Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling.
Fall prevention
Hospitalized older adult
Patient engagement
Journal
Geriatric nursing (New York, N.Y.)
ISSN: 1528-3984
Titre abrégé: Geriatr Nurs
Pays: United States
ID NLM: 8309633
Informations de publication
Date de publication:
Historique:
received:
10
08
2018
revised:
13
11
2018
accepted:
19
11
2018
pubmed:
1
1
2019
medline:
4
12
2019
entrez:
1
1
2019
Statut:
ppublish
Résumé
To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults. The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic. Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I). A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001). Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.
Sections du résumé
PURPOSE
To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults.
BACKGROUND
The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic.
METHODS
Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Measurements included validated tools and the modified Fall Behavioral Scale-Inpatient (FaB-I).
RESULTS
A fall within 3 months before hospitalization was associated with an increased level of importance to preventing falls and higher FaB-I score (more fall prevention behaviors) but decreased level of confidence related to preventing falls (p < 0.05). Perception measures (concern: r = 0.52; patient activation: r = 0.46) were positively associated with FaB-I (p < 0.001).
CONCLUSIONS
Addressing patient-centered measures such as perceptions of and daily activities for fall prevention could add value to existing fall prevention programs.
Identifiants
pubmed: 30595233
pii: S0197-4572(18)30414-2
doi: 10.1016/j.gerinurse.2018.11.005
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Pagination
290-295Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.