Inpatient falls in adult acute care settings: influence of patients' mental status.
Inpatient falls in adult acute care settings: influence of patients' mental status.
复制标题
成人急性护理机构中的住院患者跌倒：患者精神状态的影响。
DOI：
10.1111/j.1365-2648.2010.05343.x
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发表时间：
2010
影响因子：
3.8
通讯作者：
Tzeng,Huey-Ming
中科院分区：
文献类型：
--
作者：
Tzeng,Huey-Ming
曾亨美（2010）成人急性护理环境中的住院患者福尔斯：患者精神状态的影响。高级护理杂志66（8），1741- 1746。摘要标题。成人急性护理环境中的住院患者福尔斯：患者的精神状态的影响。目的。本文是一项研究的报告，跌倒者的精神状态作为福尔斯的患者相关的内在危险因素之一。背景。是否混乱是最重要的因素之一，与医院环境中跌倒风险相关的重要风险因素尚不清楚。文献综述没有发现一致的证据，有效的预防干预患者的精神状态defictions.Methods。这项回顾性研究进行了6个成人急性监护病房在美国的社区医院。数据来源是2005年7月1日至2009年4月30日期间发生的1017起跌倒事件。采用描述性统计和Pearson卡方检验对数据进行分析。结果：346例（34%）福尔斯跌倒中，精神状态缺陷被确定为主要问题。有精神状态缺陷的跌倒者组（32.1%，n = 111）似乎比无精神状态缺陷的跌倒者组（46.7%，n = 314）有更少的与运动相关的福尔斯跌倒。 结论：有心理障碍的跌倒者发生跌倒的危险性评估和有针对性的监测应作为福尔斯预防措施的一部分。 让护理人员和家庭成员参与评估患者的精神状态可能有助于防止由精神状态缺陷引起的福尔斯跌倒。
tzeng h.‐m. (2010)Inpatient falls in adult acute care settings: influence of patients’ mental status.Journal of Advanced Nursing66(8), 1741–1746.AbstractTitle.Inpatient falls in adult acute care settings: influence of patients’ mental status.Aim.This paper is a report of a study of fallers’ mental status as one of the patient‐related intrinsic risk factors for falls.Background.Whether confusion is one of the most important risk factors associated with risk of falling in hospital settings is unclear. Literature reviews have not identified consistent evidence for effective preventive interventions for patients with mental status deficits.Methods.This retrospective research was conducted in six adult acute care units in a community hospital in the United States of America. The data source was the 1017 fall incidents occurring between 1 July 2005 and 30 April 2009. Descriptive statistics and Pearson chi‐square tests were used to analyse the data.Results.The presence of mental status deficits was identified as the dominant issue in 346 (34%) falls. The group of fallers with mental status deficits (32·1%,n= 111) seemed to have fewer toileting‐related falls than those without mental status deficits (46·7%,n= 314). Fallers with mental status deficits tended to have more severe fall injuries than those without mental status deficits (χ2= 10·08, d.f. = 3,P= 0·018).Conclusion.Risk assessment and targeted surveillance should be used as part of falls prevention policy. Involving nursing staff and family members in assessing a patient’s mental status may help to prevent falls caused by mental status deficits.