基于成人住院患者跌倒风险评估及预防策略下PISETI管理模型在眼科住院患者防跌倒管理中的应用效果

The Application Effect of PISETI Management Model in the Fall Prevention Management of Ophthalmic Inpatients Based on the Risk Assessment and Prevention Strategy of Adult Inpatients

摘要: 目的：探讨基于《成人住院患者跌倒风险评估及预防》策略下PISETI管理模型在眼科住院患者预防跌倒管理中的应用效果。方法：成立眼科防跌倒安全管理小组，应用临床判断法结合Morse评分，引入“PISETI管理模型”，注重眼科特点，从患者、信息、标识、环境、家属和团队合作等六个方面实施预见性、针对性护理，有效防控跌倒风险。比较实施前(2020年1月~2021年2月)和实施后(2021年3月~2022年2月)住院患者意外跌倒发生率。结果：实施前住院患者意外跌倒发生率0.078‰ (7/8943)，实施后意外跌倒发生率0.025‰ (2/8010) (X² = 4.61, P < 0.05)；患者满意度由95.06%提升到98.28% (u = 6.115, P < 0.001)，差异有统计学意义。结论：基于成人住院患者跌倒风险评估及预防策略应用PISETI管理模型，可提高医患安全意识，改进认知和行为，对预防眼科住院患者跌倒具有明显的效果，同时提升管理效能和满意度。

Abstract: Objective: To study the application effect of PISETI management model on the management of ophthalmology inpatients fall prevention based on the adult inpatients fall risk assessment and prevention strategy. Method: Set up eye fall pre-vention and safety management team, apply the clinical judgment method combined with Morse, introducing “PISETI management model”, pay attention to eye characteristics, from the patient, in-formation, identification, environment, family and teamwork in six aspects, such as implementing predictability, targeted nursing, fall in the effective prevention and control risk; compare the inpa-tients falling accident rates before carrying out (January 2020~February 2021) and after imple-mentation (March 2021~February 2022). Results: Before carrying out hospitalized patients falling accident rate was 0.078‰ (7/8943), after the implementation of falling accident rate 0.025‰ (2/8010) (X² = 4.61, P < 0.05); Patient satisfaction increased from 95.06% to 98.28% (u = 6.115, P < 0.001). The difference was statistically significant. Conclusion: Based on adult inpatients fall risk assessment and prevention strategy, application of PISETI management model can improve patient safety consciousness, improve the cognition and behavior, have obvious effects on preventing oph-thalmology inpatients fall, while increasing the management efficiency and satisfaction.