跌倒风险评估：对葡萄牙住院成年患者莫尔斯跌倒量表评分的回顾性分析。
Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients.
作者信息
Sardo Pedro Miguel Garcez, Simões Cláudia Sofia Oliveira, Alvarelhão José Joaquim Marques, Simões João Filipe Fernandes Lindo, Melo Elsa Maria de Oliveira Pinheiro de
机构信息
School of Health Sciences, University of Aveiro, Aveiro, Portugal; Centro Hospitalar do Baixo Vouga, EPE, Aveiro Hospital, Aveiro, Portugal; Instituto de Ciências Biomédicas Abel Salazar, University of Oporto, Oporto, Portugal.
QOPNA, Chemistry Department, University of Aveiro, Aveiro, Portugal.
出版信息
Appl Nurs Res. 2016 Aug;31:34-40. doi: 10.1016/j.apnr.2015.11.013. Epub 2015 Nov 30.
PURPOSE
The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. Our work aims to analyze the Morse Fall Scale scores of Portuguese hospitalized adult patients in association with their characteristics, diagnoses and length of stay.
METHODS
Retrospective cohort analysis of Morse Fall Scale scores of 8356 patients hospitalized during 2012. Data were associated to age, gender, type of admission, specialty units, length of stay, patient discharge, and ICD-9 diagnosis.
RESULTS
Elderly patients, female, with emergency service admission, at medical units and/or with longer length of stays were more frequently included in the risk group for falls. ICD-9 diagnosis may also be an important risk factor.
CONCLUSIONS
More than a half of hospitalized patients had "medium" to "high" risk of falling during the length of stay, which determines the implementation and maintenance of protocoled preventive nursing interventions throughout hospitalization. There are several fall risk factors not assessed by Morse Fall Scale. There were no statistical differences in Morse Fall Scale score between the first and the last assessment.
目的
莫尔斯跌倒量表在多个护理环境中用于跌倒风险评估，并支持预防性护理干预措施的实施。我们的工作旨在分析葡萄牙住院成年患者的莫尔斯跌倒量表得分与其特征、诊断和住院时间的关系。
方法
对2012年住院的8356例患者的莫尔斯跌倒量表得分进行回顾性队列分析。数据与年龄、性别、入院类型、专科科室、住院时间、患者出院情况及国际疾病分类第九版（ICD-9）诊断相关。
结果
老年患者、女性、急诊入院患者、在医疗科室住院的患者和/或住院时间较长的患者更常被纳入跌倒风险组。ICD-9诊断也可能是一个重要的风险因素。
结论
超过一半的住院患者在住院期间有“中度”到“高度”的跌倒风险，这决定了在整个住院期间实施和维持规范化的预防性护理干预措施。有几个跌倒风险因素未被莫尔斯跌倒量表评估。首次评估和末次评估的莫尔斯跌倒量表得分无统计学差异。
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