General Surgery Department, Shanxi Bethune Hospital, Taiyuan, China.
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Nurs Open. 2023 Nov;10(11):7343-7347. doi: 10.1002/nop2.1987. Epub 2023 Aug 23.
To analyse the risk factors for falls in vascular patients and methods to mitigate fall risk in hospitalised patients receiving vascular surgery.
This study is a multicentre, retrospective study.
A total of 112 inpatients that underwent vascular surgery in five hospitals in Shanxi Province from April 2018 to April 2022 were selected. They were divided into two groups according to whether they had fallen or not; 56 patients who fell were taken as the observation group and 56 patients who did not fall were taken as the control group. The risk factors of falls were analysed by univariate and logistic regression.
There was no significant difference between the observation and the control groups in male patients and the incidence of falls without family members. In the observation group, the percentage of patients aged ≥65 years old, with a history of falls and/or fractures, long-term medications and a history of osteoporosis was higher than in the control group and showed a statistically significant difference. Multivariate logistic regression analysis showed that advanced age, a history of falls and fractures, long-term medications and a history of osteoporosis were independent risk factors for falls, and the differences were statistically significant.
Older age, a history of falls and/or fractures, continuous medication for more than 3 months and a history of osteoporosis are the risk factors for falls in hospitalised patients undergoing vascular surgery.
分析血管病患者跌倒的危险因素及血管外科住院患者降低跌倒风险的方法。
本研究为多中心回顾性研究。
选取 2018 年 4 月至 2022 年 4 月山西省 5 家医院收治的 112 例血管外科手术患者，根据是否跌倒分为两组，发生跌倒的 56 例患者为观察组，未发生跌倒的 56 例患者为对照组。采用单因素和 Logistic 回归分析跌倒的危险因素。
观察组与对照组在男性患者和无家属陪护患者的跌倒发生率方面差异无统计学意义，观察组年龄≥65 岁、有跌倒史和/或骨折史、长期服药和骨质疏松史的患者比例高于对照组，差异有统计学意义。多因素 Logistic 回归分析显示，年龄较大、有跌倒和/或骨折史、长期服药超过 3 个月、有骨质疏松史是血管外科住院患者跌倒的独立危险因素，差异有统计学意义。
年龄较大、有跌倒和/或骨折史、长期服药超过 3 个月、有骨质疏松史是血管外科住院患者跌倒的危险因素。
