Mosley A, Galindo-Ciocon D, Peak N, West M J
Nursing Service, Veterans Affair Medical Center, Miami, FL, USA.
J Nurs Care Qual. 1998 Dec;13(2):38-44. doi: 10.1097/00001786-199812000-00006.
This study evaluated the effectiveness of research-based interventions in preventing falls. The interventions were based on research studies, experts' opinions, and a pilot study. Thirteen units (72%) had reduced fall rates. The fall rate two years before (O = 7.07; SD = 1.7) and two years after (O = 6.33; SD = 1.731) the intervention was significantly different at p < 0.003. Sixteen patients who fell were at risk (fall assessment score = 17.4 +/- 5.3) and had a history of falls. The most common site for falls was at the bedside. Most falls occurred during walking, climbing over the siderails, and accidentally rolling out of bed. Thus, a research-based fall prevention is effective in reducing falls.
本研究评估了基于研究的干预措施在预防跌倒方面的有效性。这些干预措施基于研究、专家意见和一项试点研究。13个单元（72%）的跌倒率有所降低。干预前两年（O = 7.07；标准差 = 1.7）和干预后两年（O = 6.33；标准差 = 1.731）的跌倒率在p < 0.003时有显著差异。16名跌倒患者处于危险中（跌倒评估分数 = 17.4 +/- 5.3）且有跌倒史。跌倒最常见的地点是床边。大多数跌倒发生在行走、翻越床栏以及意外滚出床外时。因此，基于研究的跌倒预防措施在减少跌倒方面是有效的。
