Risk of fall in hospitalized patients: risk factors and nursing interventions

Detalhes bibliográficos
Autor(a) principal: Ximenes, Maria Aline Moreira
Data de Publicação: 2019
Outros Autores: Aguiar, Jefferson Ribeiro, Bastos, Ismael Brioso, de Sousa, Liliane Vieira, Caetano, Joselany Áfio, Barros, Lívia Moreira
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/9003
Resumo: Objective: To identify risk factors for falls in hospitalized patients and propose nursing actions. Methods: This is an evaluative, descriptive and quantitative study, developed from June to September 2017, carried out in a philanthropic entity located in Sobral, Ceará, Brazil. The collection included 155 participants, being carried out using a structured instrument containing risk factors for falls, according to the taxonomy of the North American Nursing Diagnosis Association (NANDA-I). Descriptive analysis with absolute and relative frequencies was used. Results: The sample of 155 participants showed that 74.83% (n = 116) were men, 54.83% (n = 85) active workers, 62.58% (n = 97) were married, 84.45% (n = 134) Catholics and 68.38% (n = 106) had completed elementary school. The main risk factors identified were: difficulty in walking (56.77%;n= 88), impaired physical mobility (50.96%;n=79), and impaired balance (47.74%;n= 74). There was also a history of falls and the use of auxiliary devices, both with a frequency of 27.74% (n=43). As for the environment, the main risk factor was insufficient non-slip material in the bathroom, with 26.67% (n = 46). Based on these results, actions were proposed covering the cognitive and environmental dimensions, balance, transfer, the use of health devices, health education, and hospital structures. Conclusion: Difficulty in walking, impaired physical mobility, impaired balance, and use of auxiliary devices are the main risk factors mapped. The identification of the risk of falls and the prescription of appropriate nursing actions can favor the prevention of the occurrence of this adverse event in the evaluated hospital.
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spelling Risk of fall in hospitalized patients: risk factors and nursing interventionsRiesgo de caída en pacientes ingresados: factores de riesgo e intervenciones de EnfermeríaRisco de queda de pacientes hospitalizados: fatores de risco e atuações de enfermagemAccidental FallsNursing DiagnosisNursing ProcessClassificationNursing CareAccidentes por CaídasDiagnóstico de EnfermeríaProceso de EnfermeríaClasificaciónAtención de EnfermeríaAcidentes por QuedasDiagnóstico de EnfermagemProcesso de EnfermagemClassificaçãoCuidados de EnfermagemObjective: To identify risk factors for falls in hospitalized patients and propose nursing actions. Methods: This is an evaluative, descriptive and quantitative study, developed from June to September 2017, carried out in a philanthropic entity located in Sobral, Ceará, Brazil. The collection included 155 participants, being carried out using a structured instrument containing risk factors for falls, according to the taxonomy of the North American Nursing Diagnosis Association (NANDA-I). Descriptive analysis with absolute and relative frequencies was used. Results: The sample of 155 participants showed that 74.83% (n = 116) were men, 54.83% (n = 85) active workers, 62.58% (n = 97) were married, 84.45% (n = 134) Catholics and 68.38% (n = 106) had completed elementary school. The main risk factors identified were: difficulty in walking (56.77%;n= 88), impaired physical mobility (50.96%;n=79), and impaired balance (47.74%;n= 74). There was also a history of falls and the use of auxiliary devices, both with a frequency of 27.74% (n=43). As for the environment, the main risk factor was insufficient non-slip material in the bathroom, with 26.67% (n = 46). Based on these results, actions were proposed covering the cognitive and environmental dimensions, balance, transfer, the use of health devices, health education, and hospital structures. Conclusion: Difficulty in walking, impaired physical mobility, impaired balance, and use of auxiliary devices are the main risk factors mapped. The identification of the risk of falls and the prescription of appropriate nursing actions can favor the prevention of the occurrence of this adverse event in the evaluated hospital.Objetivo: Identificar los factores de riesgo de caídas en pacientes ingresados y proponer actuaciones de Enfermería. Métodos: Estudio evaluativo, descriptivo y cuantitativo desarrollado entre junio y septiembre de 2017 realizado en una entidad filantrópica de Sobral, Ceará, Brasil. La recogida de datos incluyó 155 participantes y ha sido realizada a partir de un instrumento estructurado con los factores de riesgo de caídas según la taxonomía de la North American Nursing Diagnosis Association (NANDA-I). Se utilizó el análisis descriptivo con frecuencias absoluta y relativa. Resultados: La muestra de 155 participantes ha evidenciado que el 74,83% (n=116) eran hombres, el 54,83% (n=85) eran trabajadores activos, el 62,58% (n=97) eran casados, el 84,45% (n=134) eran católicos y el 68,38% (n=106) tenían la educación primaria completa. Los principales factores de riesgo identificados fueron: la dificultad de la marcha (56,77%;n=88), la movilidad física perjudicada (50,96%;n=79) y el equilibrio perjudicado (47,74%;n=74). Se ha identificado también el histórico de caídas y el uso de dispositivos auxiliares ambos con una frecuencia del 27,74% (n=43). Sobre el ambiente, el principal factor de riesgo ha sido el material antideslizante insuficiente en el baño en el 26,67% (n=46) de los casos. Con base en eses resultados, se han propuesto acciones que incluyen las dimensiones cognitivas y ambientales, el equilibrio, la transferencia, el uso de dispositivos de salud, la educación en salud y las estructuras hospitalarias. Conclusión: La dificultad de la marcha, la movilidad física perjudicada, el equilibrio perjudicado y el uso de dispositivos auxiliares son los principales factores de riesgo presentados en el estudio. La identificación del riesgo de caídas y la prescripción de actuaciones de Enfermería adecuadas pueden favorecer la prevención de ese evento adverso en el hospital evaluado.Objetivo: Identificar fatores de risco de queda em pacientes hospitalizados e propor atuações de Enfermagem. Métodos: Estudo avaliativo, descritivo e quantitativo, desenvolvido de junho a setembro de 2017, realizado em entidade filantrópica localizada em Sobral, Ceará, Brasil. A coleta incluiu 155 participantes, sendo realizada a partir de instrumento estruturado contendo fatores de risco de queda, conforme taxonomia da North American Nursing Diagnosis Association (NANDA-I). Utilizou-se a análise descritiva com frequências absoluta e relativa. Resultados: A amostra de 155 participantes evidenciou que 74,83% (n=116) eram homens, 54,83% (n=85) trabalhadores ativos, 62,58% (n=97) eram casados, 84,45% (n=134) católicos e 68,38% (n=106) tinham ensino fundamental completo. Os principais fatores de risco identificados foram: dificuldade na marcha (56,77%;n=88), mobilidade física prejudicada (50,96%;n=79), equilíbrio prejudicado (47,74%;n=74). Também esteve presente o histórico de quedas e o uso de dispositivos auxiliares, ambos com frequência de 27,74% (n=43). Quanto ao ambiente, o principal fator de risco foi material antiderrapante insuficiente no banheiro, com 26,67% (n=46). Com base nesses resultados, propuseram-se ações contemplando as dimensões cognitivas e ambientais, o equilíbrio, a transferência, o uso de dispositivos de saúde, a educação em saúde e as estruturas hospitalares. Conclusão: Dificuldade na marcha, mobilidade física prejudicada, equilíbrio prejudicado e uso de dispositivos auxiliares são os principais fatores de risco mapeados. A identificação do risco de quedas e a prescrição de atuações de Enfermagem adequadas podem favorecer a prevenção da ocorrência desse evento adverso no hospital avaliado.Universidade de Fortaleza2019-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/900310.5020/18061230.2019.9003Brazilian Journal in Health Promotion; Vol. 32 (2019)Revista Brasileña en Promoción de la Salud; Vol. 32 (2019)Revista Brasileira em Promoção da Saúde; v. 32 (2019)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/9003/pdfhttps://ojs.unifor.br/RBPS/article/view/9003/pdf_1Copyright (c) 2019 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessXimenes, Maria Aline MoreiraAguiar, Jefferson RibeiroBastos, Ismael Briosode Sousa, Liliane VieiraCaetano, Joselany ÁfioBarros, Lívia Moreira2020-04-27T21:32:37Zoai:ojs.ojs.unifor.br:article/9003Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2020-04-27T21:32:37Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Risk of fall in hospitalized patients: risk factors and nursing interventions
Riesgo de caída en pacientes ingresados: factores de riesgo e intervenciones de Enfermería
Risco de queda de pacientes hospitalizados: fatores de risco e atuações de enfermagem
title Risk of fall in hospitalized patients: risk factors and nursing interventions
spellingShingle Risk of fall in hospitalized patients: risk factors and nursing interventions
Ximenes, Maria Aline Moreira
Accidental Falls
Nursing Diagnosis
Nursing Process
Classification
Nursing Care
Accidentes por Caídas
Diagnóstico de Enfermería
Proceso de Enfermería
Clasificación
Atención de Enfermería
Acidentes por Quedas
Diagnóstico de Enfermagem
Processo de Enfermagem
Classificação
Cuidados de Enfermagem
title_short Risk of fall in hospitalized patients: risk factors and nursing interventions
title_full Risk of fall in hospitalized patients: risk factors and nursing interventions
title_fullStr Risk of fall in hospitalized patients: risk factors and nursing interventions
title_full_unstemmed Risk of fall in hospitalized patients: risk factors and nursing interventions
title_sort Risk of fall in hospitalized patients: risk factors and nursing interventions
author Ximenes, Maria Aline Moreira
author_facet Ximenes, Maria Aline Moreira
Aguiar, Jefferson Ribeiro
Bastos, Ismael Brioso
de Sousa, Liliane Vieira
Caetano, Joselany Áfio
Barros, Lívia Moreira
author_role author
author2 Aguiar, Jefferson Ribeiro
Bastos, Ismael Brioso
de Sousa, Liliane Vieira
Caetano, Joselany Áfio
Barros, Lívia Moreira
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Ximenes, Maria Aline Moreira
Aguiar, Jefferson Ribeiro
Bastos, Ismael Brioso
de Sousa, Liliane Vieira
Caetano, Joselany Áfio
Barros, Lívia Moreira
dc.subject.por.fl_str_mv Accidental Falls
Nursing Diagnosis
Nursing Process
Classification
Nursing Care
Accidentes por Caídas
Diagnóstico de Enfermería
Proceso de Enfermería
Clasificación
Atención de Enfermería
Acidentes por Quedas
Diagnóstico de Enfermagem
Processo de Enfermagem
Classificação
Cuidados de Enfermagem
topic Accidental Falls
Nursing Diagnosis
Nursing Process
Classification
Nursing Care
Accidentes por Caídas
Diagnóstico de Enfermería
Proceso de Enfermería
Clasificación
Atención de Enfermería
Acidentes por Quedas
Diagnóstico de Enfermagem
Processo de Enfermagem
Classificação
Cuidados de Enfermagem
description Objective: To identify risk factors for falls in hospitalized patients and propose nursing actions. Methods: This is an evaluative, descriptive and quantitative study, developed from June to September 2017, carried out in a philanthropic entity located in Sobral, Ceará, Brazil. The collection included 155 participants, being carried out using a structured instrument containing risk factors for falls, according to the taxonomy of the North American Nursing Diagnosis Association (NANDA-I). Descriptive analysis with absolute and relative frequencies was used. Results: The sample of 155 participants showed that 74.83% (n = 116) were men, 54.83% (n = 85) active workers, 62.58% (n = 97) were married, 84.45% (n = 134) Catholics and 68.38% (n = 106) had completed elementary school. The main risk factors identified were: difficulty in walking (56.77%;n= 88), impaired physical mobility (50.96%;n=79), and impaired balance (47.74%;n= 74). There was also a history of falls and the use of auxiliary devices, both with a frequency of 27.74% (n=43). As for the environment, the main risk factor was insufficient non-slip material in the bathroom, with 26.67% (n = 46). Based on these results, actions were proposed covering the cognitive and environmental dimensions, balance, transfer, the use of health devices, health education, and hospital structures. Conclusion: Difficulty in walking, impaired physical mobility, impaired balance, and use of auxiliary devices are the main risk factors mapped. The identification of the risk of falls and the prescription of appropriate nursing actions can favor the prevention of the occurrence of this adverse event in the evaluated hospital.
publishDate 2019
dc.date.none.fl_str_mv 2019-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/9003
10.5020/18061230.2019.9003
url https://ojs.unifor.br/RBPS/article/view/9003
identifier_str_mv 10.5020/18061230.2019.9003
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/9003/pdf
https://ojs.unifor.br/RBPS/article/view/9003/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 32 (2019)
Revista Brasileña en Promoción de la Salud; Vol. 32 (2019)
Revista Brasileira em Promoção da Saúde; v. 32 (2019)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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