Shankar Kalpana N, Taylor Devon, Rizzo Caroline T, Liu Shan W
Department of Emergency Medicine, Boston Medical Center, Boston University, Boston, MA, USA.
Division of Emergency Medicine, Duke University, Durham, NC, USA.
Geriatr Orthop Surg Rehabil. 2017 Dec;8(4):231-237. doi: 10.1177/2151458517738440. Epub 2017 Nov 28.
We sought to understand older patients' perspectives about their fall, fall risk factors, and attitude toward emergency department (ED) fall-prevention interventions.
We conducted semistructured interviews between July 2015 and January 2016 of community-dwelling, nondemented patients in the ED, who presented with a fall to an urban, teaching hospital. Interviews were halted once we achieve thematic saturation with the data coded and categorized into themes.
Of the 63 patients interviewed, patients blamed falls on the environment, accidents, a medical condition, or themselves. Three major themes were generated: (1) patients blamed falls on a multitude of things but never acknowledged a possible multifactorial rationale, (2) patients have variable level of concerns regarding their current fall and future fall risk, and (3) patients demonstrated a range of receptiveness to ED interventions aimed at preventing falls but provided little input as to what those interventions should be.
Many older patients who fall do not understand their fall risk. However, based on the responses provided, older adults tend to be more receptive to intervention and more concerned about their future fall risk, making the ED an appropriate setting for intervention.
我们试图了解老年患者对其跌倒、跌倒风险因素以及对急诊科（ED）预防跌倒干预措施的态度。
2015年7月至2016年1月期间，我们对一家城市教学医院急诊科中因跌倒前来就诊的社区居住、无痴呆的患者进行了半结构化访谈。一旦我们对编码和分类为主题的数据达到主题饱和，访谈即停止。
在接受访谈的63名患者中，患者将跌倒归咎于环境、事故、医疗状况或自身。产生了三个主要主题：（1）患者将跌倒归咎于多种因素，但从未承认可能存在多因素原因；（2）患者对其当前跌倒和未来跌倒风险的担忧程度各不相同；（3）患者对急诊科旨在预防跌倒的干预措施表现出不同程度的接受度，但对于这些干预措施应该是什么提供的意见很少。
许多跌倒的老年患者不了解自己的跌倒风险。然而，根据所提供的回答，老年人往往更容易接受干预，并且更关注他们未来的跌倒风险，这使得急诊科成为进行干预的合适场所。
