Analysis of the causes of fall as an adverse event in elderly patients taking sedative or hypnotic drugs and the countermeasures
10.3760/cma.j.issn.0254-9026.2017.06.006
- VernacularTitle:镇静催眠药物致老年患者住院期间跌倒的原因分析及对策
- Author:
Jianyu LIN
;
Ying ZHANG
;
Chao SUN
;
Yuehong WANG
;
Xiuli CHEN
;
Jing WANG
- Keywords:
Accidental falls;
Hypnotics and sedatives
- From:
Chinese Journal of Geriatrics
2017;36(6):627-631
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of falls as an adverse event in the hospitalization of elderly patients taking sedatives and hypnotics drugs.Methods Data of elderly patients treated in Department of General Internal Medicine,Beijing Chaoyang Hospital from July 2011 to July 2015 were collected.All patients were divided into medicine-taking group and non-medicinetaking group according to the history of taking sedatives and hypnotics during the hospital stay.Different characteristics of fall as an adverse event were compared between the two groups,and fall related nursing interventions were presented.Results A total of 3 834 patients were collected for analysis in this study.Of these patients,the fall as an adverse event occurred in 12 cases,the total incidence was 3.1％,in whom 8/638 (12.5％) in medicine-taking group and 4/3196 (1.3％) in nonmedicine-taking group(x2=21.72,P＜0.01).Of 8 cases with the fall as an adverse event in medicinetaking group,the fall occurred in 6 cases(75％)during 24 ∶ 00-6 ∶ 00.However,of 4 cases with the falls in non-medicine-taking group,the fall in 3 cases(75 ％)occurred during 6 ∶ 00-18 ∶ 00.In medicinetaking group,the fall occurred beside their beds in 62.5 ％ (5 cases).And in 37.5 ％ (3 cases)did in their bathrooms.In non-medicine-taking group,the fall occurred in 2 cases (50.0％) beside their beds,in 1 case did in the bathroom,1 case did in the passage.Multiple Logistic regression analysis showed that age ＞ 75 years(OR=1.26,95 ％CI:1.07-1.48),elevated nutritional risk score(NRS-2002 ≥3 scores) (OR=10.92,95％CI:1.79-66.46)and elevated risk for fall or out of bed(risk score ≥18 scores) (OR =19.08,95％ CI:4.02-90.47)were the independent risk factors for falls as an adverse event among medicine-taking group.Conclusions A use of sedatives and hypnotics is related with the increase of fall as an adverse event in elderly patients during a hospital stay.With the aim of preventing or reducing the incidence of fall as an adverse event,nursing interventions should be carried out based on the characteristics of fall as an adverse event in elderly patients taking sedatives and hypnotics.
