Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers
Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers
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DOI：
10.5811/westjem.2020.4.43387
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发表时间：
2020-07-01
影响因子：
3.1
通讯作者：
Liu, Shan W.
中科院分区：
文献类型：
--
作者：
Davenport, Kathleen;Cameron, Amy;Liu, Shan W.
简介：跌倒是老年患者就诊急诊室 (ED) 的常见原因。为了帮助医疗服务提供者，制定了《老年急诊科指南》，为急诊室老年患者制定护理标准。我们对急救人员进行了一项调查，以评估 1) 他们对跌倒流行病学和老年急诊指南的了解； 2) 他们目前对老年跌倒患者的急诊实践； 3) 他们进行跌倒预防干预措施的意愿。方法：我们对美国东北部一家城市一级创伤三级转诊医院的急诊服务提供者进行了匿名调查，包括主治医生、住院医师和医师助理。结果：我们的响应率为 75% (102/136)。大多数提供者认为所有老年患者都应该接受跌倒风险因素筛查（84%，86/102），大多数提供者（76%，77/102）回答说所有经过筛查且有跌倒风险的老年患者都应该进行干预。虽然大多数人（80%，82/102）回答老年跌倒预防非常重要，但提供者不愿意花太多时间进行筛查或干预。不到一半 (44%, 45/102) 愿意花 2-5 分钟进行跌倒风险评估和预防，而 46% (47/102) 愿意花不到 2 分钟。结论：急救人员了解老年跌倒预防的重要性，但缺乏对哪些患者进行筛查的了解，并且不愿意花超过几分钟的时间来筛查跌倒干预措施。未来的研究必须考虑提供者的知识和干预意愿。
Introduction: Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1) their knowledge of fall epidemiology and the geriatric ED guidelines; 2) their current ED practice for geriatric fall patients; and 3) their willingness to conduct fall-prevention interventions.Methods: We conducted an anonymous survey of emergency providers including attending physicians, residents, and physician assistants at a single, urban, Level 1 trauma, tertiary referral hospital in the northeast United States.Results: We had a response rate of 75% (102/136). The majority of providers felt that all geriatric patients should undergo screening for fall risk factors (84%, 86/102), and most (76%, 77/102) answered that all geriatric patients screened and at risk for falls should have an intervention performed. While most (80%, 82/102) answered that geriatric falls prevention was very important, providers were not willing to spend much time on screening or interventions. Less than half (44%, 45/102) were willing to spend 2-5 minutes on a fall risk assessment and prevention, while 46% (47/102) were willing to spend less than 2 minutes.Conclusion: Emergency providers understand the importance of geriatric fall prevention but lack knowledge of which patients to screen and are not willing to spend more than a few minutes on screening for fall interventions. Future studies must take into account provider knowledge and willingness to intervene.