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신현주 ( Shin Hyeon-Ju ) - 서울대학교병원 소아간호과
김영남 ( Kim Young-Nam ) - 서울대학교병원 소아간호과
김주희 ( Kim Ju-Hee ) - 서울대학교병원 소아간호과
손인숙 ( Son In-Sook ) - 서울대학교병원 소아간호과
방경숙 ( Bang Kyung-Sook ) - 서울대학교 간호대학
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Abstract
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Purpose: This study was conducted to identify risk factors in hospitalized children, and to develop and validate a fall-risk assessment tool for hospitalized children.
Methods: A retrospective chart review was performed at one university children’s hospital, and an analysis was done of the characteristics of all patients who fell during a 44-month period (n=48). These patients were compared with another 149 hospitalized children who did not fall.
Results: Significant predictors of falls as identified in a multivariate logistic regression analyses were age of less than 3 years old, neurological diagnosis including epilepsy, children’s dependency of ADL, physical developmental delay, multiple usage of fall-riskincreasing drugs. The respective odds ratios ranged from 2.4 to 7.1 with 95% confidence interval (p<0.05). Accordingly, defining patients with either 5 risk factors as fall-prone hospitalized children provided a sensitivity of 93.6% and specificity of 16.2%.
Conclusion: The results show that this tool has an acceptable level of sensitivity to assess the risk factors of fall in hospitalized children even though the specificity was low, suggesting that this tool may enable nurses to predict the risk level of childhood falls, and develop preventive strategies against pediatric falls in children’s units.
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KeyWords
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낙상, 도구, 입원 환아, 민감도와 특이도
Accidental falls, Instruments, Hospitalized child, Sensitivity and Specificity
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원문 및 링크아웃 정보
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등재저널 정보
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