目的对肾内科住院患者跌倒的原因进行调查与分析,且提出有效的护理对策,以降低跌倒率。方法 1799例肾内科住院患者作为研究对象,其中55例患者均存在跌倒史(住院期间8例、居家期间47例),对其临床资料进行回顾性分析,以了解其跌倒的原因。结果 55例跌倒患者有18例为年龄因素(32.7%),12例为药物因素(21.8%),10例为环境因素(18.2%),9例为心理因素(16.4%),6例为护士因素(10.9%)。结论年龄、药物、环境、心理以及护士等,是导致肾内科住院患者发生跌倒事件的原因;临床上应予以切实有效的措施,如跌倒评估、打造安全的环境、加强宣教等,以降低跌倒事件的发生。 Objective To investigate and analyze the causes of fall in hospitalized nephrology patients and to propose effective nursing countermeasures to reduce the fall rate. Methods A total of 1799 inpatients with nephrology were enrolled in this study. Among them, 55 patients had a fall history (8 during hospitalization and 47 during their stay). The clinical data were retrospectively analyzed to understand the cause of the fall. Results Among 55 cases of falls, 18 were age-related factors (32.7%), 12 were drug-related factors (21.8%), 10 were environmental factors (18.2%), 9 were psychological factors (16.4%), 6 were nurses Factor (10.9%). Conclusion Age, medicine, environment, psychology and nurses are the causes of falls in inpatients of nephrology. Effective measures should be taken in clinical practice, such as falls assessment, creating a safe environment and strengthening education to reduce falls happened.