of the patients in the comprehensive group were higher than those in the basic group; the fall rate of the patients in the comprehensive group （2.22%） was lower than that in the basic group （17.78%）; the nursing total satisfaction of the family members （95.56%） was higher than that in the basic group （82.22%）， the differences were statistically significant （P<0.05）. Conclusion Applying the comprehensive nursing management mode to the elderly patients with mental disorders can effectively reduce the incidence of falls and improve the quality of life and the nursing satisfaction of family members.

[Key words] Elderly mental disorders; Falls; Comprehensive nursing; Nursing management; Intervention

精神障碍是情感、行为、认知及意志等精神活动发生不同程度障碍的总称，多因大脑功能紊乱所致，大致可分为器质性精神障碍及功能性精神障碍两类;跌倒则指不自主的、突发的一种倒地现象，发生后可能导致软组织挫伤、骨折或心理创伤等较严重后果[1-2]。对老年精神障碍患者而言，其身体各项机能逐渐退化，反应迟缓，跌倒发生率较普通人群高。临床加大对老年精神障碍患者的护理管理力度十分有必要，但就以往看来，临床采取常规护理管理模式无法较好地控制患者跌倒事件发生率，说明其改善空间较大。针对此种情况，有学者在研究中指出[3-4]，对老年精神障碍患者采取综合护理管理能有效降低其跌倒发生率，同时改善其生活质量。……