Fall risk assessment among surgical elderly during perioperative period
10.3760/cma.j.issn.1674-2907.2015.11.012
- VernacularTitle:外科老年患者围术期跌倒风险评估的研究
- Author:
Xiaojie WANG
1
;
Yaqin ZHANG
;
Shuli GUO
;
Haibo DENG
;
Na GAO
;
Yufen MA
Author Information
1. 100730 中国医学科学院 北京协和医院血管外科
- Keywords:
Risk assessment;
Fall;
Elderly patients;
Perioperative period;
Risk factor
- From:
Chinese Journal of Modern Nursing
2015;(11):1279-1282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To address the fall risks in surgical patients during different time of perioperative period, and explore the best time of risk assessment, and its influencing factors. Methods A total of 250 elderly, who had selective operation and were chosen by a convenient sampling method, received fall risk assessment by Johns Hopkins fall risk assessment tool. We assessed the fall risk factors once a day from the first day of hospitalization until the seven day after operation. Results The fall risk increased 1 d before operation, and it climbed the highest score on the operation day (13. 92 ± 1. 94) with statistical significant compared with fall risk of other day (P<0. 01). The average score of fall risk were (12. 87 ± 1. 42), (11. 98 ± 2. 15) in two days after operation having high fall risk. From 3 d to 7 d after operation, the score of fall risk maintained a medium level. By correlation analysis, it presented the Pearson coefficient was >0. 5, for medicine and nursing facilities of 3 d after operation, and the movement of Pearson coefficient was >0. 5 during the 2 d to 7 d after operation. The further outcome of regression analysis shew that medicine, movement, patient′s nursing facilities and the fall history were high risk factors during perioperative period. Conclusions The fall risk increases on one day before operation and reach peak when patients come back unit after operation. After 7 d operation, the score of fall risk decreases progressively, but it still stays at the medium level. Different time exists different high fall risk factors, and it indicates we should strengthen fall risk assessment and prevention at 1 d, day coming back unit after operation and 7 d after operation to prevent fall incidences.
