Auburn University School of Nursing, United States of America.
Appl Nurs Res. 2021 Feb;57:151392. doi: 10.1016/j.apnr.2020.151392. Epub 2020 Nov 26.
Falls are costly and one of the most expensive medical conditions to treat. The implementation of fall prevention toolkits (FPTs), such as fall risk screenings and fall prevention education (FPE), have become progressively important in reducing fall incidences. Nurses have a greater role and responsibility to care for the aging population. The purpose of this project was to implement a FPT to adults age 65 and older that attended mobile IPE community clinics.
This project used quantitative pretest-posttests and an open-ended participant feedback survey. The Missouri Alliance for Home Care 10-question survey and components of the CDC's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) FPE were used to assess and educate participants on fall risks and fall prevention. An initial baseline fall assessment and fall education score was obtained at the mobile IPE clinics. Follow-up assessments occurred one month after the initial assessment and compared to the initial fall assessment and fall education scores with an additional open-ended participant survey.
In both fall risk assessment tools, lower scores indicated a lower fall risk; both fall risk assessment tool mean scores decreased over the one-month period.
Future FPE implementation projects should consider providing needed resources the participants may need so there is no delay in increasing fall prevention and safety measures. The follow-up time period should also be increased to fortify FPE and keep participants engaged in fall prevention safety.
跌倒的代价高昂,是医疗费用最高的疾病之一。实施跌倒预防工具包(FPT),如跌倒风险筛查和跌倒预防教育(FPE),对于降低跌倒发生率变得越来越重要。护士在照顾老年人群体方面扮演着更重要的角色和承担更多的责任。本项目的目的是为参加移动 IPE 社区诊所的 65 岁及以上成年人实施 FPT。
本项目采用定量预测试-后测试和开放式参与者反馈调查。使用密苏里州家庭护理联盟的 10 个问题调查和疾病预防控制中心的 STEADI(Stopping Elderly Accidents, Deaths, and Injuries)FPE 的组成部分来评估和教育参与者有关跌倒风险和跌倒预防的知识。在移动 IPE 诊所进行初始基线跌倒评估和跌倒教育评分。在初始评估后一个月进行后续评估,并将初始跌倒评估和跌倒教育评分与额外的开放式参与者调查进行比较。
在两个跌倒风险评估工具中,较低的分数表示较低的跌倒风险;两个跌倒风险评估工具的平均分数在一个月内都有所下降。
未来的 FPE 实施项目应考虑提供参与者可能需要的资源,以免在增加跌倒预防和安全措施方面出现延误。后续时间也应该延长,以加强 FPE 并使参与者参与到跌倒预防安全中来。