Risk Identification In Aged Patients With Cardiovascular Disease Research On Application Of Fall Prevention

BackgroundThe patient safety has attracted the attention of many countries WHO and the medical profession, the Ministry of health and the State Administration of traditional Chinese medicine in2007proposed the "patient safety goals", to "prevent and reduce patients fall event" as the hospital safety management goal, therefore, for the prediction of falls, assessment and prevention has become an important research direction, at present the Chinese version of the Morse fall assessment scale was used to assess the patients reported less cardiovascular department of internal medicine in hospital, this study used this scale screening of high risk population, fall intervention, reduce the incidence of falls in patients.Objective(1)To analyze the cause of falls in patients with cardiovascular diseases(2)Study the effect of application of risk identification in patients with cardiovascular disease.MethodsApplication of Chinese version of the Morse fall assessment scale for risk assessment, in2014February to March in the heart and heart two two wards, screening out the population at high risk of cardiovascular disease falls, namely score>45points,100people included, are inside the heart a into50, heart two into50people. Inside the mind of one as the experimental group, heart two as control group, intervention data using SPSS13.0statistical software to establish a database, using non parametric tests were used for statistical analysis, the results of evaluation by using the self-designed "fall prevention awareness rate fall rate and patients health behavior questionnaire" investigation ward patients.Result(1) the baseline survey in100aged patients with cardiovascular department of internal medicine:because the investigation section is quite narrow, population is relatively fixed, fall is not age and gender differences, the occurrence of P>0.05, risk factors and Liu Yongyi’s homes for the elderly elderly fallers case-control study is consistent.(2) In the test group and control group60%of the patients had different degrees of frequency,32%people use the walker, the reason is because cardiovascular department of internal medicine patients age investigation is big; the test group and the control group children and take care of her carers accounted for66%, accounted for12%, the reason is because now she would not trust the nurse a part is not careful, carers, lazy to be caregivers can not meet their requirements; the test group and the control group with a history of falls48%, long-term medication accounted for76%, the reason is because the elderly patients with cardiovascular department of internal medicine of long-term oral administration of various drugs to improve heart function, improve the internal circulation, stable blood pressure. A part of patients with diabetes control blood sugar, medicine oral increased the risk of falling.(3) In this survey, cardiovascular department of internal medicine hospital patients fall:slip, emotional instability, tripping, personal reasons and involuntary fall, trample empty or sit empty, for health reasons. The slip accounted for3%, emotional instability accounted for3%, accounting for1%of personal reasons and tripping, involuntary fall accounted for6%, trample empty or sit empty accounted for1%, accounted for3%of health. Fall accounted for2%place bathrooms, the bedroom corridor accounted for2%, accounted for3%, accounting for4%of the outdoor dining hall,6%. Fall time mainly in the morning and noon, accounted for5%and4%. The reason why people fall and fall, not independent outdoor fall morning, a higher proportion of the fall, and personal habits, medication, the external environment strange relationship, research on Evaluation of the effect of comprehensive intervention nursing fall this and Liao Xiaochun Jiujiang elderly people are consistent with the results of.(4) The test group and the control group fall times (mean±standard deviation) were (0.08±0.274),(0.26±0.487) time. The t=5.188P＜0.05. Two groups of falling number was statistically significant difference between.(5) Intervention through health education and comprehensive nursing intervention for elderly patients with cardiovascular disease, the fall has a deep understanding, increase the fall prevention consciousness, in comparison to the test group and the control group of life attitude and life habits and so on of P<0.05, the difference was statistically significant.(6) ConclusionThrough Chinese version of Morse fall scale, screening high risk population, divided into experimental group and control group, intervention in the intervention methods, different, results show the effective intervention, can make the prevention of patients with cardiovascular department of internal medicine fall related knowledge and awareness raising, can improve the anti falling consciousness of crisis patients, can effectively prevent falls, improves the safety of elderly inpatients with cardiovascular department of internal medicine, clinical nurse fall prevention more effective guidance for patients.