Factors associated with the risk of falls in hospitalized adult patients

Bittencourt, Vivian Lemes Lobo; Graube, Sandra Leontina; Stumm, Eniva Miladi Fernandes; Battisti, Iara Denise Endruweit; Loro, Marli Maria; Winkelmann, Eliane Roseli

doi:10.1590/s1980-220x2016037403237

Cited by 40 publications

(55 citation statements)

References 18 publications

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“…The risk of falls in hospitalized patients is complex, and is related to intrinsic and extrinsic factors, comorbidities, and types of hospitalization (12) . The multifactorial nature and complexity of the relationship among fall risk factors make it difficult to control this problem.…”

Section: Discussionmentioning

confidence: 99%

Preventing falls in hospitalized elderly: design and validation of a team intervention

Cunha

Baixinho

Henriques

2019

Rev. esc. enferm. USP

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Objective:The objective of the present study was the design and validation, by a panel of experts, of a team intervention to manage the risk of falls in the hospitalized elderly. Method: The method used was a quanti-qualitative approach, using the Delphi method. The study was developed in two phases: in the first, five researchers designed the intervention; in the second, 13 professionals validated it. Results: The analysis of the content of the intervention designed by the participants in the first phase of the study allowed assignment of the indicators to the following previously defined categories: team formation; communication; leadership; monitoring; and mutual support. After two rounds, all the indicators obtained a consensus higher than 80%. Conclusion: The present study allowed validation of a team intervention by a panel of experts, so that teams can manage the risk of falls in hospitalized elderly. The reliability test results ensure that the intervention can be used safely in clinics and for research.A prevenção das quedas em idosos hospitalizados: elaboração e validação de uma intervenção em equipe La prevención de las caídas en ancianos hospitalizados: diseño y validación de una intervención en equipo How to cite this article: Cunha LFC, Baixinho CL, Henriques MA. Preventing falls in hospitalized elderly: design and validation of a team intervention. Rev Esc Enferm USP. 2019;53:e3479.

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Section: Discussionmentioning

confidence: 99%

Preventing falls in hospitalized elderly: design and validation of a team intervention

Cunha

Baixinho

Henriques

2019

Rev. esc. enferm. USP

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“…Among these interventions, we have health education as a strategy to prevent its occurrence. (3) Effectiveness of educational interventions to prevent falls is observed in randomized trials in Australia with 3606 adult patients and 221 elderly, the results of which show that individualized patient education programs combined with training in basic prevention care are able to contribute to reduction of falls rates. (4,5) During the health education process, professionals can use printed educational materials that favor the understanding of guidance from information organization and illustrations presence.…”

Section: Construction and Validation Of Educational Booklet Content Fmentioning

confidence: 99%

Construção e validação de conteúdo de cartilha educativa para prevenção de quedas no hospital

et al. 2019

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Resumo Objetivo Construir e validar cartilha educativa para prevenção de quedas no hospital. Métodos Estudo metodológico desenvolvido a partir da construção, validação e avaliação da cartilha por 22 enfermeiros e 22 pacientes internados em clínica médica. Para a validação com juízes, avaliou-se objetivo, estrutura/apresentação e relevância do material e, na avaliação com pacientes, aplicou-se o instrumento Suitability Assesment of Materials (SAM). Utilizou-se o Índice de Validade de Conteúdo (IVC) para análise de cada etapa da validação, considerando válido os iguais ou superiores a 0,80. Resultados A cartilha intitulada “Cuidados para não cair nessa” é composta por 20 páginas. Na validação de conteúdo, os profissionais atribuíram o IVC global de 1,0 para objetivo, estrutura/apresentação e relevância do material. Na avaliação dos pacientes, o IVC global da cartilha foi de 0,98. Conclusão A cartilha educativa é considerada válida quanto ao conteúdo e compreensível pelos pacientes de forma que possui utilização viável na educação em saúde para prevenção de quedas no hospital.

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“…Percepčné poruchy sluchu boli signifikantné vo vyššej vekovej skupine (p = 0,033). Nedoslýchavosť a jej kompenzácia nosením naslúchacieho aparátu vrátane poškodení a ochorení vnútorného ucha (pri prítomnosti hlavne vertiga a tinitu) predikujú pacienta k pádom [42]. Riziko pádu sa v dôsledku percepčných porúch zvyšuje s vekom a znásobuje sa pri pohybe pacienta pre neho v neznámom prostredí, akým je aj nemocnica [31,43].…”

Section: Diskusiaunclassified

Risk factors of falling in patients with neurological diseases

Miertová

Bóriková

Tomagová

et al. 2018

Kontakt

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A B S T R A C TPurpose: The aim of the study was to perform a fall risk screening and to identify the risk factors for falling in hospitalized patients with neurological disease aged up to and over 65 years. Design: A quantitative prospective cross-sectional study. Methods: The sample consisted of 103 patients who were hospitalized in the neurological unit. Empirical data was recorded in the research protocol, which included selected fall risk factors and the Morse Fall Scale (MFS). Results: Significant fall predictors in patients older than 65 years were: secondary diagnosis (p = 0.000), poly-pharmacotherapy (p = 0.000), number of medications taken over 24 hours (p = 0.000), a vision disorder (p = 0.005), continence disorder (p = 0.008), female sex (p = 0.005), the use of an ambulatory aid (p = 0.008), sleep disorders (p = 0.025), and hearing disorders (p = 0.033). The mean MFS total fall risk was 45.7 ± 20.2. In the sample of patients at high risk of falling, there were significant predictors of the falls: disorders of gait and balance (p = 0.000), the use of an ambulatory aid (p = 0.000), a history of falling (p = 0.001), age (p = 0.004), poly-pharmacotherapy = 0.008), continence disorder (p = 0.019), and vision disorder (p = 0.027). Conclusion: The identification of fall risk factors is the basis for the implementation of targeted nursing interventions to prevent and reduce falls. S Ú h R N Cieľ: Realizovať skríning rizika pádu a identifikovať rizikové faktory pádu u hospitalizovaných pacientov s neurologickým ochorením vo veku do a nad 65 rokov. Dizajn: Kvantitatívna prospektívna prierezová štúdia. Metodika: Súbor tvorilo 103 pacientov hospitalizovaných na neurologickom oddelení. Empirické údaje boli zaznamenávané do výskumného protokolu, ktorý obsahoval vybrané rizikové faktory pádu a nástroj Morse Fall Scale (MFS). Výsledky: Signifikantné prediktory pádu u pacientov starších ako 65 rokov boli pridružená diagnóza (p = 0,000), polyfarmakoterapia (p = 0,000), počet užívaných liekov * Korespondenční autor: Mgr. Michaela Miertová, PhD., Jesseniova lekárska fakulta UK, Ústav ošetrovateľstva, Malá hora 5, (Print) • ISSN 1804-7122 (Online) Kľúčové slová: Neurológia hospitalizovaní pacienti Pády Riziko Skríning Morse Fall Scale O š e t ř O v a t e l s t v í Článek citujte takto: Miertová M, Bóriková I, Tomagová M, Žiaková K. Risk factors of falling in patients with neurological diseases. Kontakt 2018; 20(3): e217-e222; http://dx.

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Factors associated with the risk of falls in hospitalized adult patients

Cited by 40 publications

References 18 publications

Preventing falls in hospitalized elderly: design and validation of a team intervention

Preventing falls in hospitalized elderly: design and validation of a team intervention

Construção e validação de conteúdo de cartilha educativa para prevenção de quedas no hospital

Risk factors of falling in patients with neurological diseases

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