Course of Physical Therapy, Department of Rehabilitation Science, School of Medicine, Osaka Metropolitan University, Habikino City 583-8555, Osaka, Japan.
Department of Rehabilitation, Yao Tokushukai General Hospital, Yao City 581-0011, Osaka, Japan.
Int J Environ Res Public Health. 2022 Sep 4;19(17):11062. doi: 10.3390/ijerph191711062.
We provided fall prevention programs using home floor plans for older adult patients discharged from an acute-care hospital and verified the fall prevention measures' effectiveness six months after discharge. The research design was a preliminary randomized controlled trial. Orthopedic patients with a falls' history were randomized to the control ( = 30) or the intervention groups ( = 30). Before discharge, the control group was treated with general physiotherapy for their disease characteristics. The intervention group received the same programs before discharge; additionally, a simple house evaluation was conducted using the subject's home floor plan. A six-month follow-up survey was conducted on falls and near-falls after discharge, completed by 51 of the 60 subjects (85%). Within two months, falls occurred in 7.7% of the control group but not in the intervention group, after which, falls occurred in the intervention group, and no significant difference was noted between the two groups (three-month ( = 0.322) and six-month ( = 0.931) follow-ups). The intervention group had significantly fewer near-falls than the control group within three months ( = 0.034), but no significant difference was observed after three months. The results suggested that our program effectively expanded the role of an acute care hospital for discharged patients who need to transition from hospital care to home health care.
我们为从急性护理医院出院的老年患者提供了使用家庭平面图的防跌倒计划，并在出院后六个月验证了防跌倒措施的有效性。研究设计为初步的随机对照试验。有跌倒史的骨科患者被随机分为对照组（n=30）和干预组（n=30）。在出院前，对照组根据疾病特点接受一般物理治疗。干预组在出院前接受相同的方案；此外，还使用患者的家庭平面图对其房屋进行简单评估。对出院后六个月内的跌倒和接近跌倒情况进行了随访调查，共有 60 名受试者中的 51 名（85%）完成了调查。在两个月内，对照组有 7.7%的患者跌倒，但干预组没有；之后，干预组中有患者跌倒，但两组之间无显著差异（三个月随访： = 0.322；六个月随访： = 0.931）。在三个月内，干预组的接近跌倒次数明显少于对照组（ = 0.034），但三个月后无显著差异。结果表明，我们的方案有效地扩大了急性护理医院对出院患者的作用，这些患者需要从医院护理过渡到家庭保健。
