Objectives : To estimate fall incidence rate and associated factors in inpatients from Hospitalized Children. This is the descriptive survey research, which was attempted in order to suggest the ground data for developing the program of preventing falls, which is necessary for hospital afterwards, b...
Objectives : To estimate fall incidence rate and associated factors in inpatients from Hospitalized Children. This is the descriptive survey research, which was attempted in order to suggest the ground data for developing the program of preventing falls, which is necessary for hospital afterwards, by analyzing factors related to the younger inpatients' fall experiences.
Methods : The data were collected from 97 younger patients with experience of falling in more than 18 years and 97 patients with no experience of falling, at domestic Tertiary Referral Hospitals and 1 general hospital, from 01 January 2009 to 31 December 2010.
Information included general characteristics of patients. factors related to fall, types, places, circumstances and outcomes of fall.
The totally collected data was analyzed by using PASW statistics 18.0 . The results of this study are as follows.
Results : The fall incidence rate, which was 6.0 per 1,000 total discharged patients and 0.9 per 1,000 patient-days.
Fall events of infant inpatients usually occurred to them under the age 3 in Pediatrics with respiratory disease and occurred more often during the active daytime regardless of the season and day of the week. Also, Falls frequently happened in case they were independent, needed with some assistance and had a clear consciousness. On the other hand, Falls were few relatively in case they always needed lots of help in activation and were dependent on the bed. Fall experiences of younger inpatients usually occurred in inpatient's ward. In the case of falls in the ward, they were related to the side-rails of the bed such as going over side-rails, falling between bed and side-rail. Physical injury of fall events occurred to the male infant more than the female. But, Physical injury was not associated with the past fall experience, an intravenous injection, use of drugs, mental status, ambulatory device etc.
As a result of the group with the fall experience and the group with the non-fall experience among 194 total subjects, by gender, by age level, by diagnosis, and by hospital-stay period given the fall experience, there was no statistically significant difference between two groups.
Among general characteristic factors, the younger patients, who hospital-stay period in more than 5 days were indicated to have significantly higher probability by 2.130 times (P=0.011) for the fall than the younger patients, who are hospital-stay period in less than 5 days. The younger patients, who are in the Rapid respiration state(more than 25 times/min), were indicated to be significantly higher(p=.015) by 2.363 times in the probability for the fall than the younger patients in the opposite case.
Among the fall factors related to the physical symptom in the subjects, the patients with ambulatory with some assistance, and were dependent on and ambulatory device, were higher(p=.004) by 6.594 times in the danger of the fall than the patients without dizziness. And, the patients with general weakness were indicated to be significantly higher(P<0.001) by 12.729 times in the danger of the fall than the younger patients in the opposite case.
Factors, which have effect on the fall of the youngerly inpatients, were indicated to be in order of hospital-stay period(p=0.011), rapid respiration state(p=0.051), and activity status((P<0.001). The descriptive level(R² in the regression model for explaining the risk factors on the elderly inpatients' fall experience was 28.4%, and was statistically significant(p<0.000).
Conclusion There is a limit to generalize because the data in this study were collected in only one general hospital that fall accident occurred.
And because of technical research not comparison group research, cause-and-effect about fall risk factors and its results was not suggested concretely. As a result, the repetitive research and approach of various research method for infant inpatients need to strategy for predicting risk factors and preventing falls.
Key words: Fall, Risk factors, Inpatient safety, Children fall
Objectives : To estimate fall incidence rate and associated factors in inpatients from Hospitalized Children. This is the descriptive survey research, which was attempted in order to suggest the ground data for developing the program of preventing falls, which is necessary for hospital afterwards, by analyzing factors related to the younger inpatients' fall experiences.
Methods : The data were collected from 97 younger patients with experience of falling in more than 18 years and 97 patients with no experience of falling, at domestic Tertiary Referral Hospitals and 1 general hospital, from 01 January 2009 to 31 December 2010.
Information included general characteristics of patients. factors related to fall, types, places, circumstances and outcomes of fall.
The totally collected data was analyzed by using PASW statistics 18.0 . The results of this study are as follows.
Results : The fall incidence rate, which was 6.0 per 1,000 total discharged patients and 0.9 per 1,000 patient-days.
Fall events of infant inpatients usually occurred to them under the age 3 in Pediatrics with respiratory disease and occurred more often during the active daytime regardless of the season and day of the week. Also, Falls frequently happened in case they were independent, needed with some assistance and had a clear consciousness. On the other hand, Falls were few relatively in case they always needed lots of help in activation and were dependent on the bed. Fall experiences of younger inpatients usually occurred in inpatient's ward. In the case of falls in the ward, they were related to the side-rails of the bed such as going over side-rails, falling between bed and side-rail. Physical injury of fall events occurred to the male infant more than the female. But, Physical injury was not associated with the past fall experience, an intravenous injection, use of drugs, mental status, ambulatory device etc.
As a result of the group with the fall experience and the group with the non-fall experience among 194 total subjects, by gender, by age level, by diagnosis, and by hospital-stay period given the fall experience, there was no statistically significant difference between two groups.
Among general characteristic factors, the younger patients, who hospital-stay period in more than 5 days were indicated to have significantly higher probability by 2.130 times (P=0.011) for the fall than the younger patients, who are hospital-stay period in less than 5 days. The younger patients, who are in the Rapid respiration state(more than 25 times/min), were indicated to be significantly higher(p=.015) by 2.363 times in the probability for the fall than the younger patients in the opposite case.
Among the fall factors related to the physical symptom in the subjects, the patients with ambulatory with some assistance, and were dependent on and ambulatory device, were higher(p=.004) by 6.594 times in the danger of the fall than the patients without dizziness. And, the patients with general weakness were indicated to be significantly higher(P<0.001) by 12.729 times in the danger of the fall than the younger patients in the opposite case.
Factors, which have effect on the fall of the youngerly inpatients, were indicated to be in order of hospital-stay period(p=0.011), rapid respiration state(p=0.051), and activity status((P<0.001). The descriptive level(R² in the regression model for explaining the risk factors on the elderly inpatients' fall experience was 28.4%, and was statistically significant(p<0.000).
Conclusion There is a limit to generalize because the data in this study were collected in only one general hospital that fall accident occurred.
And because of technical research not comparison group research, cause-and-effect about fall risk factors and its results was not suggested concretely. As a result, the repetitive research and approach of various research method for infant inpatients need to strategy for predicting risk factors and preventing falls.
Key words: Fall, Risk factors, Inpatient safety, Children fall
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