Rick analysis for fall of spinal degenerative disease patients

Objective To formulate targeted nursing measures and prevent or reduce falls of inpatients through the analysis of related risk factors of falls of spinal degenerative disease patients. Methods Review and analysis falls of inpatients happened between January 2015 and April 2016 in our department and find out that all kinds of dangerous reasons lead to falls. All inpatients risk assessments are evaluated with Morse Fall Scale on admission and during hospitalization. The grading standard of patient safety events was used in the classification of fall outcomes. Results A total of 13 inpatients were all high risk patients by Morse Fall Scale. Risk factors of falls: periods between 0:00 and 2:00, 6:00 and 8:00am, 18:00 and 20:00, in 3 days and 2 weeks after admission; combined diseases such as cardiovascular disease, diabetes, osteoarthritis of the knee; accompanied by muscle strength, muscle tension abnormalities. use related drugs; need of accompany or assisted walking; lack of safety awareness; slippery ground, compressed activity space and lack of light. Conclusions Falls of inpatients with spinal degenerative diseases are caused by the joint action of physiological difference, disease, medicine and weak safety consciousness of inpatients and caregivers, with specialty and occurrence in a certain time. Nursing measures can help to avoid and reduce the falls of inpatients. Key words: Spine; Accidental fall; Risk factors; Nursing care; Degenerative disease