FALLS’ RISK ANALYSIS OF OLDER PATIENTS IN NURSING DEPARTMENTS: ONE MONTH STUDY
BACKGROUND: Falls are a major public health problem, especially in the elderly. Of people who suffer falls, 20- 30% experience mild to severe injuries. Timely assessment of risk factors can prevent some of these falls occurring.
PURPOSE OF STUDY: To assess the falls risks factors of patients in nursing departments.
METHODS: The study was conducted January to September, 2015 in a Lithuanian long-term care and treatment hospital. The Morse Fall Scale was used for assessment of falls risk, which were evaluated within 48 hours and then after one month of admission to the hospital.
RESULTS: The study involved 177 respondents. After one month of admission to the hospital, 129 participants took part in the survey. During the first stage of the study, the difference in falls between the age groups and falls risk was statistically significant (p = 0.019). In addition, statistically significant differences (p = 0.004 and p = 0.000) were found between the patients’ cognitive impairment, falls within the past 1-year period, and the risk of falls during 48 hours after hospitalization. After one month of admission to the hospital, it was found that differences in falls risk was not statistically significant among age groups (p = 0.360) or the patients’ cognitive impairment (p = 0.200).CONCLUSION: An assessment of patients within 48 hours of hospitalisation revealed a statistically significant difference between the patients having suffered a fall within the past year and the current risk of falls.
Alekna, V., Šliažaitė, R., Tamulaitienė, M., & Kalibatienė, D. (2002). Pagyvenusių žmonių griuvimų dažnis ir aplinkybės [Falling rates and environmental causes of elderly people]. Sveikatos mokslai, 7: 73-77.
Barret-Connor, E., Weis, T. W., McHorney, C. A., Miller, P. D., & Siris, E. S. (2009). Predictors of falls among postmenopausal women: results from National Osteoporosis Risk Assesment (NORA). Osteoporosis international, 20: 715–22.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3):189-98.
Gražulienė, O., Serapinaitė, A., Ustinavičienė, R., & Želvienė, A. (2016). Lietuvos senyvo amžiaus žmonių sveikatos būklės pokyčiai ir netolygumai [The health status changes and differences of Lithuanian elderly people]. Vilnius: Higienos institutas.
Griškonis, S., Strukčinskienė, B., Raistenskis, J., Strukčinskaitė, V., & Griškonytė, I. (2013). Traumų dėl nukritimų ypatumai pagyvenusių žmonių grupėje Lietuvoje [Injuries after falls in elderly in Lithuania]. Sveikatos mokslai, 3(23):12-15. DOI:10.5200/sm-hs.2013.066
Hausdorff, J. M., Rios, D. A., & Edelber, H. K. (2001). Gait variability and fall risk in community-living older adults: a 1-year prospective study. Archives of physical medicine and rehabilitation, 82(8): 1050–6.
Hornbrook, M. C., Stevens, V. J., Wingfield, D. J., Hollis, J. F., Greenlick, M. R., & Ory M. G. (1994). Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist, 34(1): 16–23.
Kannus, P., Palvanen, M., Niemi, S., & Parkkari, J. (2007). Alarming rise in the number and incidence of fall-induced cervical spine injuries among older adults. The journals of gerontology. Series A, Biological sciences and medical sciences, 62(2):180-3.
Morris, J. N., Fries, B. N., Bernabei, R., Steel, K., Ikegami, N., Carpenter, I., Gilgen, R., DuPasquier, J. N., Frejters, D., Henrard, J. C., Hirdes, J. P., & Belleville-Taylor, P. (2009). InterRAI Home Care (HC) Assessment Form and User's Manual. Washington, DC: interRAI.
Morse, J. M., Morse, R. M., & Tylko, S. J. (1989). Development of a scale to identify the fall-prone patient. Canadian Journal on Aging. 8 (4): 366-367.
National Safety Council (2015). Injury Facts, 2015 Edition. Itasca, IL. Available at: http://www.nsc.org/Membership%20Site%20Document%20Library/2015%20Injury%20Facts/NSC_InjuryFacts2015Ed.pdf Accessed March 11, 2016.
Rubenstein, L. Z., & Josephson, K. R. (2002). The epidemiology of falls and syncope. Clinics in geriatric medicine, 18(2): 141–58.
Rubenstein L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and ageing, 35 Suppl 2: ii37-ii41. Available at: http://ageing.oxfordjournals.org/content/35/suppl_2/ii37.long. Accessed March7, 2016.
Rubenstein, L. Z., & Josephson, K. R. (2006). Falls and their prevention in elderly people: what does the evidence show? The Medical clinics of North America, 90(5):807-24.
Spirgienė, L., & Macijauskienė, J. (2006). Pagyvenusių pacientų griuvimų rizikos vertinimas terapiniuose skyriuose [Fall risk among hospitalized elderly patients] Gerontologija, 7(1): 25–31.
Tinetti, M. E. (1994). Prevention of falls and falls injuries in elderly persons: A research agenda. Preventive medicine, 23 (5): 756–62.
World Health Organization (2007). Global report on falls Prevention in older Age. Available at: http://www.who.int/ageing/publications/Falls_prevention7March.pdf. Accessed March 9, 2016.
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