The Comparison of Effectiveness of a Fall Prevention Procedures between the CHAMPS Assessment Tool Integrated with Demonstration and Cot Bed and the Humpty Dumpty Assessment Tool Integrated with Multimedia and Alarm Bed in Pediatric Ward of Somdech Phra Pinklao Hospital

Abstract

The fall incidence in pediatric patients is increasing. So, this experimental research was designed to study the effect of using Humpty Dumpty assessment tool integrate with multimedia and alarming bed for fall prevention. The samples composed of 280 patients who had aged from newborn to 15 years old and admitted in pediatric ward of Somdech Phra Pinklao Hospital selected by purposive sampling. Sampling was divided into 2 groups, each group composed of 140 patients which were matched in pairs according to their age, diagnosis, history of falling, gender and medication usage. Group 1 (control) was evaluated by CHAMPS assessment tool, demonstration and cot bed while group 2 (experimental) was evaluated by Humpty Dumpty assessment tool, multimedia and alarm bed in the first admission. The satisfaction of caregivers and the fall incidence in each group were recorded by the researchers during admission in the ward. The research tools were validated by 5 experts. The satisfaction of caregivers in two group were compared by independent t-test. The study revealed that, patients in experimental group had 0.00 per 1,000 days of fall ratio and their satisfaction of caregivers were 4.36 (SD = 0.51). Patients in control group had 5.55 per 1,000 days of fall ratio and their satisfaction of caregivers were 3.94 (SD = 0.48). The satisfaction of caregivers between control group and experimental group was significantly different at .05.