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Acil Servise Başvuran Bireylerde Düşme Riski ve Etkileyen Faktörlerin İncelenmesi

Year 2018, Volume: 5 Issue: 2, 128 - 137, 31.08.2018
https://doi.org/10.31125/hunhemsire.454362

Abstract

Amaç: Bu araştırma, acil servise başvuran bireylerde düşme riski ve etkileyen faktörlerin
belirlenmesi amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma tanımlayıcı nitelikte tasarlanmış olup bir acil servise başvuran
1000 birey ile yürütülmüştür. Verilerin toplanmasında, bireylerin sosyo-demografik
özelliklerine yönelik bilgi formu ve acil servis hastalarında kullanılan “KINDER 1” düşme
değerlendirme aracı kullanılmıştır. Veriler sayı, yüzde ki-kare analizi ile değerlendirilmiştir.
Bulgular: Araştırmaya katılan bireylerin %24.5’inin 65 yaş üstünde olduğu, %49.1’inin erkek,
%55.9’unun kronik hastalığa sahip olduğu bulunmuştur. Bireylerin %65.3’ünün yüksek düşme
riski taşıdığı saptanmıştır. Düşme riski ile yaş, cinsiyet, kronik hastalığa sahip olma, görme
işitme problemi, düşme öyküsü, sürekli ilaç kullanımı, bilinç durumu arasında istatistiksel
olarak anlamlı bir fark olduğu bulunmuştur.
Sonuç: Acil servise başvuran bireylerin düşme risklerinin yüksek olduğu bulunmuştur. Elde
edilen sonuçlar doğrultusunda; acil serviste bulunan bireylerin düşme risk değerlendirmesinin
acil servise spesifik değerlendirme araçları ile yapılması önerilebilir.

References

  • 1. Dunne TJ, Gaboury I, Ashe MC. Falls in hospital increase length of stay regardless of degree of harm, J Eval Clin Pract, 2014; 20(4):396-400.
  • 2. Baris VK, Intepeler SS, Yeginboy EY. The Cost of Serious Patient Fall-Related Injuries at Hospitals in Turkey: A Matched Case-Control Study. Clin Nurs Res. 2016 Sep 29. pii: 1054773816671521.
  • 3. Townsend AB, Valle-Ortiz M, Sansweet T. A successful ED fall risk program using the KINDER 1 Fall Risk Assessment Tool. J Emerg Nurs. 2016;42(6):492-497.
  • 4. World Health Organization. WHO global report on falls prevention in older age, 2007;1-48. http://www. who.int/ageing/publications/Falls_prevention7March.pdf, Erişimtarihi:05.01.2018. WHO 2007
  • 5. Galbraith GJ, Butler JS, Memon AR, Dolan MA, Harty JA, Cost Analysis of a Falls-prevention Program in an Orthopaedic Setting, Clin Orthop Relat Res. 2011 Dec; 469(12): 3462–3468.
  • 6. Zecevic AA, Chesworth BM, Zaric GS, Huang Q, Salmon A, McAuslan D, Welch R, Brunton D. Estimating the cost of serious injurious falls in a Canadian acute care hospital. Can J Aging. 2012 Jun;31(2):139-47. doi: 10.1017/S0714980812000037. Epub 2012 May 24.
  • 7. The Joint Commission. Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. 2015; 55: 3. http://www.jointcommission.org/sea_issue_55/. Erişim tarihi: 01.01.2018.
  • 8. Savcı C, Kaya H, Acaroğlu R, Kaya N, Bilir A, Kahraman H, Gökerler N. Nöroloji ve nöroşirurji kliniklerinde hastaların düşme riski ve alınan önlemlerin belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2009; 2(3):19-25.
  • 9. Berke D. Nöroşirurji hastalarında düşme risk derecesinin belirlenmesi. Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi, İstanbul, 2008.
  • 10. Mollaoğlu M, Fertelli T, Tuncay FÖ. Dahili kliniklerde yatan bireylerin düşme riski ve alınan önlemlerin incelenmesi. TAF Preventive Medicine Bulletin. 2013; 12(1):27-34.
  • 11. Tzeng HM, Yin CY. Most frequently observed risk factors for adult inpatient injurious falls in hospitals. Clinical Nurse Specialist. 2013; 27:314-322.
  • 12. Schwendimann R, Buhler H, De Geest S, Milisen K. Characteristics of hospital inpatient falls across clinical departments, Gerontology, 2008;54(6):342-348
  • 13. Chelly JE, Canroy L, Miller G, Elliot MN ve ark. Risk factors and ınjury associated with falls in elderly hospitalized patients in a community hospital, Patient Saf, 2008;4(3):178-183
  • 14. Zecevic AA, Chesworth BM, Zaric GS, Huang Q, Salmon A, McAuslan D, Welch R, Brunton D. Estimating the cost of serious injurious falls in a Canadian acute care hospital. Can J Aging. 2012 Jun;31(2):139-47. doi: 10.1017/S0714980812000037.
  • 15. Haines TP, Waldron NG. Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?, J Safety Res, 2011;42(6):431-424.
  • 16. Alexander D, Kinsley TL, Waszinski C. Journey to a safe environmental: Fall prevention in an emergency department at a level 1 trauma center. Journal of Emergency Nursing 2013; 39(4):346-352.
  • 17. Potter R. Falls in the emergency department. Journal of Emergency Nursing. 2015; 41:466-468.
  • 18. Tanrikulu F, Sari D. Determining patients’ risk of falling in the emergency department. International Journal of Caring Sciences. 2017; 10(2): 907-914.
  • 19. Erdem Ö (2018). Acil Servise Gelen Hastalarda Düşme Riski Ve Etkileyen Faktörlerin İncelenmesi, Yüksek Lisans Tezi, Çannakkale Onsekiz Mart Üniversitesi,Sağlık Bilimleri Enstitüsü, Çanakkale.
  • 20. Terrell KM, Weaver CS, Giles BK, Ross MJ. ED patient falls and resulting injuries. J Emerg Nurs. 2009 Apr;35(2):89-92. doi: 10.1016/j.jen.2008.01.004. Epub 2008 Jul 10.
  • 21. Weigand JV, Gerson LW. Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review. Acad Emerg Med. 2001; 8:823-826.
  • 22. DeGrauw X, Annest J L, Stevens J A, Xu L, Coronado, V. Unintentional injuries treated in hospital emergency departments among persons aged 65 years and older, United States, 2006–2011. Journal of Safety Research, 2016; 56, 105–109. doi:10.1016/j.jsr.2015.11.002.
  • 23. Web-based Injury Statistics Query and Reporting System 2015. Centers for Disease Control and Prevention [on-line]. Available at http://www.cdc.gov/ injury/wisqars/ Accessed December 12, 2015.
  • 24. Oliver D, Healey F, Haines TP.Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010 Nov;26(4):645-92. doi: 10.1016/j.cger.2010.06.005.
  • 25. Quarranttey G.K. Falls and Related Injuries Based on Surveillance Data: U.S. Hospital Emergency Departments. Walden University, College of Health Sciences 2016.
  • 26. Karataş GK, Maral I. Ankara- Gölbaşı İlçesinde Geriatrik Popülasyonda 6 Aylık Dönemde Düşme Sıklığı ve Düşme İçin Risk Faktörleri. Turkish Journal of Geriatrics 2001; 4(4): 152-158.
  • 27. Öz FB. Bir hastane acil servisine düşme ön tanısıyla başvuran 65 yaş üstü bireylerde evde düşme risk faktörlerinin belirlenmesi, Yüksek Lisans Tezi, Mersin Üniversitesi,Sağlık Bilimleri Enstitüsü, Mersin 2016.
  • 28. Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369–371.
  • 29. Lord SR. Visual risk factors for falls in older people. Age Ageing. 2006 Sep;35 Suppl 2:ii42-ii45.
  • 30. Källstrand-Ericson J, Hildingh C. Visual impairment and falls: a register study. J Clin Nurs. 2009 Feb;18(3):366-72. doi: 10.1111/j.1365-2702.2008.02516.x.
  • 31. Criter RE, Honaker JA. Fall risk screening protocol for older hearing clinic patients. Int J Audiol. 2017 Oct;56(10):767-774. doi: 10.1080/14992027.2017.1329555. Epub 2017 May 25.
  • 32. Morse J. Development of the Morse Fall Scale. Preventing Patient Falls. U.S. of America, First Edition, 1997.
  • 33. Soyuer F, Soyuer A, Öztürk A. Kronik inmede düşmeyi etkileyen faktörler. Türk Serebrovasküler Hastalıklar Dergisi. 2006; 12(3): 83-87.
  • 34. Ganz DA, Bao Y, Shekelle PG, Rubenstein LZ. Will my patient fall? JAMA. 2007; 297(1):77-86.
  • 35. Huang AR, Mallet L, Rochefort CM, Eguale T, Buckeridge DL, Tamblyn R. Medication-related falls in the elderly: causative factors and preventive strategies. Drugs Aging. 2012 May 1;29(5):359-76. doi: 10.2165/11599460-000000000-00000.
  • 36. Titler MG, Shever LL, Kanak MF, Picone DM &Qin R. Factors associated with falls during hospitalization in an older adult population. Research and Theory for Nursing Practice.2011; 25:127–148.
  • 37. Gauterio DP, Zortea B, Costa SantosSS, da Silva Tarouco B, Lopes MJ, Jo~ao Fonseca C. Risk Factorsfor new accidental falls in elderly patients at traumatology ambulatory center. Imprenta Universidad de Antioquia. 2015; 33:35-43.
  • 38. Hou WH, Kang CM, Ho MH, Kuo JM, Chen HL, Chang WY. Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients. J Clin Nurs. 2017; 26(5-6):698-706.
  • 39. Nogal L, Gonzales L, Ramirez G, Casado R. Characteristics of Falls of Neurological Cause in the Elderly. Revista De Neurologia. 2008; 46(9); s. 513-516.
  • 40. Salameh F, Cassuto N, Oliven A. A simplified fall-risk assessment tool for patients hospitalized in medical wards. Isr Med Assoc J. 2008; 10(2):125-129.

Risk of Falling and its Affecting Factors Among Emergency Room Patients

Year 2018, Volume: 5 Issue: 2, 128 - 137, 31.08.2018
https://doi.org/10.31125/hunhemsire.454362

Abstract

Aim: This study was conducted to determine the risk of falling and its affecting factors among
emergency room (ER) patients.
Material and Methods: This descriptive study was conducted with 1000 patients who presented
at ER. The data was collected by using a questionnaire and the KINDER 1 Fall Assessment
Tool designed for ER patients. The data were analyzed by using number, percentage and chisquare
test.

Results: It was found that 24.5% of the participants were over 65 years old, 49.1% were male
and 55.9% had chronic disease. 65.3% of the participants were found to have a high risk of
falling. A statistically significant difference between the risk of falling and age, gender, having
chronic illness, visual/hearing problem, history of falling, continuous drug use, state of
consciousness was found.
Conclusion: It was found that patients who presented at ER had a high risk of falling. According
to the study results, it could be advised to assess the falling risk of ER patients with assessment
tools specific to ER.

References

  • 1. Dunne TJ, Gaboury I, Ashe MC. Falls in hospital increase length of stay regardless of degree of harm, J Eval Clin Pract, 2014; 20(4):396-400.
  • 2. Baris VK, Intepeler SS, Yeginboy EY. The Cost of Serious Patient Fall-Related Injuries at Hospitals in Turkey: A Matched Case-Control Study. Clin Nurs Res. 2016 Sep 29. pii: 1054773816671521.
  • 3. Townsend AB, Valle-Ortiz M, Sansweet T. A successful ED fall risk program using the KINDER 1 Fall Risk Assessment Tool. J Emerg Nurs. 2016;42(6):492-497.
  • 4. World Health Organization. WHO global report on falls prevention in older age, 2007;1-48. http://www. who.int/ageing/publications/Falls_prevention7March.pdf, Erişimtarihi:05.01.2018. WHO 2007
  • 5. Galbraith GJ, Butler JS, Memon AR, Dolan MA, Harty JA, Cost Analysis of a Falls-prevention Program in an Orthopaedic Setting, Clin Orthop Relat Res. 2011 Dec; 469(12): 3462–3468.
  • 6. Zecevic AA, Chesworth BM, Zaric GS, Huang Q, Salmon A, McAuslan D, Welch R, Brunton D. Estimating the cost of serious injurious falls in a Canadian acute care hospital. Can J Aging. 2012 Jun;31(2):139-47. doi: 10.1017/S0714980812000037. Epub 2012 May 24.
  • 7. The Joint Commission. Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. 2015; 55: 3. http://www.jointcommission.org/sea_issue_55/. Erişim tarihi: 01.01.2018.
  • 8. Savcı C, Kaya H, Acaroğlu R, Kaya N, Bilir A, Kahraman H, Gökerler N. Nöroloji ve nöroşirurji kliniklerinde hastaların düşme riski ve alınan önlemlerin belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 2009; 2(3):19-25.
  • 9. Berke D. Nöroşirurji hastalarında düşme risk derecesinin belirlenmesi. Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi, İstanbul, 2008.
  • 10. Mollaoğlu M, Fertelli T, Tuncay FÖ. Dahili kliniklerde yatan bireylerin düşme riski ve alınan önlemlerin incelenmesi. TAF Preventive Medicine Bulletin. 2013; 12(1):27-34.
  • 11. Tzeng HM, Yin CY. Most frequently observed risk factors for adult inpatient injurious falls in hospitals. Clinical Nurse Specialist. 2013; 27:314-322.
  • 12. Schwendimann R, Buhler H, De Geest S, Milisen K. Characteristics of hospital inpatient falls across clinical departments, Gerontology, 2008;54(6):342-348
  • 13. Chelly JE, Canroy L, Miller G, Elliot MN ve ark. Risk factors and ınjury associated with falls in elderly hospitalized patients in a community hospital, Patient Saf, 2008;4(3):178-183
  • 14. Zecevic AA, Chesworth BM, Zaric GS, Huang Q, Salmon A, McAuslan D, Welch R, Brunton D. Estimating the cost of serious injurious falls in a Canadian acute care hospital. Can J Aging. 2012 Jun;31(2):139-47. doi: 10.1017/S0714980812000037.
  • 15. Haines TP, Waldron NG. Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?, J Safety Res, 2011;42(6):431-424.
  • 16. Alexander D, Kinsley TL, Waszinski C. Journey to a safe environmental: Fall prevention in an emergency department at a level 1 trauma center. Journal of Emergency Nursing 2013; 39(4):346-352.
  • 17. Potter R. Falls in the emergency department. Journal of Emergency Nursing. 2015; 41:466-468.
  • 18. Tanrikulu F, Sari D. Determining patients’ risk of falling in the emergency department. International Journal of Caring Sciences. 2017; 10(2): 907-914.
  • 19. Erdem Ö (2018). Acil Servise Gelen Hastalarda Düşme Riski Ve Etkileyen Faktörlerin İncelenmesi, Yüksek Lisans Tezi, Çannakkale Onsekiz Mart Üniversitesi,Sağlık Bilimleri Enstitüsü, Çanakkale.
  • 20. Terrell KM, Weaver CS, Giles BK, Ross MJ. ED patient falls and resulting injuries. J Emerg Nurs. 2009 Apr;35(2):89-92. doi: 10.1016/j.jen.2008.01.004. Epub 2008 Jul 10.
  • 21. Weigand JV, Gerson LW. Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review. Acad Emerg Med. 2001; 8:823-826.
  • 22. DeGrauw X, Annest J L, Stevens J A, Xu L, Coronado, V. Unintentional injuries treated in hospital emergency departments among persons aged 65 years and older, United States, 2006–2011. Journal of Safety Research, 2016; 56, 105–109. doi:10.1016/j.jsr.2015.11.002.
  • 23. Web-based Injury Statistics Query and Reporting System 2015. Centers for Disease Control and Prevention [on-line]. Available at http://www.cdc.gov/ injury/wisqars/ Accessed December 12, 2015.
  • 24. Oliver D, Healey F, Haines TP.Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010 Nov;26(4):645-92. doi: 10.1016/j.cger.2010.06.005.
  • 25. Quarranttey G.K. Falls and Related Injuries Based on Surveillance Data: U.S. Hospital Emergency Departments. Walden University, College of Health Sciences 2016.
  • 26. Karataş GK, Maral I. Ankara- Gölbaşı İlçesinde Geriatrik Popülasyonda 6 Aylık Dönemde Düşme Sıklığı ve Düşme İçin Risk Faktörleri. Turkish Journal of Geriatrics 2001; 4(4): 152-158.
  • 27. Öz FB. Bir hastane acil servisine düşme ön tanısıyla başvuran 65 yaş üstü bireylerde evde düşme risk faktörlerinin belirlenmesi, Yüksek Lisans Tezi, Mersin Üniversitesi,Sağlık Bilimleri Enstitüsü, Mersin 2016.
  • 28. Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369–371.
  • 29. Lord SR. Visual risk factors for falls in older people. Age Ageing. 2006 Sep;35 Suppl 2:ii42-ii45.
  • 30. Källstrand-Ericson J, Hildingh C. Visual impairment and falls: a register study. J Clin Nurs. 2009 Feb;18(3):366-72. doi: 10.1111/j.1365-2702.2008.02516.x.
  • 31. Criter RE, Honaker JA. Fall risk screening protocol for older hearing clinic patients. Int J Audiol. 2017 Oct;56(10):767-774. doi: 10.1080/14992027.2017.1329555. Epub 2017 May 25.
  • 32. Morse J. Development of the Morse Fall Scale. Preventing Patient Falls. U.S. of America, First Edition, 1997.
  • 33. Soyuer F, Soyuer A, Öztürk A. Kronik inmede düşmeyi etkileyen faktörler. Türk Serebrovasküler Hastalıklar Dergisi. 2006; 12(3): 83-87.
  • 34. Ganz DA, Bao Y, Shekelle PG, Rubenstein LZ. Will my patient fall? JAMA. 2007; 297(1):77-86.
  • 35. Huang AR, Mallet L, Rochefort CM, Eguale T, Buckeridge DL, Tamblyn R. Medication-related falls in the elderly: causative factors and preventive strategies. Drugs Aging. 2012 May 1;29(5):359-76. doi: 10.2165/11599460-000000000-00000.
  • 36. Titler MG, Shever LL, Kanak MF, Picone DM &Qin R. Factors associated with falls during hospitalization in an older adult population. Research and Theory for Nursing Practice.2011; 25:127–148.
  • 37. Gauterio DP, Zortea B, Costa SantosSS, da Silva Tarouco B, Lopes MJ, Jo~ao Fonseca C. Risk Factorsfor new accidental falls in elderly patients at traumatology ambulatory center. Imprenta Universidad de Antioquia. 2015; 33:35-43.
  • 38. Hou WH, Kang CM, Ho MH, Kuo JM, Chen HL, Chang WY. Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients. J Clin Nurs. 2017; 26(5-6):698-706.
  • 39. Nogal L, Gonzales L, Ramirez G, Casado R. Characteristics of Falls of Neurological Cause in the Elderly. Revista De Neurologia. 2008; 46(9); s. 513-516.
  • 40. Salameh F, Cassuto N, Oliven A. A simplified fall-risk assessment tool for patients hospitalized in medical wards. Isr Med Assoc J. 2008; 10(2):125-129.
There are 40 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Öznur Erdem This is me 0000-0002-5858-9933

Selma Atay This is me 0000-0002-2068-1099

Publication Date August 31, 2018
Submission Date January 29, 2018
Published in Issue Year 2018 Volume: 5 Issue: 2

Cite

Vancouver Erdem Ö, Atay S. Acil Servise Başvuran Bireylerde Düşme Riski ve Etkileyen Faktörlerin İncelenmesi. JOHUFON. 2018;5(2):128-37.