Compliance with external hip protectors in nursing homes in Norway
Compliance with external hip protectors in nursing homes in Norway
复制标题
挪威疗养院对外部髋部保护器的合规性
作者：
L. Forsén;Sidsel Sandvig;A. Schuller;A. Søgaard
目的：调查髋关节保护器使用的依从性。设计：观察性前瞻性研究。环境：19所养老院（1040张床位）。对象：所有住院医师在18个月的时间内被纳入本研究。干预措施：髋部护具作为所有居民医疗保健服务的常规部分。高风险的居民被鼓励定期使用髋关节保护装置。每家养老院都有一个联系人。主要结果测量：评估接受髋关节保护器的百分比，继续使用的概率，终止使用的原因，以及使用髋关节保护器摔倒的百分比。结果：55%的住院患者接受了髋关节保护装置。这一比例随年龄增长而增加，但与性别、联系人的职业或养老院的规模没有显著的关系。继续使用的可能性对年龄和性别没有明显的依赖性。与以物理治疗师为联系人的疗养院相比，以护士为联系人的疗养院的居民终止定期使用髋关节护具的风险高出51%（相对风险（RR） 1.51, 95%可信区间（CI） 1.11至2.05,p = 0.008）。大型疗养院（75-92张床位）与小型疗养院（24-68张床位）的相应结果RR = 1.44 （95% CI 1.02至2.02,p = 0.036）。2323例跌倒中有76%发生在使用髋关节护具时。结论：养老院的联系人和大小似乎是继续使用髋关节护具的重要因素，而年龄和性别似乎不太重要。
Objectives: To investigate compliance with hip protector use. Design: Observational prospective study. Setting: 19 nursing homes (1040 beds). Subjects: All residents during an 18 month period were included in this study. Intervention: Hip protectors were introduced as a regular part of health care service for all residents. Residents at high risk were encouraged to use hip protectors regularly. Each nursing home had a contact person. Main outcome measures: The percentage of residents accepting the hip protector offer, probability of continued use, reasons for terminating use, and percentage of falls with hip protector were evaluated. Results: Fifty five percent of the residents accepted the hip protector offer. The percentage increased by age, but showed no significant dependence on gender, profession of the contact person, or size of nursing home. The probability of continued use showed no significant dependence on age and gender. Nursing homes with a nurse as contact person showed 51% higher risk of residents terminating regular hip protector use than nursing homes with a physiotherapist as contact person (relative risk (RR) 1.51, 95% confidence interval (CI) 1.11 to 2.05, p = 0.008). The corresponding result for large (75–92 beds) compared with small (24–68 beds) nursing homes was RR = 1.44 (95% CI 1.02 to 2.02, p = 0.036). Seventy six percent of 2323 falls occurred while using hip protectors. Conclusion: The contact person and size of the nursing home seemed to be important factors for continued use of hip protectors while age and gender seemed to be less important.