成年住院患者跌倒的风险评估及发生率
Risk assessment and incidence of falls in adult hospitalized patients.
作者信息
Pasa Thiana Sebben, Magnago Tânia Solange Bosi De Souza, Urbanetto Janete De Souza, Baratto Mari Angela Meneghetti, Morais Bruna Xavier, Carollo Jéssica Baldissera
机构信息
MSc, RN, Hospital Universitário de Santa Maria, Santa Maria, RS, Brazil.
PhD, Adjunct Professor, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.
出版信息
Rev Lat Am Enfermagem. 2017 Apr 20;25:e2862. doi: 10.1590/1518-8345.1551.2862.
OBJECTIVES
assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment.
METHOD
cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls.
RESULTS
the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000).
CONCLUSION
the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.
目的
评估成年住院患者的跌倒风险，并核实该环境下该事件的发生率。
方法
队列研究，经研究伦理委员会批准，监测了一家大学医院的831名住院患者。采用莫尔斯跌倒量表（MFS）评估风险，高风险（≥45分）患者被视为有跌倒风险。
结果
MFS平均得分为39.4（±19.4）分。在首次评估和最终评估之间，得分增加了4.6%。首次评估得分与最终评估得分呈强正相关（r=0.810；p=0.000）。
结论
患者入院时跌倒风险评分越高，住院期末得分越高，反之亦然。发生率为1.68%，跌倒高风险患者的比例更高。
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