Risk Factors for Inpatient Falls at a Mental Hospital

精神專科醫院住院病人跌倒的危險因子

曾志傑(Chih-Chieh Tseng) ； 蘇碧玉(Pi-Yu Su) ； 黃信得(Hsin-Te Huang) ； 張玉坤(Yue-Cune Chang) ； 戴月明(Yueh-Ming Tai)

《台灣精神醫學》 27卷2期 (2013/06) Pp. 131-139+III

摘要

目的：本研究的目的主要是探討與精神科住院病人跌倒相關的危險因子。方法：某精神專科醫院2007年至2013年5,894個住院病人中，有545個病人至少經歷了一次以上的跌倒，其中包含397位男性，148位女性。資料整理後分析相關跌倒危險因子。結果：男性病人(OR= 1.58)，超過60歲(OR = 21.42)，以及雙極性疾患病人(OR = 14.14) 容易有3次以上跌倒。女性病人(OR = 3.59)，跌倒3次以上(OR = 5.14)，以及住在慢性病房病人(OR = 5.30) 容易發生嚴重傷害的跌倒。結論：建議精神醫療照顧者應注意精神科病人跌倒危險因子，針對高風險病人給予更多的協助。

關鍵字

跌倒 ； 危險因子 ； 跌倒次數 ； 受傷嚴重程度

並列摘要

Objective: The objectives of this study were to identify predictors of falls and to measure the severity of injuries among psychiatry inpatients. Methods: We first examined a five-year adverse event registry data of a psychiatric teaching hospital, which is a 450-bed long-term acute care facility located in northern Taiwan. Out of 5,894 registered patients, 545 patients fell at least once, and 27.2% of them were women. We next compared the difference between groups of falls versus non-fall and single fall versus repeat falls in demographic characteristics, psychiatric diagnosis and injury severity. Results: Patients who were male in sex (OR = 1.58, p ＜ 0.05), those who were 60 years or older (Odds ratio, OR = 21.42, p ＜ 0.001), and those with bipolar disorder (OR = 14.14, p ＜ 0.001) were significantly more likely to have repeated (3 or more) falls. More serious injuries were significantly more common in female patients (OR = 3.59, p ＜ 0.05), in patients with repeated (3 or more) falls (OR = 5.14, p ＜ 0.01), and in patients who were admitted to chronic wards (OR = 5.30, p ＜ 0.01). Conclusion: The risk factors for falls in psychiatric inpatients included older age and a diagnosis of schizophrenia, bipolar disorder, dementia, or substance dependence. The risk factors for repeated falls included older age, male gender, and a diagnosis of schizophrenia, bipolar disorder, or dementia. Risk factors for major injuries included female gender, repeated falls, and living in a chronic ward.

並列關鍵字

Falls ； risk factors ； numbers of falls ； severity of injuries

參考文獻

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