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首页> 外文期刊>Nurse education today >Medication fall risk in old hospitalized patients: A retrospective study
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Medication fall risk in old hospitalized patients: A retrospective study

机译：老年住院患者的药物下降风险：一项回顾性研究

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Background: While the causes of falls in old hospitalized patients are multifactorial, medication has been considered as one of the most significant factors. Given the large impact that this phenomenon has on the lives of the elderly and organizations, it is important to explore such phenomenon in greater depth. Objective: The objective of this study was to explore the association between medication and falls and the recurrent falls (n. ≥. 2), and identify medication related risk for fall in hospitalized patients, in a large acute hospital. Design: Retrospective and quantitative study from June 2008 to December 2010. Setting: The study was conducted in a private hospital for acute patients in Lisbon, Portugal. Participants: The study included a sample of 214 episodes of fall event notifications which occurred in 193 patients. Methods: The current study was conducted through the "face to face consensus" technique which emerged the treatment groups to investigate. Regarding the data analysis we used Student's t test, ANOVA and Odds Ratio. In the violation of the premises for the use of parametric statistics we used the Kruskal-Wallis test. To assess the fall risk, and the medication-related fall risk, we used the Morse Fall Risk Scale, and the Medication Fall Risk Score. Results: Patients who received drugs from the therapy group of "Central Nervous System", are 10 times more likely to have fall risk (OR 9. 90, 95% CI 1.6-60.63). Association was found between falls (OR 6.09, 95% CI 1.30-28.54) and its recurrence (OR 3.32, 95% CI 1.61-6.85), among patients receiving haloperidol and receiving tramadol for recurrent falls (OR 3.10, 95% CI 1.59-6.07). In 34% of the patients the medication fall risk score was 6 or higher. Conclusions: This current study allowed identifying medication-related risk factors for falls, that nurses should consider when prescribing interventions to prevent falls and its recurrence, when patients are admitted to acute care hospitals.
机译：背景：虽然老年住院患者跌倒的原因是多方面的，但药物已被认为是最重要的因素之一。鉴于这种现象对老年人和组织的生活产生了巨大影响，因此必须更深入地探讨这种现象。目的：本研究的目的是探讨大型急诊医院住院患者跌倒与反复跌倒（n.≥。2）之间的关系，并确定与药物相关的跌倒风险。设计：2008年6月至2010年12月的回顾性和定量研究。地点：该研究在葡萄牙里斯本的一家私人医院中进行，用于急性患者。参与者：该研究包括193名患者中发生的214次跌倒事件通知的样本。方法：本研究是通过“面对面共识”技术进行的，出现了治疗组进行调查。关于数据分析，我们使用了学生t检验，方差分析和几率。在违反使用参数统计的前提的情况下，我们使用了Kruskal-Wallis检验。为了评估跌倒风险以及与药物相关的跌倒风险，我们使用了莫尔斯跌倒风险量表和药物跌倒风险评分。结果：接受“中枢神经系统”治疗组药物的患者跌倒风险的可能性高10倍（OR 9. 90，95％CI 1.6-60.63）。在接受氟哌啶醇和曲马多复发性跌倒的患者中（OR 6.09，95％CI 1.30-28.54）与其复发（OR 3.32，95％CI 1.61-6.85）之间存在关联（OR 3.10，95％CI 1.59- 6.07）。在34％的患者中，药物掉落风险评分为6或更高。结论：这项当前研究允许确定与药物相关的跌倒危险因素，当患者入急诊医院时，护士在开处方预防跌倒及其复发的干预措施时应考虑。

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