From the Departments of Transitional Care.
First Class Ward, The First Affiliated Hospital, Jinan University, Guangzhou, China.
J Patient Saf. 2022 Mar 1;18(2):e580-e584. doi: 10.1097/PTS.0000000000000873.
The aim of the study was to investigate the perceived knowledge of fall prevention in nurses working in hospitals in China and the United States.
A cross-sectional survey with 17 items was used to measure perceived knowledge of fall prevention of nurses working in hospitals in China and the United States.
A total of 1442 nurses at 2 hospitals completed the survey in China (90% return rate), and 260 nurses in 2 hospitals in the United States (42% return rate) for a total sample size of 1702. Six items had means less than 4, indicating less familiarity with these factors. These items included assessment of vertigo and vestibular dysfunction, vision, foot problems, balance and activity, cognitive changes, and medications. In both countries, there was a difference in 2 units worked, with those working in maternal-child having a lower perception of knowledge of fall prevention than those employed on medical-surgical units. Of the 17 items, 11 were significantly different between China and the United States, all with the United States having higher perceived knowledge.
For both the United States and China, the perception of knowledge of fall prevention was high. However, nurses from both countries were less familiar with the items not commonly included on fall risk tools, such as vertigo and vestibular dysfunction, vision, foot problems, balance, and cognitive changes. The findings have implications for practice and education and suggest a need to include important factors related to falls in education and intervention in both countries.
本研究旨在调查中、美两国医院护士对跌倒预防的认知程度。
采用包含 17 个项目的横断面调查，以测量中、美两国医院护士对跌倒预防的认知程度。
共有 2 家中国医院的 1442 名护士（90%的回复率）和 2 家美国医院的 260 名护士（42%的回复率）完成了调查，总样本量为 1702 名。6 项得分低于 4，表明对这些因素的熟悉程度较低。这些项目包括眩晕和前庭功能障碍、视力、足部问题、平衡和活动、认知变化以及药物评估。在中美两国，从事妇产科护理工作的护士比从事内科-外科护理工作的护士对跌倒预防知识的认知程度差异为 2 个单位，这表明前者的认知程度较低。在这 17 个项目中，有 11 个项目在中国和美国之间存在显著差异，所有项目均显示美国的认知程度更高。
中美两国护士对跌倒预防知识的认知程度都较高。然而，两国护士对跌倒风险工具中不常见的项目（如眩晕和前庭功能障碍、视力、足部问题、平衡和认知变化）熟悉程度较低。研究结果对实践和教育具有启示意义，表明两国均需要在教育和干预中纳入与跌倒相关的重要因素。
