老年人在初级卫生保健中的跌倒风险护理诊断。

Nursing diagnosis Risk for Falls in the elderly in primary health care.

机构信息

Universidade de Brasília. Brasília, Distrito Federal, Brazil.

出版信息

Rev Bras Enferm. 2020 Jul 8;73Suppl 3(Suppl 3):e20180826. doi: 10.1590/0034-7167-2018-0826.

DOI:10.1590/0034-7167-2018-0826

PMID:32667409

Abstract

OBJECTIVE

to evaluate the Nursing Diagnosis (ND) Risk for Falls in elderly subjects in primary health care in the Federal District.

METHODS

a descriptive, quantitative, cross-sectional study conducted in two basic health units. Data collection included blood collection, nursing consultation and physical evaluation of 156 elderly subjects with chronic diseases.

RESULTS

the most prevalent intrinsic risk factors of NANDA-I were visual impairment (73.7%), impaired mobility (70.5%) and history of falls (69.9%); and extrinsic factors were the use of insufficient material in the bathroom (60.3%) and loose carpets (58.3%). The intrinsic factors that increased the risk for falls were the use of assistive devices (OR 3.50; p=0.030), impaired walking (OR 2.84; p=0.019) and cognitive impairment (OR 1.26; p=0.019); and the extrinsic factor was the use of loose rugs (OR 1.59; p=0.041).

CONCLUSION

this ND has proved to be a valuable instrument for the identification of risk factors for falls in elderly subjects in primary care.

摘要

目的

评估在联邦区初级保健中的老年人跌倒风险的护理诊断（ND）。

方法

这是一项在两个基层卫生单位进行的描述性、定量、横断面研究。数据收集包括对 156 名患有慢性病的老年人进行血液采集、护理咨询和身体评估。

结果

NANDA-I 中最常见的内在风险因素是视力障碍（73.7%）、行动不便（70.5%）和跌倒史（69.9%）；外在因素是浴室材料不足（60.3%）和地毯松动（58.3%）。增加跌倒风险的内在因素是使用辅助设备（OR 3.50；p=0.030）、行走困难（OR 2.84；p=0.019）和认知障碍（OR 1.26；p=0.019）；外在因素是使用松动的地毯（OR 1.59；p=0.041）。