Main Article Content
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.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
2. Centrefor Clinical Practice at N. National Institute for Health and Care Excellence : Clinical Guidelines. Falls: Assessment and prevention of falls in older people. London: National Institute for Health and Care Excellence (UK); 2013.
3. Tangjade A, Sukonthamarn K. The Thai Red Cross fall risk assessment and prevention (TRC-FRAP) guidelines. ASEAN J Thai Rehabil Med. 2019;29(1):14-20. (in Thai)
4. Keay L, Palagyi A, McCluskey P, Lamoureux E, Pesudovs K, Lo S, Ivers R, Boufous S, Morlet N, Ng J, Stapleton F, Fraser M, Meuleners L. Falls in older people with cataract, a longitudinal evaluation of impact and risk : the FOCUS Study Protocol. InjPrev 2014; 20 (1) : 1 - 6.
5. Scott D, Hayes A, Aitken D, Jones G. Operational definitions of sacropenia and their associations with 5-year changes in falls risk in communitydwelling middle-aged and older adults. Osteoporos Int. 2014;25:187-193.
6. Jitramontree N, Chatchaisucha S, Thaweeboon T,Kutintara B, Intanasak S. Action research development of a fall prevention program for Thai community-dwelling older persons. Pacific Rim Int J Nurs Res. 2015; 19 (1): 69 - 79. (in Thai)
7. Cameron ID, Gillespie LD, Robertson MC, Murray GR, Hill KD,Cumming RG, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2012 ;12 : CD005465.
8. Choi Y, Lawler E, Boenecke A, Ponatoski ER, Zimring CM. Developing a multi-systematic fall prevention model, incorporating the physical environment, the care process and technology : A systematic review. J Adv Nurs.2011; 67 (12) : 2501 - 2524.
9. Cho K, Lee G. Impaired dynamic balance is associated with falling in post-stroke patients. Tohoku J Exp Med. 2013; 230 : 233 – 239.
10. Knodel J, Prachuabmoh V, Chayovan N. The changing well-being of Thai elderly: An update from the 2011 survey of older persons in Thailand. HelpAge International; 2013.
11. Meiner SE. Gerontologic nursing. 5thed. St. Lious: Mosby Elsevier, 2015.
12. Risk Management Committee. Report of the Risk Management Committee; Sirindhorn National Medical Rehabilitation Institute. Nonthaburi Annual report; 2018 Sep 28.
13. Munro CL,Savel RH. The promise of personalized care in the intensive care unit. Am J Crit Care. 2016;25(5):388-390.
14. The Healthcare Accreditation Institute (Public Organization). Patient Safety Goals: SIMPLE Thailand. Hospital and Healthcare Standards 2018; 45 - 47.
15. Hendrich A, Nyhuuis A, Kippenbrock T, Soga ME. Hospital falls:Development of a predictive model for clinical practice. Appl Nurs Res. 1995; 8 (3) :129 - 139.
16. Waewaram S. Rehabilitation Nursing Care. J Nurs Sci.2017; 35 (4) : 4 -10. (in Thai)
17. Reuben DB, Sinsky CA. From transactional tasks to personalized care: A new vision of physicians’ roles. Ann Fam Med. 2018; 16 (2) : 168 - 169.
18. Coulter A, Entwistle VA, Eccles A, Ryan A, Shepperd S, Perera R. Personalized care planning for adults with chronic or long-term health conditions. Cochrane Database Systematic Review, 2015; 3: CD010523.
19. Chanjirawadee P, Sirisopon N, Kainaka P, Onsiri S. The effectiveness of a fall prevention program for a fall prevention behavior in hypertension elderly. JRTAN. 2017; 18Suppl: 41 - 48. (in Thai)
20. Kittipimpanon K, Amonatsatsue K, Kerdmongkol P, Maruo SJ, Nitayasuddhi D. Development and evaluation of a community-based fall prevention program for elderly Thais. Pacific Rim Int J Nurs Res. 2012; 16 (3) : 222 - 235.
21. Songwatthanayuth P, Polin S. The curriculum for nursing students in the 21st century: Case study and transformative learning. JRTAN 2019; 20 (2) : 10 - 16. (in Thai)