Factors Influencing for Falls of In-Patients at a Regional Hospital in Bangkok Metropolis
ปัจจัยที่มีผลต่อการพลัดตกหกล้มของผู้ป่วยใน โรงพยาบาลศูนย์แห่งหนึ่ง ในกรุงเทพมหานคร
Keywords:
Fall, In-Patient, Co-MorbidityAbstract
This research aimed to investigate the factors affecting fall of in-patients at a regional hospital in Bangkok Metropolis. The total number of 175 in-patients’ medical records of the regional hospital during the fiscal years 2014-2017 were recruited into the study. There were
seventy-six incident reports of falls during admission, and ninety-nine records which were not
found those falls. The research instruments, developed by researcher was factors influencing
accidental falls of in-patients records. Content validity was examined by three experts. The index
of item-objective congruence was 1.00. Data were analyzed by descriptive statistics and binary
logistic regression analysis.
The results showed that about a half of the fallen patients (56.6%) were older than 60
years. Ninety-four percent (94.7%) had no fallen history within 1 year. All of them reported comorbid diseases. About four part fifth (82.9 percent) of the fallen patients received risk assessment for falls during admission. The highest occurrence of falls (31.1%) was morning shift. Half
of them failed at the bedside. The majority of them reported closed observation without severe
injuries. Co-morbidity of the patients including nervous system and brain, musculoskeletal system
and cerebrovascular system showed statistically significantly predicted of falls. Patients with these
co-morbidity tended to fall 2.96, 2.45, and 0.49 times which were more than those who did
not have diseases, respectively (OR 2.96; 95%CI: 1.11 - 7.89, OR 2.45; 95%CI: 1.20- 5.01,
OR 0.49; 95%CI: 0.25- 0.94: p <0.05).
Conclusion: The results of this study supported to develop practice guidelines for fall prevention in the hospitals focusing on in-patients with co-morbidity in nervous system and brain,
musculoskeletal system.
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