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1
題名:Fall Risk Factors Assessment Tool: Enhancing Effectiveness in Falls Screening    
跌倒危險因子評估新表對提高跌倒篩檢率之成效
著者:Shan-Shan Hsu(徐姍姍) ;Chun-Lan Lee(李春蘭) ;Shu-Jung Wang(王淑蓉) ;Shuang Shyu(徐霜) ;Hsiu-Yi Tseng(曾修儀) ;Yu-Hua Lei(雷玉華) ;Tsorng-Yeh Lee(李從業)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:跌倒危險因子 ; 跌倒篩檢 ; 跌倒預防措施 ; fall risk factors ; fall screening ; fall prevention program
刊名:The Journal of Nursing Research
卷期:12卷3期(2004.9)
頁碼:169-179
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

本研究採類實驗性設計法,來探討「住院病人跌倒危險因子評估表」對預防病人跌倒之成效。研究對象為某醫學中心,91年新評估表實施後之一般病床的住院跌倒病人為實驗組 (n = 39),另以90年同時段新表實施前之跌倒病人為對照組 (n = 43)。結果發現兩組跌倒發生率並未有顯著差異,然兩組病人在年齡上,實驗組卻明顯比對照組高;危險因子中,在「鎮靜劑」類別藥物 (p < .05)與「走動能力」及「危險因子評估分數」項目 (p < .01),兩組均有有顯著差異。而護理人員 (N = 427) 對新修訂之評估表的滿意度平均為2.68分 (滿分4分),婦產科 (p < .05)與骨科 (p < .01)人員對新表增列之評估項目,表示對防範病人跌倒極有助益;另在骨科篩檢出跌倒高危險群病人的比率由20.7%提高至41.9%,而實驗組之篩檢率74.4%亦較對照組60.5%高 (p < .01)。雖然跌倒為無可避免的意外,但若能以持續品質改善的理念建立防範措施,提高跌倒原因的透明化與篩檢率、降低因而發生的不必要傷害與成本;亦可有效的幫助臨床護理人員,提供病人更即時且個別性的照護與衛教,進而減緩院內跌倒意外事件的發生。
A quasi-experimental study was conducted to explore the effectiveness of fall prevention among hospital patients based on the modified fall risk factors assessment tool. We investigated the frequency of falls among hospital patients at a medical center in Taiwan. The experimental group of falls victims was selected from patients (n = 39) hospitalized in 2002 after falls. The control group of patients falls was selected by means of a retrospective incident report review which identified patients (n = 43) hospitalized one year earlier. The results showed that there was no significant difference in the incidence of falls between the two groups. Nevertheless, there were significant differences in age, indications of falls, use of sedatives, walking ability and evaluated grade of fall risk factors. In addition, the average level of satisfaction under recently modified fall risk factors evaluation guideline was 2.68 points (upper limit = 4 points) based upon investigation derived from nursing staff's opinions. Moreover, nursing staff from GYN/OBS and orthopedics departments acknowledged the enhanced effectiveness of these new guidelines. The screening rate for high-risk orthopedic patients was increased from 20.7% to 41.9%. Furthermore, the screening rate among the experimental group (74.4%) was also higher than that among the control group (60.5%) (p < .01). In line with our effective tool to screen high-risk patients, we also added the concept of continuous quality improvement in nursing care to implement a fall prevention program to reduce unnecessary injury. This strategy may assist nursing personnel in providing immediate and individualized care as well as health education for high-risk patients. It may also cause the incidence of patient falls in hospitals to continue to decline.


    

本卷期目次
The Journal of Nursing Research 12卷3期 (2004.9)
Editor's Remarks/ Shwu-Jiuan Liu
Fall Risk Factors Assessment Tool: Enhancing Effectiveness in Falls Screening/ Shan-Shan HsuChun-Lan LeeShu-Jung WangShuang ShyuHsiu-Yi TsengYu-Hua LeiTsorng-Yeh Lee
Exercise Behavior and Related Factors in Career Women - the Case of a Bank in Taipei City/ Chen-Mei ChenMei Chang
A Comparative Study of Expectant Parents’ Childbirth Expectations/ Bi-Chin KaoMeei-Ling GauShian-Feng WuBih-Jaw KuoTsorng-Yeh Lee
An Investigation on the Nursing Competence of Southern Taiwan Nurses Who Have Passed N3 Case Report Accreditation/ Ming-Chen LinChing-Huey Chen
Important Computer Competencies for the Nursing Profession/ Wey-Wen JiangWei ChenYu-Chih Chen
The Development of Intelligent, Triage-Based, Mass-Gathering Emergency Medical Service PDA Support Systems/ Po-Lun ChangYueh-Shuang HsuYuann-Meei TzengYiing-Yiing SangI-Ching HouWei-Fong Kao
The Comparative Effectiveness among Institutionalized and Non-Institutionalized Elderly People in Taiwan of Reminiscence Therapy as a Psychological Measure/ Jing-Jy Wang
The Effects of Continuing Education in Restraint Reduction on Novice Nurses in Intensive Care Units/ Shu-Hui YehChiu-Yueh HsiaoTien-Hui HoMing-Chu ChiangLi-Wei LinChiung-Yin HsuShu-Yuan Lin
 
   
 
   

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