Department of Internal Medicine, Division of Nursing Science, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Department of Internal Medicine, Division of Geriatric Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
HERD. 2023 Jan;16(1):131-141. doi: 10.1177/19375867221123607. Epub 2022 Sep 7.
Single-occupancy patient rooms in hospitals have become popular because of the privacy they offer. A downside, however, is the lack of social control from other patients, which might increase the risk of falls and undetected delirium.
To study whether the incidence of falls in single-occupancy patient rooms differs from that in multibedded patient rooms. Secondary aims were to establish differences in the context of falls and differences in delirium incidence.
An uncontrolled observational before-after study was performed during 16 months before and 16 after moving to a hospital with 100% single-occupancy patient rooms. Fall data were retrieved from the hospital incident reporting system. The Delirium Observation Screening Scale (DOSS) was retrieved from the hospital electronic patient data system. Main outcomes were the number of falls per 1,000 patient days, assessed with a Poisson regression analysis, and delirium incidence in fallers.
The incidence of falls was not significantly different between the before period (1.39 falls/1,000 patient days) and the after period (1.38 falls/1,000 patient days; = .924). In the after period, falls in the bathroom were significantly more frequent than in the before period, respectively, 17.2% and 9.4% ( = .003). In both periods, one quarter of the patients who fell had been assessed for delirium. In the before period, 57/73 (78%) of those were suspected for delirium (DOSS ≥ 3) versus 37/55 (67%) in the after period ( = .225).
In this study, we observed no change in incidence of falls after moving to a hospital with 100% single-occupancy bed rooms.
医院的单人病房因其提供的隐私而受到欢迎。然而，缺点是缺乏其他患者的社会控制，这可能会增加跌倒和未被发现的谵妄的风险。
研究单人病房与多床位病房的跌倒发生率是否不同。次要目的是确定跌倒的背景差异和谵妄发生率的差异。
在将医院改为 100%单人病房的 16 个月前和后，进行了一项无对照的观察性前后研究。从医院事故报告系统中检索跌倒数据。从医院电子患者数据系统中检索谵妄观察筛查量表（DOSS）。主要结局是每 1000 个患者天发生的跌倒次数，使用泊松回归分析进行评估，以及跌倒患者的谵妄发生率。
前一时期（1.39 次/1000 个患者天）和后一时期（1.38 次/1000 个患者天； =.924）的跌倒发生率无显著差异。在后一时期，浴室跌倒的发生率明显高于前一时期，分别为 17.2%和 9.4%（ =.003）。在两个时期，四分之一跌倒的患者都接受了谵妄评估。在前一时期，73 例中有 57 例（78%）被怀疑患有谵妄（DOSS≥3），而后一时期 55 例中有 37 例（67%）（ =.225）。
在这项研究中，我们观察到将医院改为 100%单人病房后，跌倒发生率没有变化。
