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住院老年人的跌倒风险。

Risk of falls in hospitalized elderly people.

作者信息

Falcão Renata Maia de Medeiros, Costa Kátia Neyla de Freitas Macedo, Fernandes Maria das Graças Melo, Pontes Maria de Lourdes de Farias, Vasconcelos Josilene de Melo Buriti, Oliveira Jacira Dos Santos

机构信息

Universidade Federal da Paraíba (UFPB), Programa de Pós-Graduação em Enfermagem. João Pessoa, Paraíba, Brasil.

Universidade Federal da Paraíba (UFPB), Departamento de Enfermagem em Saúde Coletiva. João Pessoa, Paraíba, Brasil.

出版信息

Rev Gaucha Enferm. 2019;40(spe):e20180266. doi: 10.1590/1983-1447.2019.20180266. Epub 2019 Apr 8.

Abstract

OBJECTIVE

To assess the risk of falls in hospitalized elderly people.

METHOD

Cross-sectional study with a quantitative approach, carried out at University Hospital of the State of Paraíba. The sample consisted of 284 elderly subjects interviewed from April to October 2016. The Morse Fall Scale was used to evaluate the risk of falls.

RESULTS

Elderly males (52.5%) aged between 60 and 69 years old (58.1%) and who were not literate (38.7%), prevailed. It was verified that 45% of the sample presented a high risk of falls. The secondary diagnosis and the use of intravenous therapy were the criteria that obtained a higher percentage of elderly at risk. Diuretics (p≤0.032), urinary incontinence (p≤0.001), visual deficit (p≤0.001) and heart failure (p≤0.001) were significantly associated with the high risk of falls.

CONCLUSION

The use of specific tools in the prevention of falls allows the improvement in the quality of assistance based on scientific evidence, allowing effective intervention and potentiating patient safety.

摘要

目的

评估住院老年人的跌倒风险。

方法

采用定量研究方法进行横断面研究,在帕拉伊巴州大学医院开展。样本包括2016年4月至10月间接受访谈的284名老年受试者。使用莫尔斯跌倒量表评估跌倒风险。

结果

以60至69岁(58.1%)的老年男性(52.5%)且未受过教育者(38.7%)居多。经证实,45%的样本存在高跌倒风险。二级诊断和静脉治疗的使用是确定高风险老年人比例较高的标准。利尿剂(p≤0.032)、尿失禁(p≤0.001)、视力缺陷(p≤0.001)和心力衰竭(p≤0.001)与高跌倒风险显著相关。

结论

使用特定工具预防跌倒可依据科学证据提高护理质量,实现有效干预并增强患者安全。

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