종합병원 입원 환자의 낙상 위험 요인 및 낙상 위험도 평가

Abstract

Purpose: The purpose of this study was to identify risk factors and the relationship between fall and fall risk scores of inpatients. Methods: A total 294 patients who were admitted from January 1 to December 31, 2010 participated. One hundred forth seven patients who have experienced fall were matched by gender, age, medical department with 147 patients who have never experienced fall. The fall informations were obtained through electronic medical records and fall reports. Results: The probability of falls was increased by more pain or no more visual disturbances at admission. Patients who have gotten higher fall risk scores at admission were more likely to fall, and the fallers have got higher fall risk scores at time of falling than at admission. Falls occurred most frequently within five days in the patient room. Most fallers were alert and ambulant with some assistance. After falls, most fallers were observed and the additional fall preventive activities were implemented. Conclusion: The findings of this study support the need of using risk assessment tool for predicting fall risk. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention.