Lin Fang-Fang, Yang Wei-Yuan, Zhou Jun-Xiang, Cao Luo-Yuan, Huang Ling-Ling
Department of Rehabilitation, Ningde Municipal Hospital Affiliated to Ningde Normal University, Ningde, 352000, People's Republic of China.
Department of Central Laboratory, Ningde Municipal Hospital Affiliated to Ningde Normal University, Ningde, 352000, People's Republic of China.
Risk Manag Healthc Policy. 2024 Apr 24;17:1069-1078. doi: 10.2147/RMHP.S445808. eCollection 2024.
We investigated the clinical characteristics, fall outcomes, and related factors of falls in patients who were hospitalized in the rehabilitation department, and explored strategies to reduce the incidence of falls and prevent falls in patients.
Data from 60 patients who fell in the rehabilitation department between 2016 and 2021 were analyzed for clinical characteristics, associated factors, incidence of falls, injuries, and patient demographics. Under the random stratified sampling method, 60 patients who did not fall during the same period were selected as the control group, and relevant data was collected. Measurement data were compared using an independent sample -test. Enumeration data were compared using chi-squared () test was employed to compare these data between the two groups. Non-parametric data were analyzed using the Mann-Whitney -test. Factors potentially influencing falls were scrutinized through both univariate and binary logistic regression analyses.
The median annual incidence of falls among patients who were hospitalized in the rehabilitation department was 0.04%, while the overall fall injury rate was 60%. Falls were most prevalent within 30 days of hospitalization (71.67%). The most common fall-related condition was craniocerebral disease (83.33%). The incidents of falls location of fall were mainly reported in nearby areas of rehabilitation ward (70%). Most accidents occurred between 7:00 a.m.-12:00 p.m. and 3:01 p.m.-6:00 p.m. (63.33%), and dyskinesia was the most common cause of falls (71.67%). There were 39 patients (65.00%) with Barthel Index (BI) scores ranging between 40-60.
Patients in the rehabilitation department had a greater incidence of falls and fall injuries. Within 30 days of admission, patients with moderately dependent craniocerebral disorders and dyskinesia frequently experienced falls during typical daytime shifts in areas characterized by endemic conditions.
我们调查了康复科住院患者跌倒的临床特征、跌倒结局及相关因素，并探索降低跌倒发生率及预防患者跌倒的策略。
分析2016年至2021年期间在康复科跌倒的60例患者的数据，以了解其临床特征、相关因素、跌倒发生率、损伤情况及患者人口统计学特征。采用随机分层抽样方法，选取同期未跌倒的60例患者作为对照组，并收集相关数据。计量资料采用独立样本t检验进行比较。计数资料采用卡方检验比较两组间的数据。非参数数据采用曼-惠特尼U检验进行分析。通过单因素和二元逻辑回归分析仔细研究可能影响跌倒的因素。
康复科住院患者的年跌倒发生率中位数为0.04%，而总体跌倒损伤率为60%。跌倒在住院30天内最为常见（71.67%）。最常见的跌倒相关疾病是颅脑疾病（83.33%）。跌倒地点主要报告在康复病房附近区域（70%）。大多数事故发生在上午7:00至12:00以及下午3:01至6:00（63.33%），运动障碍是跌倒最常见的原因（71.67%）。有39例患者（65.00%）的巴氏指数（BI）评分在40至60之间。
康复科患者的跌倒及跌倒损伤发生率较高。入院30天内，中度依赖的颅脑疾病和运动障碍患者在特定地方条件的典型日间班次期间经常跌倒。
