Fall Risk Factors Assessment Tool: Enhancing Effectiveness in Falls Screening

跌倒危險因子評估新表對提高跌倒篩檢率之成效

徐姍姍(Shan-Shan Hsu) ； 李春蘭(Chun-Lan Lee) ； 王淑蓉(Shu-Jung Wang) ； 徐霜(Shuang Shyu) ； 曾修儀(Hsiu-Yi Tseng) ； 雷玉華(Yu-Hua Lei) ； 李從業(Tsorng-Yeh Lee)

《The Journal of Nursing Research》 12卷3期 (2004/09) Pp. 169-179

摘要

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.

關鍵字

跌倒危險因子 ； 跌倒篩檢 ； 跌倒預防措施

並列摘要

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.

並列關鍵字

fall risk factors ； fall screening ； fall prevention program

參考文獻

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