CATCH模式在住院患者跌倒安全管理中的应用

摘要

目的 探讨和评估CATCH模式在住院患者跌倒安全管理中的临床效果及应用.方法 对我院2015年1月至2016年12月应用CATCH模式进行对跌倒风险进行全面、全程、全员参与的系统管理前后的跌倒上报事件的临床资料进行回顾性分析.其中2015年1月至2015年12月我院未应用 CATCH 模式进行系统管理收治患者总床日数为1399473例,2016年1月至2016年12月我院应用CATCH模式进行系统管理后收治患者总床日数为1411789例.分析应用CATCH模式的前后两组两组患者跌倒发生情况、特征及对于护理工作的满意程度.结果 与未应用CATCH模式进行对跌倒风险管理的2015年相比,2016年我院患者在住院期间跌倒数降低,差异具有统计学意义(P<0.05).同时,跌倒后造成总体伤害率较2015年显著降低(P<0.05),跌倒后1级伤害的发生率显著降低(P<0.05).同时,2016年患者对于护理工作的满意度明显更高(P<0.05).结论 以跌倒高危因素为切入点,以多学科合作、综合预防为核心,通过应用CATCH模式进行多学科合作的管理团队更为全面有效,该模式值得借鉴和推广.%Objective To investigate and evaluate the clinical effect and application of CATCH Model in the fall safety management of hospitalized patients.Methods A retrospective analysis was performed on the clinical data of fall incidents repor-ted before and after the comprehensive,whole-process and full-participation systematic management of fall risk used the CATCH model from January 2015 to December 2016 in our hospital.Among them,the total number of patients admitted was 1399473,from January 2015 to December 2015,who did not apply CATCH model for systematic management. The number of patients was 1411789,from January 2016 to December 2016,who were used CATCH model for systematic management.To analyze the fall inci-dence,characteristics and satisfaction of nursing care of two groups before and after the application of CATCH model.Results Compared with 2015 without fall risk management using CATCH model,the fall incidences of hospitalized patients in 2016 was low-er than that in 2015,the difference was statistically significant(P<0.05).At the same time,the overall injury rate after the fall had a significant decrease from 2015(P<0.05),and the incidence rate of the first grade injury after the fall was significantly lower (P<0.05).At the same time,patients' satisfaction with nursing care was significantly higher in 2016(P<0.05).Conclusion Taking the high risk of falling as the starting point,the multidisciplinary cooperation and integrated prevention as the core,the man-agement team through multidisciplinary cooperation using the CATCH model is more comprehensive and effective,which is worth learning from and popularizing.