Department of Physical Therapy, Florida International University, Miami, FL 33199, USA.
BMJ Qual Saf. 2011 May;20(5):440-8. doi: 10.1136/bmjqs.2010.042382. Epub 2011 Jan 5.
The objective of this study was to establish the rates and to gather information from patients, staff and family members on risks and potential measures to prevent patient falls on geriatric rehabilitation units in a hospital.
The falls recorded in the geriatric rehabilitation units between January 2006 and December 2008 were reviewed to establish their rates (falls/1000 patient days) and locations. Twenty-eight interviews with ten patients, twelve staff and six family members were conducted in one of the units. The identified risks and suggestions were organised using the International Classification of Functioning, Disability and Health (ICF) areas--body function and structure, activity and participation, personal and environmental factors.
The rates of falls (mean ± SD) on the two units evaluated were 7 ± 4 and 8 ± 4. The several risks and potential interventions to prevent falls that emerged from the 28 interviews were presented on figures and tables including examples of the participant quotes.
The findings highlight the complexity of the problem and the value of the approach used to increase our understanding of the issues considering the perspectives of patients, staff and family members. The results are being used to construct context-specific interventions to reduce the rates of falls.
本研究旨在确定医院老年康复病房的跌倒发生率，并收集患者、工作人员和家属对跌倒风险及潜在预防措施的信息。
回顾 2006 年 1 月至 2008 年 12 月期间老年康复病房的跌倒记录，以确定其发生率（每 1000 个患者日的跌倒次数）和发生地点。在其中一个病房对 10 名患者、12 名工作人员和 6 名家属进行了 28 次访谈。使用国际功能、残疾和健康分类（ICF）的身体功能和结构、活动和参与、个人和环境因素领域对确定的风险和建议进行了组织。
评估的两个病房的跌倒发生率（平均值±标准差）分别为 7±4 和 8±4。28 次访谈中出现了一些跌倒风险和潜在的预防干预措施，以图表和表格的形式呈现，包括参与者引述的例子。
研究结果突出了问题的复杂性以及从患者、工作人员和家属的角度来加深我们对问题的理解的方法的价值。结果正在用于构建特定于情境的干预措施，以降低跌倒率。
