頁籤選單縮合
題 名 | 探討住院病人跌倒傷害的危險因子=Exploring Risk Factors for Injuries due to Falls among Hospitalized Patients |
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作 者 | 陳怡君; 顏妙芬; | 書刊名 | 醫務管理期刊 |
卷 期 | 18:2 2017.06[民106.06] |
頁 次 | 頁124-143 |
分類號 | 419.38 |
關鍵詞 | 跌倒傷害; 危險因子; 住院病人; Fall injuries; Risk factors; Inpatients; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:了解住院病人跌倒導致傷害的危險因子。方法:採回溯性研究設計,使用次級資料分析,自2009 年5 月至2014 年12 月住院跌倒事件紀錄。先檢定單變項與跌倒有無傷害的相關後,運用邏輯斯迴歸分析(Logistic regression)驗證自變項各危險因子與依變項跌倒有無傷害相關性。結果:本研究共收案698 人次,跌倒後無傷害佔335 人次(48.0%)、跌倒後有傷害佔363 人次(52.0%),病人收住在內科比外科(OR 2.41, 95% CI 1.60-3.63)、跌倒發生在小夜班比白班(OR 1.83, 95% CI 1.20-2.80)、跌倒發生在特殊醫療照護區比病房(OR 5.39, 95% CI 2.46-11.80)以及病人有步態不穩比沒有步態不穩(OR1.54, 95% CI 1.01-2.33)較具有跌倒傷害。結論:本研究清楚定義住院病人跌倒傷害性因素,有助於醫療體系評估高風險跌倒傷害族群,提供安全的就醫照護及環境設置。 |
英文摘要 | Objectives: The study explored the risk factors for falls among hospitalized patients. Methods: This retrospective observational study was carried out from May 1, 2009 to December 31, 2014 using the "Patient Safety Reporting System" of a regional hospital in Taiwan falls. Initially, we tested the association between an independent variable and the severity of injuries due to falls. A logistic regression further analyzed the association between risk factors and these injuries. Results: Among 698 in-patients who fell, 335 (48.0%) had falls and 363 (52.0%) had falls but without injuries. Analysis by logistic regression revealed that fall-related injuries occurred more often in the medical ward than in the surgery ward(OR 2.41, 95% CI 1.60- 3.63), during night more shift than day shift(OR 1.83, 95% CI 1.20-2.80), in areas of special medical care than on general wards (OR 5.39, 95% CI 2.46-11.80) and in patients with than without unstable gaits (OR 1.54, 95% CI 1.01-2.33). Conclusions: We identified the factors of injuries for the patients who had falled while hospitalized. The results could be applied to construct a tool to exam the high injury risk of falling by the health professionalism. |
本系統中英文摘要資訊取自各篇刊載內容。