Full
Outline
To explore the application effect of a modified fall risk assessment tool combined with patient-participation interventions in hospitalized elderly patients at high risk of falls.
Expert consultation was used to improve the Chinese version of the i Engaging Fall self-Assessment Tool,and a pre-survey was conducted on 270 eligible patients.Using convenience sampling method,high-risk elderly patients admitted to the geriatric department of a hospital in Wuhan city from February 2022 to June 2024 were selected as the research subjects.They were divided into a control group(n=236),observation group 1(n=235),and observation group 2(n=232).The control group used the Chinese Version of the i Engaging Fall Self-Assessment Scale.The Observation group 1 used the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale.The observation group 2 received the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale combined with patient-participation interventions.The incidence of falls,the workload of fall prevention nurses,and fall alertness among three groups were evaluated.
In the control group,4 cases experienced falls,with a fall incidence rate of 0.195%.In observation group 1,3 cases experienced falls,with an incidence rate of 0.131%;In observation group 2,only one person fell,with an incidence rate of 0.047%.There were no statistically significant differences in terms of the occurrence of falls among three groups(P>0.05).The duration of fall protection in observation group 2 was shorter than that in observation group 1 and control group(P<0.05).The duration of fall assessment was longer than that in observation group 1 and control group(P<0.05).The total score of the Fall Vigilance Scores and the dimensions of activity safety and environmental alert,physical function alert,drug alert,and cognitive behavioral alert in observation group 2 were higher than those in the control group and observation group 1(P<0.05).
Modified fall assessment tools combined with patient-participation interventions could reduce nursing workload,enhance patients' fall vigilance,and promote patient safety.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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