Scanlan Justin, Wheatley Jessica, McIntosh Susannah
Mental Health Services, Sydney Local Health District, and Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Australas Psychiatry. 2012 Aug;20(4):305-8. doi: 10.1177/1039856212455250. Epub 2012 Jul 17.
Falls in inpatient psychiatric units are more frequent than in other age-matched unit types. We set out to explore factors associated with falls in inpatient units in a large metropolitan mental health service.
Contributory factors, location, activity and outcomes were identified for 559 falls. Overall falls rates were also calculated.
Falls rate was 1.25 per 1000 occupied bed days, with highest rates in psychogeriatric units. Almost 50% of falls were related to physiological factors, with balance or mobility difficulties accounting for 19% of all falls. Falls most frequently occurred in bedrooms, outdoor areas, corridors and bathrooms. The most common activity at the time of the fall was walking (41%) and transfers were associated with 17% of falls. Outcomes were evenly spread between no outcome and minor to moderate injury. No severe injuries were reported.
Although falls may have been under-reported, this study establishes an analysis framework and baseline data for the monitoring of falls in inpatient psychiatric units in Australia.
住院精神科病房的跌倒发生率高于其他年龄匹配的病房类型。我们着手探讨在一家大型都市精神卫生服务机构中，与住院病房跌倒相关的因素。
确定了559起跌倒事件的促成因素、地点、活动及后果。还计算了总体跌倒发生率。
跌倒发生率为每1000个占用床位日1.25起，在老年精神科病房发生率最高。近50%的跌倒与生理因素有关，平衡或行动困难占所有跌倒事件的19%。跌倒最常发生在卧室、户外区域、走廊和浴室。跌倒时最常见的活动是行走（41%），转移相关的跌倒占17%。后果在无后果与轻度至中度损伤之间均匀分布。未报告严重损伤。
尽管跌倒事件可能报告不足，但本研究为澳大利亚住院精神科病房跌倒监测建立了一个分析框架和基线数据。
