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老年人跌倒导致住院的影响:医疗保健与预防

Repercussions of hospitalization due to fall of the elderly: health care and prevention.

作者信息

Luzardo Adriana Remião, Paula Júnior Newton Ferreira de, Medeiros Marcelo, Wolkers Paula Carolina Bejo, Santos Silvia Maria Azevedo Dos

机构信息

Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Nursing Faculty, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.

出版信息

Rev Bras Enferm. 2018;71 Suppl 2:763-769. doi: 10.1590/0034-7167-2017-0069.

Abstract

OBJECTIVE

To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014.

METHOD

Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis.

RESULTS

It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take care of me and Prevention of the Fall. The repercussions of the fall were evidenced in the impairment of the health condition, self-care and functional capacity. We observed the naturalization of the phenomenon and the passivity with the harmful consequences of the event. Final Considerations: The fall is valued the more negative its repercussion, such as the need for hospitalization and surgery. Managing the vulnerability of the elderly, especially in primary care, evaluating their comorbidities and their internal and external environment, will minimize unfavorable consequences and the social and financial cost of hospitalizations.

摘要

目的

了解2014年10月至12月期间,弗洛里亚诺波利斯市一家公立医院中老年人及其照顾者所报告的跌倒事件的影响。

方法

采用定性研究方法进行探索性研究,通过对16名参与者进行深度访谈,其中8名因跌倒住院的老年人和8名老年照顾者。通过主题内容分析法进行数据分析。

结果

证实了主题轴:跌倒老年人,由四个主题类别支持:跌倒引起的变化、我是跌倒者、自我照顾以及预防跌倒。跌倒的影响体现在健康状况、自我护理和功能能力的损害上。我们观察到该现象的常态化以及对事件有害后果的被动态度。最终结论:跌倒的影响越负面,其受到的重视程度越高,例如住院和手术的必要性。管理老年人的脆弱性,尤其是在初级保健中,评估他们的合并症以及内部和外部环境,将最大限度地减少不良后果以及住院的社会和经济成本。

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