Risk assessment and targeted protective nursing care for falls after hip replacement surgery in the elderly
老年髋关节置换术后跌倒风险评估及针对性防护护理研究

摘要

目的 探讨老年髋关节置换术后患者跌倒风险的有效评估方法及针对性防护护理措施，以降低跌倒发生率，改善预后。方法 选取120例老年髋关节置换术患者，随机分为对照组与观察组各60例。对照组行常规护理，观察组采用多维度跌倒风险评估工具进行精准评估并实施针对性防护护理。比较两组跌倒风险评分、跌倒发生率、术后康复指标及护理满意度。结果 观察组各项跌倒风险评估指标均显著优于对照组，住院期间跌倒发生率低于对照组，术后住院时间与首次下床活动时间均短于对照组，护理满意度高于对照组。结论 基于多维度评估的精准跌倒风险评估结合针对性防护护理，可有效降低老年髋关节置换术后患者跌倒风险，促进康复，提升护理质量。

Abstract

Objective To explore effective assessment methods for the risk of falls in elderly patients after hip replacement surgery and targeted protective nursing measures to reduce the incidence of falls and improve prognosis.
Methods A total of 120 elderly patients undergoing hip replacement surgery were selected and randomly divided into a control group and an observation group, with 60 cases in each group. The control group received routine care, while the observation group was evaluated precisely using a multi-dimensional fall risk assessment tool and implemented targeted protective nursing. The fall risk scores, fall incidence rate, postoperative rehabilitation indicators, and nursing satisfaction were compared between the two groups.
Results The assessment indicators of fall risk in the observation group were significantly better than those in the control group. The fall incidence rate during hospitalization was lower in the observation group than in the control group, and the postoperative hospital stay and the time to first getting out of bed were shorter in the observation group than in the control group, and the nursing satisfaction was higher than that in the control group.
Conclusion   Based on multi-dimensional assessment of fall risk and targeted protective nursing, it can effectively reduce the fall risk of elderly patients after hip replacement surgery, promote rehabilitation, and improve the quality of nursing.