Diccini Solange, de Pinho Priscila Gomes, da Silva Fabiana Oliveira
Federal University of São Paulo, Brazil.
Rev Lat Am Enfermagem. 2008 Jul-Aug;16(4):752-7. doi: 10.1590/s0104-11692008000400016.
Neurosurgical patients may present motor, sensitive and balance impairment and increased risk of falling. The aim of this study was to evaluate the fall-related risk factors and the incidence of falls in the pre and post-operative period of neurosurgical patients. A prospective cohort study with a research population of patients undergoing elective neurosurgical procedures. Ninety-seven patients took part in the study. Eight (8.2%) have presented falls with a total of 12 falls (12.4%). In two falls (16.7%), bed side rails were down, whereas in six falls (50%), beds had no rails at all. There was no difference among fall-related risk factors during pre and the post-operative periods. We have concluded that most falls could have been prevented through an improvement in the hospital internal structure and with the introduction of a falls prevention program.
神经外科患者可能会出现运动、感觉和平衡障碍，以及跌倒风险增加。本研究的目的是评估神经外科患者术前和术后与跌倒相关的风险因素及跌倒发生率。这是一项针对接受择期神经外科手术患者的前瞻性队列研究。97名患者参与了该研究。8名（8.2%）患者出现跌倒，共发生12次跌倒（12.4%）。其中2次跌倒（16.7%）时床边栏杆放下，6次跌倒（50%）时床根本没有栏杆。术前和术后与跌倒相关的风险因素之间没有差异。我们得出结论，通过改善医院内部结构并引入跌倒预防计划，大多数跌倒本可避免。
