Influencing factors of accidental falls outside the hospital in elderly patients with accidental injury in Emergency Department
10.3760/cma.j.cn115682-20201130-06451
- VernacularTitle:急诊老年意外伤害患者院外跌倒发生的影响因素分析
- Author:
Nuo ZHAO
1
;
Siyue ZHU
;
Jun LIU
;
Ming YIN
;
Yuan LIU
;
Huiru HOU
Author Information
1. 解放军总医院第二医学中心急诊医学科，北京 100853
- Keywords:
Aged;
Emergency service, hospital;
Accidental injuries;
Fall outside the hospital;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(28):3862-3866
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of accidental falls outside the hospital in elderly patients with accidental injury in the Emergency Department, so as to provide a basis for preventing accidental injuries.Methods:Convenience sampling was used to select 210 emergency elderly patients who visited the hospital due to accidental injuries from November 2017 to May 2020 in the Second Medical Center, People's Liberation Army General Hospital as the research object. Patients were investigated with the self-designed Out-of-hospital Accidental Injury Consultation Questionnaire. Single factor analysis and binomial Logistic regression were used to analyze the influencing factors of falls in elderly patients. A total of 210 questionnaires were distributed in this survey, and 180 valid questionnaires were returned with the valid response rate of 85.71%.Results:A total of 147 falls occurred among 180 elderly patients in the Emergency Department, and the incidence of falls was 81.7%. Binomial Logistic regression analysis showed that old age, outdoor, chronic diseases and no use of walking aids were independent risk factors for falls ( P<0.05) . Conclusions:The main types of accidental injuries in elderly patients are falls. Strengthening the nursing education of fall prevention measures, improving compliance with medications, choosing suitable walking aids or trying other new fall prevention technologies, and establishing a multi-party participation model can effectively prevent and reduce the occurrence of falls in elderly patients.
