Yıl: 2020 Cilt: 7 Sayı: 2 Sayfa Aralığı: 280 - 291 Metin Dili: İngilizce DOI: 10.5222/SHYD.2020.04127 İndeks Tarihi: 06-05-2021

Reviewing Patient Falls Following Implementation of the Fall Prevention Program

Öz:
Aim: This study was conducted to investigate patient falls occurred after a fall prevention program implemented in a university hospital.Methods: This is a retrospective study conducted to investigate patient falls that occurred in a foundation (private) university hospital located in Ankara. The sample consisted of patients (n:103) who fell from a height in a foundation university hospital in Turkey. The Fall Prevention program has been revised over time. Itaki Fall Risk Scale, Enviromental Risk Assesment Form, Falling Patient Monitoring Form, Incident Report Form, Data Collection Form were used.Results: While the rate of patient falls decreased from 0.16% to 0.12%, fall risk of the patients increased from 25.3% to 67.6%. The 63.1% of the patient falls were caused by intrinsic factors. Patients’ age, risky medication(s), balance problem, confusion, fatigue, dizziness and failure to ask for help during mobilization were found as the determinants of the fall risk.Conclusion: In the study, fall prevention programs can be improved considering all risk factors. Considering the results of this study; making adjustments for improving functional strength and balance, providing adequate information on fall prevention measures and closer monitoring can be suggested. With the help of health team, the program can further focus on the exercises, contributing to the reduction of falls by strengthening the patients in this way.
Anahtar Kelime:

Düşme Önleme Programının Uygulanmasını Takiben Hasta Düşmelerinin İncelenmesi

Öz:
Amaç: Bu çalışma, bir üniversite hastanesinde düşme önleme programı sonrası ortaya çıkan hasta düşmelerinin incelenmesi amacıyla yapılmıştır. Yöntem: Bu çalışma, retrospektif türden bir çalışma olup, Ankara’da bir vakıf üniversite hastanesinde gerçekleştirilmiştir. Araştırmanın örneklemini, bir üniversite hastanesinde düşen 103 hasta oluşturmuştur. Bu üniversite hastanesinde hasta düşmelerini önleme programı zaman içinde yeniden düzenlenmiştir. Araştırmada veri toplamak için “Hendrich II Düşme Risk Değerlendirme Formu, İtaki Düşme Ölçeği ve Hasta Düşmelerini İnceleme Formu” kullanılmıştır. Bulgular: Çalışma sürecinde, hasta düşme oranı %0,16’dan %0,12’ye düşerken, düşme riski olan hastalar %25,3’ten %67,6’ya yükselmiştir. Hastaların %63,1’inde düşmenin hastaya ait faktörlerden kaynaklandığı belirlenmiştir. Düşme nedenlerinin ilk sıralarında hastaların yaşı, kullanılan riskli ilaçlar, denge sorunu, konfüzyon, baş dönmesi ve mobilizasyon sırasında yardım istememesi gibi durumlar düşme riskinin belirleyicisi olarak bulunmuştur. Sonuç: Çalışmada, tüm risk etmenlerinin göz önüne alındığı düşmeyi önleme programları geliştirilebileceği belirlenmiştir. Bu çalışmanın sonuçlarını göz önünde bulundurarak fonksiyonel güç ve dengenin iyileştirilmesi için düzenlemelerin yapılması, düşme önleme önlemleri hakkında yeterli bilgi sağlanması ve daha yakından izlenmesi önerilebilir. Ayrıca bu program, sağlık ekibinin yardımıyla, hastaları bu şekilde güçlendirerek düşmelerin azaltılmasına katkıda bulunan egzersizlere de odaklanmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Karahan A, Kav S, UGURLU Z, balanuye b, Karaer H (2020). Reviewing Patient Falls Following Implementation of the Fall Prevention Program. , 280 - 291. 10.5222/SHYD.2020.04127
Chicago Karahan Azize,Kav Sultan,UGURLU ZİYAFET,balanuye berrak,Karaer Hülya Reviewing Patient Falls Following Implementation of the Fall Prevention Program. (2020): 280 - 291. 10.5222/SHYD.2020.04127
MLA Karahan Azize,Kav Sultan,UGURLU ZİYAFET,balanuye berrak,Karaer Hülya Reviewing Patient Falls Following Implementation of the Fall Prevention Program. , 2020, ss.280 - 291. 10.5222/SHYD.2020.04127
AMA Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H Reviewing Patient Falls Following Implementation of the Fall Prevention Program. . 2020; 280 - 291. 10.5222/SHYD.2020.04127
Vancouver Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H Reviewing Patient Falls Following Implementation of the Fall Prevention Program. . 2020; 280 - 291. 10.5222/SHYD.2020.04127
IEEE Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H "Reviewing Patient Falls Following Implementation of the Fall Prevention Program." , ss.280 - 291, 2020. 10.5222/SHYD.2020.04127
ISNAD Karahan, Azize vd. "Reviewing Patient Falls Following Implementation of the Fall Prevention Program". (2020), 280-291. https://doi.org/10.5222/SHYD.2020.04127
APA Karahan A, Kav S, UGURLU Z, balanuye b, Karaer H (2020). Reviewing Patient Falls Following Implementation of the Fall Prevention Program. Sağlık ve Hemşirelik Yönetimi Dergisi, 7(2), 280 - 291. 10.5222/SHYD.2020.04127
Chicago Karahan Azize,Kav Sultan,UGURLU ZİYAFET,balanuye berrak,Karaer Hülya Reviewing Patient Falls Following Implementation of the Fall Prevention Program. Sağlık ve Hemşirelik Yönetimi Dergisi 7, no.2 (2020): 280 - 291. 10.5222/SHYD.2020.04127
MLA Karahan Azize,Kav Sultan,UGURLU ZİYAFET,balanuye berrak,Karaer Hülya Reviewing Patient Falls Following Implementation of the Fall Prevention Program. Sağlık ve Hemşirelik Yönetimi Dergisi, vol.7, no.2, 2020, ss.280 - 291. 10.5222/SHYD.2020.04127
AMA Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H Reviewing Patient Falls Following Implementation of the Fall Prevention Program. Sağlık ve Hemşirelik Yönetimi Dergisi. 2020; 7(2): 280 - 291. 10.5222/SHYD.2020.04127
Vancouver Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H Reviewing Patient Falls Following Implementation of the Fall Prevention Program. Sağlık ve Hemşirelik Yönetimi Dergisi. 2020; 7(2): 280 - 291. 10.5222/SHYD.2020.04127
IEEE Karahan A,Kav S,UGURLU Z,balanuye b,Karaer H "Reviewing Patient Falls Following Implementation of the Fall Prevention Program." Sağlık ve Hemşirelik Yönetimi Dergisi, 7, ss.280 - 291, 2020. 10.5222/SHYD.2020.04127
ISNAD Karahan, Azize vd. "Reviewing Patient Falls Following Implementation of the Fall Prevention Program". Sağlık ve Hemşirelik Yönetimi Dergisi 7/2 (2020), 280-291. https://doi.org/10.5222/SHYD.2020.04127