입원환자의 낙상 실태 및 관련 요인
Fall Incidence Rate and Associated Factors Among General Hospital Inpatients
- 주제(키워드) Fall , Risk factors , Inpatient
- 발행기관 고려대학교 보건대학원
- 지도교수 천병철
- 발행년도 2009
- 학위수여년월 2009. 8
- 학위명 석사
- 학과 보건대학원 역학및보건정보학과
- 원문페이지 47 p
- 실제URI http://www.dcollection.net/handler/korea/000000009154
- 본문언어 한국어
- 제출원본 000045552617
초록/요약
Abstract Fall Incidence Rate and Associated Factors Among General Hospital Inpatients Yang, Hwa-mi Department of Epidemiology and Health Informatics Graduate School of Public Health, Korea University (Supervising Professor: Chun, Byung-chul, MD Ph.D.) Objectives : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Methods : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Results : The fall incidence rate, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, ≧65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient’s room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended. Key words: Fall, Risk factors, Inpatient, Patient safety, Hospital epidemiology
more목차
Abstract i
Ⅰ. 서론 1
1. 연구의 필요성 1
2. 연구목적 2
Ⅱ. 연구대상 및 방법 3
1. 연구대상 3
2. 자료수집 및 연구방법 3
3. 분석방법 5
Ⅲ. 연구결과 6
1. 낙상 발생률 6
2. 낙상에 대한 기술역학적 분석 8
3. 낙상의 반복발생과 관련된 요인 23
4. 낙상 후 손상과 관련된 요인 26
Ⅳ. 고찰 28
Ⅴ. 요약 및 결론 33
참고문헌 35
부록 38
