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患者对跌倒风险的认知与跌倒风险筛查分数

Patient Perception of Fall Risk and Fall Risk Screening Scores.

作者信息

Solares Nicole P, Calero Patricia, Connelly Cynthia D

机构信息

MemorialCare Long Beach Medical Center, Long Beach, California (Dr Solares); and Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California (Drs Solares and Connelly and Ms Calero).

出版信息

J Nurs Care Qual. 2023;38(2):100-106. doi: 10.1097/NCQ.0000000000000645. Epub 2022 Sep 12.

DOI:10.1097/NCQ.0000000000000645
PMID:36094277
Abstract

BACKGROUND

Falls are the most prevalent adverse event among hospitalized patients. Multilevel risk factors are associated with falls, yet falls continue.

PURPOSE

To evaluate the relationship between the Johns Hopkins Fall Risk instrument, patient characteristics, and perception of fall risk.

METHODS

The Johns Hopkins Fall Risk score, patient perception of fall risk, and patient characteristics were analyzed among inpatient adults (n = 201) from 5 acute care units in a large southern California medical center.

RESULTS

Bivariate analyses revealed that fall risk was inversely associated with participants' confidence in their ability to perform high fall risk behaviors without help and without falling ( P = .018).

CONCLUSIONS

Perception of fall risk is a promising new indicator in preventing falls. Patient perception of fall risk may elicit a behavior change to help prevent falls. Increased health care provider awareness of patient perception of fall risk may improve fall risk interventions and prevention programs.

摘要

背景

跌倒在住院患者中是最常见的不良事件。多种风险因素与跌倒相关,但跌倒情况仍持续发生。

目的

评估约翰霍普金斯跌倒风险评估工具、患者特征与跌倒风险认知之间的关系。

方法

在南加州一家大型医疗中心的5个急性护理单元的成年住院患者(n = 201)中,分析了约翰霍普金斯跌倒风险评分、患者对跌倒风险的认知以及患者特征。

结果

双变量分析显示,跌倒风险与参与者在无人帮助且不会跌倒的情况下进行高跌倒风险行为的能力信心呈负相关(P = .018)。

结论

跌倒风险认知是预防跌倒的一个有前景的新指标。患者对跌倒风险的认知可能引发行为改变以帮助预防跌倒。医护人员提高对患者跌倒风险认知的意识,可能会改善跌倒风险干预措施和预防项目。

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