- 期刊
精神科住院病患跌倒因素之探討
The Factors of Fall-Related among Psychiatric Inpatients
摘要
The purpose of this study was to explore the fall-related factors among psychiatric inpatients. This was a retrospective case-control study from Jan. 1, 2003 to May 31, 2004 in a community hospital. The inpatients were reported to have fallen as the fall group, while the discharged patients were selected from the computer as the non-fall group. Two groups were matched by controlled variances such as gender, age, length of stay at hospital for the fall event and psychiatric diagnosis. The total pairing consisted of 34 pairs (68 subjects). The study tools included the registration forms of the two groups, containing basic data, admission data, pre-day physical status of the fall event, Charlson Comorbidity Score and the use of medications. The results of the study indicated activity dependent ability, Charlson Comorbidity Score in physical status, and the use of medications such as antidepressant agents, vasodilator agents and polypharmacy to be significantly different between the two groups (p＜.05). Using regression for further analysis, patient's activity dependent ability as 83.9% is proved most important as predictive variables for falls. The use of antidepressant agents as 3.8%, polypharmacy 1.3%, and Charlsom Comorbidity Score 1.7% could explain variances for falls. From this study, the results can provide indicators to predict falls among the psychiatric patients and develop coping strategies for fall prevention.
並列摘要
The purpose of this study was to explore the fall-related factors among psychiatric inpatients. This was a retrospective case-control study from Jan. 1, 2003 to May 31, 2004 in a community hospital. The inpatients were reported to have fallen as the fall group, while the discharged patients were selected from the computer as the non-fall group. Two groups were matched by controlled variances such as gender, age, length of stay at hospital for the fall event and psychiatric diagnosis. The total pairing consisted of 34 pairs (68 subjects). The study tools included the registration forms of the two groups, containing basic data, admission data, pre-day physical status of the fall event, Charlson Comorbidity Score and the use of medications. The results of the study indicated activity dependent ability, Charlson Comorbidity Score in physical status, and the use of medications such as antidepressant agents, vasodilator agents and polypharmacy to be significantly different between the two groups (p＜.05). Using regression for further analysis, patient's activity dependent ability as 83.9% is proved most important as predictive variables for falls. The use of antidepressant agents as 3.8%, polypharmacy 1.3%, and Charlsom Comorbidity Score 1.7% could explain variances for falls. From this study, the results can provide indicators to predict falls among the psychiatric patients and develop coping strategies for fall prevention.
被引用紀錄
延伸閱讀
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