Lee Youngshin, Choi Eunju, Yang Eunjung, Kim Jihui, Kim YeonHee, Park Hyeoun-Ae
Department of Nursing, Asan Medical Center, Seoul, Korea.
College of Nursing, Seoul National University, Seoul, Korea.
Stud Health Technol Inform. 2016;225:639-40.
Many fall prevention strategies have been used for reducing fall rates. The purpose was to evaluate fall prevention nursing against clinical practice guidelines and effectiveness of preventing strategies according to risk group.
We developed fall survey form after securing consistencies (Fleiss Kappa = .83). The EHRs of 447 events from June 1, 2014 to May 31, 2015 were reviewed. Descriptive statistics and Chi-square test were used for statistical tests.
There were recorded 'Keep bed with brakes locked' in 272 patients (60.9%). Compared with clinical practice guidelines, 'instruction of patients to ask for help actively' and 'keep patients care areas uncluttered.' actions were few in EHRs. There were significant differences between risk groups in 28 nursing actions.
This study shows that fall prevention strategies according to risk groups are insufficient to prevent falls. Instruction about critical time that patients should ask for help should be considered.
许多预防跌倒的策略已被用于降低跌倒发生率。本研究旨在根据临床实践指南评估预防跌倒护理措施，并根据风险分组评估预防策略的有效性。
在确保一致性（Fleiss Kappa = 0.83）后，我们制定了跌倒调查问卷。回顾了2014年6月1日至2015年5月31日期间447起事件的电子健康记录。采用描述性统计和卡方检验进行统计分析。
272例患者（60.9%）的记录中有“将床的刹车锁住”。与临床实践指南相比，电子健康记录中“指导患者主动寻求帮助”和“保持患者护理区域整洁”的行为较少。28项护理措施在风险分组之间存在显著差异。
本研究表明，根据风险分组的预防跌倒策略不足以预防跌倒。应考虑对患者寻求帮助的关键时间进行指导。
