Abstract:ObjectiveTo analyze the improvement of fall prevention cognition and compliance among high-risk fall patients after the introduction of project-based nursing model. MethodsA total of 86 patients admitted in the First Hospital of Hebei Medical University from October 2020 to October 2021 were selected, and were randomly divided into observation group and control group according to the digital table, with 43 patients in each group. The control group implemented the routine nursing scheme, and the observation group implemented the project-based nursing mode. At the end of the first week after the intervention, the self-developed fall prevention cognitive questionnaire and fall prevention compliance behavior investigation table were used to investigate the fall prevention cognitive system and the compliance of the patients. ResultsThe cognitive score of the observation group was higher than that of the control group （P＜0.05）. The score of fall prevention compliance in the observation group was higher than that in the control group［（81.7±3.7）pointsvs（63.8±2.4） points,t=26.615, P＜0.01］. The nursing satisfaction in observation group was significant higher than that in control group (95.4%vs79.1%, χ2=5.108, P＜0.05). ConclusionThe application of the project-based nursing model to the high-risk fall population can improve the individual's fall prevention cognitive system and improve their compliance to fall prevention behavior.