A Development of Personalized Care Model to Prevent Falling for Patients with Impaired Mobility Receiving Rehabilitation in the Hospital
Keywords:
personalized care, prevent, falling, impaired mobility, rehabilitationAbstract
This research and development study aimed to 1) to study the situation on falling, 2) to develop the personalized care model to prevent falling for patients with impaired mobility and 3) to evaluate the effectiveness of the developed model to prevent falling. The sample was 80 patients receiving rehabilitation in Sirindhorn National Medical Rehabilitation Institute and 19 nurses. The instruments consisted of 1) the guideline of personalized care model, including the guideline of personalized care to prevent falling for taking care of nurses, the guideline of preventing falls in the hospital and moving patients and the set of VDOs on falling prevention in the hospital, 2) the patient record form 3) the evaluating form the knowledge of nurse, and 4) the evaluating form on the satisfaction of nurse, the reliability of these instruments at .91, .86, .80, and .98, respectively. Data were analyzed by percentage, mean, standard deviation, Chi-square, and content analysis.
The finding showed that patients had had falls 17 times when received the previous fall prevention care model. Patients who received the personalized care model to prevent falling had not had falls in 4 months. Nurses had increased knowledge, 100%, and were satisfied in this model at 4.25. Using this model should evaluate factors inappropriate each patient and the context of the organizations.
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