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Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling
Hiroko Kiyoshi-Teo1, Kathlynn Northrup-Snyder1, Deborah J Cohen2
1School of Nursing, Oregon Health & Science University, Portland, OR, United States.
Purpose:
To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults.
Background:
The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic.
Methods:
Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I).
Results:
A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001).
Conclusions:
Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.