School of Nursing at Oakland University, Rochester, MI, USA.
Geriatr Nurs. 2010 Jan-Feb;31(1):8-16. doi: 10.1016/j.gerinurse.2009.09.002. Epub 2009 Nov 12.
Impulsivity in older adults is poorly understood and there is limited literature on the relationship between impulsivity and falls. This retrospective study evaluated the relationship between of inattention and impulsivity related falls (IRF) in hospitalized older adults. The sample (N = 192) included patients 65 years and older with a documented in-patient fall in 2007. "Impaired judgment" was identified as the critical attribute of IRF. The Confusion Assessment Method item for inattention was extracted as the variable for inattention. Twenty-eight percent (28%) of falls were classified as IRF. A significant relationship was found between inattention on the shift prior to a fall and the fall being an IRF (Chi-square = 45.5, df = 1, p = .00, Phi = .54, p = .00). Early identification of older adults with impaired attention has potential to reduce IRF when nursing uses this assessment to implement additional safety interventions for hospitalized older adults.
老年人的冲动行为理解不足，关于冲动与跌倒之间的关系的文献也有限。本回顾性研究评估了住院老年人注意力不集中与冲动相关跌倒（IRF）之间的关系。该样本（N=192）包括 2007 年有记录的住院跌倒的 65 岁及以上患者。“判断受损”被确定为 IRF 的关键属性。将注意力不集中的注意力评估方法项目提取为注意力不集中的变量。28%（28%）的跌倒被归类为 IRF。在跌倒前的转移注意力与跌倒为 IRF 之间发现了显著的关系（卡方=45.5，df=1，p=0.00，Phi=0.54，p=0.00）。当护理人员使用该评估为住院老年人实施额外的安全干预措施时，早期识别注意力受损的老年人有可能减少 IRF。
