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巴西一项横断面研究分析医院安全与老年人跌倒风险

Analysis of Hospital Safety and Risk of Falls in the Elderly: A Cross-Sectional Study in Brazil.

机构信息

School of Nursing, Federal University of Piauí-UFPI, Teresina 64049550, Brazil.

School of Nursing, Graduate Program in Nursing (PPGENF), Federal University of Piauí- UFPI, Teresina 64049550, Brazil.

出版信息

Int J Environ Res Public Health. 2024 Aug 6;21(8):1036. doi: 10.3390/ijerph21081036.

DOI:10.3390/ijerph21081036
PMID:39200646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11354091/
Abstract

This study analyzed hospital safety and the risk of falls in elderly people in a university hospital in Brazil. The Morse Falls Scale was used to stratify the risk of falls in 45 hospitalized elderly individuals, and two checklists were used to analyze the hospital environment. The analysis was based on the Chi-square test and multiple regression. The moderate risk of falls was predominant (51.1%). The variable age group (-value = 0.024) showed statistical evidence of association with the risk of falls. However, the multiple regression analysis showed no difference between the age groups and the risk situation for falls. The hospital wards showed an adequate arrangement of furniture, but some aspects had inadequacies, such as objects in the corridors, non-functional bells in some beds, inadequacy of the toilet bowls in terms of the recommended height, and an absence of non-slip flooring and the support bar in some bathrooms. In conclusion, the moderate risk of falls among the elderly and the adequacy of the hospital environment to technical standards were evident with the exception of failures in the emergency communication system and sanitary installation.

摘要

这项研究分析了巴西一所大学医院的医院安全和老年人跌倒风险。使用 Morse 跌倒量表对 45 名住院老年人的跌倒风险进行分层,并使用两份清单分析医院环境。分析基于卡方检验和多元回归。中度跌倒风险占主导地位(51.1%)。变量年龄组(-值=0.024)显示与跌倒风险存在统计学关联的证据。然而,多元回归分析显示年龄组之间在跌倒风险情况方面没有差异。医院病房的家具布置得当,但有些方面存在不足,例如走廊里有物品、一些床上的铃不能正常使用、推荐高度的马桶不合适,一些浴室没有防滑地板和扶手。总之,老年人有中度跌倒风险,医院环境符合技术标准,但紧急通讯系统和卫生设施存在故障。

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A Stepped-Wedge Cluster-Randomized Controlled Trial of a Multi-interventional Approach for Fall Prevention.多干预措施预防跌倒的阶梯式楔形集群随机对照试验。
Qual Manag Health Care. 2024;33(2):77-85. doi: 10.1097/QMH.0000000000000435. Epub 2023 Nov 30.
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Associations of intrinsic capacity, fall risk and frailty in old inpatients.老年人住院患者内在能力、跌倒风险和衰弱的相关性。
Front Public Health. 2023 Oct 10;11:1177812. doi: 10.3389/fpubh.2023.1177812. eCollection 2023.
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Experience of the patient regarding their safety in the hospital environment.患者在医院环境中的安全体验。
Rev Bras Enferm. 2023 Oct 9;76(5):e20220512. doi: 10.1590/0034-7167-2022-0512. eCollection 2023.
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