以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (5): 69-73.doi: 10.16460/j.issn1008-9969.2022.05.069

Previous Articles     Next Articles

Effect of Nursing Project Management on Patients with Greater Risk of Falls

LI Yinga, CHEN Qiao-songa, BAI Ya-pingb, HONG Yun-tinga, WU Yu-linga, DAI Qiu-wena   

  1. a. Dept. of Cardiology,Second Ward; b. Dept. of Nursing Administration,Xiamen Cardiovascular Hospital Affiliated to Xiamen University,Xiamen 361004, China
  • Received:2021-11-09 Online:2022-03-10 Published:2022-04-11

PDF (PC)

172

Like

Abstract: Objective To explore the application effect of nursing project management on patients with greater risk of falls. Methods A nursing project team was established. Using the convenient sampling method, 80 patients with medium and high risk of falls in the Department of Cardiology of a tertiary hospital in Xiamen from May 2020 to May 2021 were selected as the research object. Forty patients with greater risk of falls from May 1 to May 15, 2020 were selected as the control group with routine health education of fall prevention, and another 40 patients with medium and high risk of falls from May 1 to May 15, 2021 were involved in observation group to implement the nursing project management. The fall prevention knowledge and fall prevention compliance of the two groups before and after the project management were compared, and the fall incidence of cardiology patients one year before and after the project management was compared. Results The level of fall prevention knowledge and compliance in the observation group were significantly higher than those in the control group (P<0.001). The incidence of falls in department of cardiology one year after the implementation of project management decreased from 0.247‰ to 0. Conclusion The nursing project management can effectively improve the knowledge of fall prevention and compliance of patients, thus to improve the quality of nursing.

Key words: nursing project management, fall, prevention, compliance

CLC Number: 

  • R473.54
[1] 王颖,汪晖,陆丽娟,等.住院患者预防跌倒信息化安全管理模式的建立与实施[J].护理学杂志,2017,32(1):7-10.DOI:10.3870/j.issn.1001-4152.2017.01.007.
[2] 梁静云,陈远华.影响大型医院门诊分诊准确率的因素及对策探讨[J].中国临床护理,2014,6(6):525-526.DOI:10.3969/j.issn.1674-3768.2014.06.029.
[3] 王利华,叶慧丽,陈银花,等.综合护理干预在预防心内科老年患者跌倒及坠床中的应用[J].江西医药, 2017,52(10):1063-1064.DOI:10.3969/j.issn.1006-2238.2017.10.045.
[4] Cronin H, Kenny RA.Cardiac Causes for Falls and Their Treatment[J].Clin Geriatr Med,2010,26(4):539-567.DOI:10.1016/j.cger.2010.07.006.
[5] 邱慧成,刘玲,陈晓琴,等.图文式《住院患者跌倒防范手册》在预防住院病人跌倒中的应用[J].护理研究,2016,30(31):3936-3939.DOI:10.3969/j.issn.1009-6493.2016.31.029.
[6] 邢桃红,王朝娟,朱晓敏,等.提高高危住院患者预防跌倒依从性的实践及效果[J].中华护理杂志, 2014,49(9):1080-1083.DOI:10.3761/j.issn.0254-1769.2014.09.012.
[7] 张凤枝. 跌倒综合护理干预改善老年高血压患者跌倒认知率及降低发生率的效果探讨[J].医学理论与实践,2018,31(3):448-450.DOI:10.19381/j.issn.1001-7585.2018.03.079.
[8] 陈彩凤. 专案管理与写作—医管护理适用[M].台北:华杏出版机构,2002.
[9] 王庆富. 专案管理[M].台北:联经出版社,2005:1.
[10] Morse JM,Black C,Oberle K,et a1.A Prospective Study to Identify the Fall-prone Patient[J]. Soc Sci Med,1989,28(1):81-86.DOI:10.1016/0277-9536(89)90309-2.
[11] 刘翠鲜,沈志祥.老年跌倒的特点与预防策略[J].中国老年学杂志,2013, 33(2):459-461.DOI:10.3969/j.issn.1005-9202.2013.02.112.
[12] 周园,李凌,曹晓文.老年患者对预防跌倒的认知及依从性调查分析[J].护理学杂志, 2013, 28(17):37-39.DOI:10.3870/hlxzz.2013.17.037.
[13] 卢静,李薇,杜红娣.老年人跌倒自我效能的研究进展[J].现代临床护理,2017, 16(11):53-58.DOI:10.3969/j.issn.1671-8283.2017.11.014.
[14] 周萌,苏莉,叶晶,等.老年住院患者跌倒预防措施的证据总结[J].中华现代护理杂志,2019,25(36):4704-4708.DOI:10.3760/cma.j.issn.1674-2907.2019.36.005.
[15] 刘艾红,袁金蓉,彭颖洁,等.医疗失效模式与效应分析的护理干预在老年住院患者预防跌倒管理中的应用研究[J].护理管理杂志,2020,20(1):69-72.DOI:10.3969/j.issn.1671-315x.2020.01.016.
[16] 王彦艳,刘延锦,娄小平,等.113例老年住院患者跌倒不良事件原因分析及预防对策[J].护理学报,2017,24(17):68-71. DOI:10.16460/j.issn1008-9969.2017.17.068.
[17] 阮舒华,王碧映,林连珠.情景模拟结合案例分享在老年患者防跌倒宣教中的应用效果[J].当代护士(中旬刊),2016(6):103-105.
[18] 陆琴,韩萍.思维导图在临床护理工作中的应用现状[J].护理管理杂志,2016,16(5):346-347.DOI:10.3969/j.issn.2096-0603.2018.17.063.
[19] 邱锦媚,苏若琼,黄石群,等.护理专案改善在外周静脉治疗质量控制中的应用效果研究[J].护理管理杂志,2020,20(6):453-456.DOI:10.3969/j.issn.1671-315x.2020.06.015.
[20] 贾葵,陆利生,何敏英,等.降低胃癌快速康复治疗患者术后腹泻发生率的护理专案管理[J].护理学报,2017,24(3):18-20.DOI:10.16460/j.issn1008-9969.2017.03.018.
[21] 邹俊遐,朱振云.护理专案改善在婴幼儿水合氯醛保留灌肠镇静效果中的应用研究[J].护理管理杂志,2019,19(7):505-508.10.3969/j.issn.1671-315x.2019.07.012.
[1] ZHANG Ping, TU Wen-jing, HAN Juan. Effect of Health Education Based on LEARNS Model on Self-care Ability of Adult Patients with Incipient Inflammatory Bowel Disease [J]. Journal of Nursing, 2022, 29(4): 74-76.
[2] LIU Li-fang, WU Xiao-xia, LIU Jia. Follow-up Management Strategy for Organ Transplant Recipients at Home during Regular Epidemic Prevention and Control of COVID-19 [J]. Journal of Nursing, 2022, 29(1): 58-63.
[3] YI Hui-hui, XIA Zhen-lan, LI Yu, HUANG Hai-yan, TAN Zhen, ZHANG Li-hua. Effect of Structured Bladder Management on Postoperative Urinary Retention of Elderly Patients with Hip Fracture [J]. Journal of Nursing, 2021, 28(6): 65-70.
[4] LI Ke-xuan, SHEN Li-teng, LIANG Yi, XIANG Wei-xu, YING Yu-ai, LI Ling. Effect of Experiential Health Education in Patients with Hypertension [J]. Journal of Nursing, 2021, 28(3): 74-78.
[5] HU Hui-ju, HAN Jing, TANG Qi-qun, CHENG Jie, LI Hui-yuan. Effect Comparison between Morse Fall Scale and Stay Independent Brochure Questionnaire in the Elderly in Nursing Homes [J]. Journal of Nursing, 2021, 28(19): 8-12.
[6] CAI Ying-ying, ZHANG Jun-feng, ZHENG Ke-xin, ZHANG Lan-fang, YU Lu-ping, ZENG Wen, CHEN Meng-yun, HUANG Qiong-shan. Best Evidence Summary for Assessment and Management of Falls in Elderly Cancer Patients [J]. Journal of Nursing, 2021, 28(18): 22-27.
[7] XUAN Cui-xiang, HU Yan, ZHANG Jun, XIN Ling, ZHANG Lan-lan, BIAN Wei-feng, LI Feng, JIANG Yun-juan, LI Shi-guang. Rehabilitation Effect of On-line Precise Stratified Guidance for PCI Patients during COVID-19 Pandemic [J]. Journal of Nursing, 2021, 28(16): 42-46.
[8] GUAN Yan-lu, YANG Dan-dan, ZHANG Wei, JIANG Qian-qian, JIANG Bo. Ward and Subject Management of Phase I Clinical Trials during COVID-19 Epidemic [J]. Journal of Nursing, 2021, 28(15): 60-62.
[9] LV Yong-li, WANG Huan-huan, LI Sha-sha, WAN Cheng, WU Pei. Evidence-based Nursing Practice for Prevention and Management of Urinary Retention after Laparoscopic Radical Resection of Cervical Cancer [J]. Journal of Nursing, 2021, 28(13): 29-33.
[10] QIN Hong-li, ZHAO Zhen, WANG Yan-fang, LU Ying, WANG Zhi-xia, LI li-ming. Best Evidence Summary for Prevention of Pressure Ulcer in ICU Patients [J]. Journal of Nursing, 2021, 28(10): 45-51.
[11] PENG Xue, PENG Yu, ZHANG Hong-yan, CHEN Wei, LIU Lei. Infection Prevention and Control in Living Area of Medical Team Supporting Hubei for Fighting COVID-19 [J]. Journal of Nursing, 2020, 27(9): 52-54.
[12] WU Jin-wen, LI Ding-li, ZHOU Dan, REN Hong, LIAO Li-ping. Prevention and Control of Nosocomial Infection during CT Screening of COVID-19 [J]. Journal of Nursing, 2020, 27(8): 42-46.
[13] CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic [J]. Journal of Nursing, 2020, 27(6): 39-43.
[14] MING Yao-hui, MI Yuan-yuan, NIE Tao, XIANG Cheng-lin, HUANG Hai-yan, YUAN Shi-ying. Establishment of Management System for COVID-19 Prevention in Intensive Care Unit and Its Effect [J]. Journal of Nursing, 2020, 27(5): 55-59.
[15] . Dynamic Change of Medication Compliance of Newly-diagnosed Patients with Type2Diabetes Mellitus, Its Longitudinal Predictors [J]. Journal of Nursing, 2020, 27(19): 58-61.
Viewed
Full text


Abstract

Cited
  Shared   
[1] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors[J]. Journal of Nursing, 2022, 29(6): 1 -6 .
[2] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence[J]. Journal of Nursing, 2022, 29(6): 7 -10 .
[3] WU Xiao-yun, BI Qing-quan, ZHOU Gui-qin, PAN Hai-feng. Mediating Effect of Psychological Resilience between Emotional Creativity and Post-traumatic Growth in Patients with Cornea Transplant[J]. Journal of Nursing, 2022, 29(6): 11 -14 .
[4] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission[J]. Journal of Nursing, 2022, 29(6): 15 -19 .
[5] . [J]. Journal of Nursing, 2022, 29(6): 20 -25 .
[6] RUAN An-ran, HU Hao-ran, REN Ya-hao, YANG Xue-ting, CHENG Kang-yao, TENG Wen-zhe. Visual Analysis of Research Hotspots in Psychological Care for Inflammatory Bowel Disease from 2010 to 2020[J]. Journal of Nursing, 2022, 29(6): 26 -31 .
[7] . [J]. Journal of Nursing, 2022, 29(6): 32 -36 .
[8] ZHANG Hui-chao, WHANG Nan-nan, ZHANG Yu-xi. Emotional Labor Experience of Hospice Nurses: A Systematic Review of Qualitative Studies[J]. Journal of Nursing, 2022, 29(6): 37 -43 .
[9] CAO Mi, ZHANG Jun, YUE Shao-ting. Best Evidence Summary for Post-hospital Neurodevelopmental Supportive Care for Preterm Infants[J]. Journal of Nursing, 2022, 29(6): 44 -49 .
[10] CAI Ying-ying, ZHANG Jun-feng, CAI Ai-fang, ZENG Ya-yan, LI Ling, HUANG Qiong-shan, LIU Xing-ling. Development of Evidence-based Core Competence-oriented Nursing Round Model[J]. Journal of Nursing, 2022, 29(6): 50 -54 .