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이영진 ( Lee Young-Jin ) - 거제 백병원 병동
구미옥 ( Gu Mee-Ock ) - 경상대학교 간호대학
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Abstract
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Purpose: This study examined the circumstances, risk factors, and the predictors of fall incidents among patients in the small and medium-sized hospitals.
Methods: Fifty patients with any fall experiences were matched by gender, age, and medical departments with 100 patients without fall incident at the same hospital. Data were collected from 5 small and medium-sized hospitals. Data were analyzed using descriptive statistics, a Chi-square test, a Fisher‘s exact test, and a logistic regression with the SPSS/WIN 21.0 program.
Results: In the patients with falls, the largest number of falls occurred during the day shift, in the patients’ rooms, and while they were walking. Further 74.0% of the patients had physical injuries, and 34.0% had to take further medical diagnostic tests. Significant differences were found between the patients with falls and the others on 14 variables (cardiovascular disease, anemia, sedative-hypnotics, vasodilators, narcotic analgesics, dizziness, general weakness, unstable gait, walking aids, anger, anxiety, depression, orientation, and fear of fall). Narcotic analgesic use, dizziness, walking aids, and cardiovascular disease were identified as the predictors of fall incidents.
Conclusion: These findings are hoped to be used in developing a fall risk assessment tool and fall prevention nursing programs for small and medium-sized hospitals.
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KeyWords
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낙상, 낙상위험요인, 입원환자
Falls, Risk Factors, Inpatients
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원문 및 링크아웃 정보
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등재저널 정보
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