某醫學中心住院病人跌倒傷害及其相關因素探討

Patients’ Fall Injuries and Its Related Factors in a Medical Center

本研究目的在探討住院病人跌倒傷害及其相關因素。以檔案回顧，收集某醫學中心一般急性病房住院病人之跌倒事件，以百分率、變異數分析、複邏輯式迴歸分析進行資料分析。結果發現：(1)住院病人跌倒傷害情形：326位跌倒病人中，有傷害者佔84.4％（其中傷害等級一73％，等級二5.8％，等級三5.5％）。大多數跌倒病人年齡在73.5歲以上，以男性(72.4％)居多，跌倒時的活動以預下床活動(56.7％)較多，跌倒地點以病人單位(95.4％)最多，發生時間則以大夜班(36.5％)居多。(2)住院病人跌倒傷害影響因素以「有意識會跌倒或認同下床時應麻煩別人」者較「無意識會跌倒或下床時不喜歡麻煩別人」跌倒傷害機率低(p < .05)。本研究結果可提供護理人員評估高危險病人及降低住院病人跌倒傷害之參考。

The purpose of this study was to explore fall injuries and its related factors among hospitalized patients. Data were collected by analyzing the file in a medical center. Descriptive statistics, one-way ANOVA, and multiple logistic regression were used for data analyses. The major findings of this study were as follows: (1) Among the total 326 patients with falls, 84.4% were injured (grade 1: 73%, grade 2: 5.8%, and grade 3: 5.5%). Most of the fallers were age over 73.5 years old, male (72.4%), intending to get off the bed (56.7%), and were found around the bedside (95.4%). Moreover, the largest proportion of patient falls happened during 12AM to 8AM (36.5%). (2) Patients who perceived that they may fall or patients who think getting off bed should seek help from others had lower possibility of fall injuries. Based on the findings of this study, nurses can assess the patients’ falls effectively and then prevent patient falls.