越南住院患者中跌倒的风险因素和概况:一个多中心嵌套病例控制研究
Luan Thanh Nguyen1, Kien Gia To1, Thuong Chi Tang2
1University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, 700000, Vietnam.
Risk management and healthcare policy
|September 23, 2024
概括
医院跌倒是一个主要问题. 这项研究确定了越南住院患者的关键风险因素,如夜和移动性问题,突出了针对性干预和对跌倒模式的认识的需要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 住院患者跌倒是全球重要的健康问题,也是意外死亡的主要原因.
- 医院倒发生率受到特定患者群体和医疗保健环境的影响.
- 了解当地的风险因素和跌倒模式对于有效的预防策略至关重要.
研究的目的:
- 调查导致越南住院患者跌倒的主要危险因素.
- 识别和分析越南住院患者的特征性跌倒特征.
- 为越南医院开发有针对性的防摔计划提供数据.
主要方法:
- 采用了一个嵌套的病例控制研究设计.
- 从胡志明市9家公立医院收集了数据.
- 分析了101例跌倒病例和404例没有跌倒的对照病例的医疗记录.
主要成果:
- 确定的主要跌倒风险因素包括力量/运动能力下降,夜尿,多种并发病,以及使用行走辅助器或抗药.
- 很大一部分跌倒 (19.8%) 发生在入院后24小时内.
- 跌倒最常见于上午0:00-5:59之间,通常发生在患者的床上或浴室,并且经常涉及个人护理人员.
结论:
- 鉴定的风险因素可以指导针对高风险住院患者的有针对性的干预措施的制定.
- 应考虑落模式,包括时间和位置,以优化预防计划的有效性.
- 这项研究为改善患者安全和减少越南医院的摔倒率提供了宝贵的见解.
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