Fall Risk Factors Assessment Tool: Enhancing Effectiveness in Falls Screening

Shan-Shan Hsu; Chun-Lan Lee; Shu-Jung Wang; Shuang Shyu; Hsiu-Yi Tseng; Yu-Hua Lei; Tsorng-Yeh Lee

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P169 - 179

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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Fall Risk Factors Assessment Tool: Enhancing Effectiveness in Falls Screening

跌倒危险因子评估新表对提高跌倒筛检率之成效

徐姗姗(Shan-Shan Hsu) ；李春兰(Chun-Lan Lee) ；王淑蓉(Shu-Jung Wang) ；徐霜(Shuang Shyu) ；曾修仪(Hsiu-Yi Tseng) ；雷玉华(Yu-Hua Lei) ；李从业(Tsorng-Yeh Lee)

The Journal of Nursing Research ； 12 卷 3 期 (2004 / 09 / 01) ， P169 - 179

英文

跌倒危险因子；跌倒筛检；跌倒预防措施； fall risk factors ； fall screening ； fall prevention program

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摘要 │ 参考文献 (21) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

A quasi-experimental study was conducted to explore the effectiveness of fall prevention among hospital patients based on the modified fall risk factors assessment tool. We investigated the frequency of falls among hospital patients at a medical center in Taiwan. The experimental group of falls victims was selected from patients (n = 39) hospitalized in 2002 after falls. The control group of patients falls was selected by means of a retrospective incident report review which identified patients (n = 43) hospitalized one year earlier. The results showed that there was no significant difference in the incidence of falls between the two groups. Nevertheless, there were significant differences in age, indications of falls, use of sedatives, walking ability and evaluated grade of fall risk factors. In addition, the average level of satisfaction under recently modified fall risk factors evaluation guideline was 2.68 points (upper limit = 4 points) based upon investigation derived from nursing staff’s opinions. Moreover, nursing staff from GYN/OBS and orthopedics departments acknowledged the enhanced effectiveness of these new guidelines. The screening rate for high-risk orthopedic patients was increased from 20.7% to 41.9%. Furthermore, the screening rate among the experimental group (74.4%) was also higher than that among the control group (60.5%) (p ＜ .01). In line with our effective tool to screen high-risk patients, we also added the concept of continuous quality improvement in nursing care to implement a fall prevention program to reduce unnecessary injury. This strategy may assist nursing personnel in providing immediate and individualized care as well as health education for high-risk patients. It may also cause the incidence of patient falls in hospitals to continue to decline.

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参考文献 ( 21 ) 〈TOP〉

Adrianne, J. L.(1999).Evaluation of the fall prevention program in an acute care setting.Orthopedic Nursing,18(6),31-37.
Chen, C. H.(1991).Investigation and research of hospitalized patients fall events.VGH Nursing,8(2),311.
Chen, L. Y.,Chen, S. E.,Li, J. Y.,Hsu, Y. N.(1998).Study on the preventing program of hospitalized patient of medicine wards.Hospital,31(6),78-81.
Chen, Y. C.,Line, L. H.,Jeng, S. F.(2002).The impacting factors of hospitalized patient injurious falls and the correlation with the consumption of medical resources.Tzu Chi Nursing Journal,1(3),66-76.
Chen. Y. C.,M. S. Lu(2001).Taiwan joint commission on hospital accreditation.Research on hospitalized patient falls related factors and their medical resource spending. Symposium conducted at the 2nd anniversary meeting of the Taiwan Quality Indicator Project,Taipei:

被引用文献 ( 3 ) 〈TOP〉

国际计量

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