Avaliação do risco de quedas em pacientes adultos hospitalizados

Detalhes bibliográficos
Autor(a) principal: Pasa, Thiana Sebben
Data de Publicação: 2014
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Manancial - Repositório Digital da UFSM
dARK ID: ark:/26339/001300000wcp9
Texto Completo: http://repositorio.ufsm.br/handle/1/7411
Resumo: The fall of hospitalized patients is a world reality and the most frequent adverse events in this environment. This study aims to evaluate the risk of falls among adult patients in clinical and surgical unit of a university hospital. It is a cohort study with follow up of patients admitted in the Surgical Clinic and Medical I and II Clinic of the Hospital Universitário de Santa Maria (HUSM) between March to June 2013 (122 days). For data collection was utilized semi-structured form with demographic and clinical questions of patients and the Brazilian version of the Morse Fall Scale (SPS) was used. The data were organized in Excel ® with double entered independently. After the correction of errors and inconsistencies the analysis was realized in PASW ® Statistics (Predictive Analytics Software, Chicago - USA) version 18.0 for Windows, using the descriptive and inferential statistics. The study included 831 patients. Of these patients 60.2 % were male, the mean age was 58.1 (± 16.1) years , were on average 7.7 days (± 9.2) and were hospitalized on average 5.4 days (± 5.2) for evaluation. During the period 19 patients fell the floor / ground representing an average of 4.7 falls / month, a percentage of 2.28 % (95% CI: 1.66 to 2.91) falls in the period and a fee incidence of 1.68 % (95% CI: 1.51 to 1.72 % ). The MFS score had averaged 39.37 points (± 19.4). In the first evaluation and in the average final evaluation higher percentage of patients were classified as high risk for falls (36.6 %, 37.7 % and 41.2 %, respectively), with strong positive correlation between the first and final evaluation (r = 0.810, p = 0.000). The falls occurred between the 1st and 10th day of evaluation (85.7 %) during the morning (52.4 %), in the ward (at the bedside), bathroom and during the displacement, resulting in psychological harm (58.8 %) and physical (29.4%). Among the contributing factors highlight overestimate of the ability of patient, dizziness, agitation, gloom, high bed and inadequate and / or difficult of handle bars. It is concluded that MFS is an important tool for evaluation of risk of falls and recommended the deploying of the same as a quality indicator of health care in the research institution. It is hoped that this study will serve as subsidy for health professionals, particularly the nursing staff to implement of strategies that prevent the occurrence of falls during the hospitalization.
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spelling Avaliação do risco de quedas em pacientes adultos hospitalizadosRisk assessment of falls in adult hospitalized patientsEnfermagemAcidentes por quedasSegurança do pacienteHospitalizaçãoNursingAccidental fallsPatient safetyHospitalizationCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMThe fall of hospitalized patients is a world reality and the most frequent adverse events in this environment. This study aims to evaluate the risk of falls among adult patients in clinical and surgical unit of a university hospital. It is a cohort study with follow up of patients admitted in the Surgical Clinic and Medical I and II Clinic of the Hospital Universitário de Santa Maria (HUSM) between March to June 2013 (122 days). For data collection was utilized semi-structured form with demographic and clinical questions of patients and the Brazilian version of the Morse Fall Scale (SPS) was used. The data were organized in Excel ® with double entered independently. After the correction of errors and inconsistencies the analysis was realized in PASW ® Statistics (Predictive Analytics Software, Chicago - USA) version 18.0 for Windows, using the descriptive and inferential statistics. The study included 831 patients. Of these patients 60.2 % were male, the mean age was 58.1 (± 16.1) years , were on average 7.7 days (± 9.2) and were hospitalized on average 5.4 days (± 5.2) for evaluation. During the period 19 patients fell the floor / ground representing an average of 4.7 falls / month, a percentage of 2.28 % (95% CI: 1.66 to 2.91) falls in the period and a fee incidence of 1.68 % (95% CI: 1.51 to 1.72 % ). The MFS score had averaged 39.37 points (± 19.4). In the first evaluation and in the average final evaluation higher percentage of patients were classified as high risk for falls (36.6 %, 37.7 % and 41.2 %, respectively), with strong positive correlation between the first and final evaluation (r = 0.810, p = 0.000). The falls occurred between the 1st and 10th day of evaluation (85.7 %) during the morning (52.4 %), in the ward (at the bedside), bathroom and during the displacement, resulting in psychological harm (58.8 %) and physical (29.4%). Among the contributing factors highlight overestimate of the ability of patient, dizziness, agitation, gloom, high bed and inadequate and / or difficult of handle bars. It is concluded that MFS is an important tool for evaluation of risk of falls and recommended the deploying of the same as a quality indicator of health care in the research institution. It is hoped that this study will serve as subsidy for health professionals, particularly the nursing staff to implement of strategies that prevent the occurrence of falls during the hospitalization.A queda de pacientes hospitalizados é uma realidade mundial e um dos eventos adversos mais frequentes neste ambiente. Este estudo tem por objetivo avaliar o risco de quedas de pacientes adultos internados em unidades clínica e cirúrgica de um hospital universitário. Trata-se de um estudo de coorte, com acompanhamento de pacientes internados nas Unidades de Clínica Cirúrgica e Clínica Médica I e II do Hospital Universitário de Santa Maria (HUSM), no período de março a julho de 2013 (122 dias). Para a coleta dos dados foram utilizados um formulário semiestruturado, com questões demográficas e clínicas dos pacientes, e a versão brasileira da Morse Fall Scale (MSF). Os dados foram organizados no programa Excel®, com dupla digitação independente. Após a correção de erros e inconsistências a análise foi realizada no PASW Statistics® (Predictive Analytics Software, Chicago - USA) versão 18.0 for Windows, utilizando-se da estatística descritiva e inferencial. Participaram do estudo 831 pacientes. Destes, 60,2% eram do sexo masculino, a média de idade foi de 58,1 (±16,1) anos, permaneceram em média 7,7 dias (±9,2) internados e tiveram em média 5,4 dias (±5,2) de avaliação. Durante o período, 19 pacientes tiveram queda ao solo/chão, representando uma média de 4,7 quedas/mês, um percentual de 2,28% (IC95%: 1,66 2,91) de quedas no período e uma taxa de incidência de 1,68% (IC95%; 1,51 1,72%). O escore da MFS teve uma média de 39,37 pontos (±19,4). Tanto na primeira avaliação quanto na média das avaliações e na última avaliação, maior percentual de pacientes foi classificado na categoria de risco elevado para quedas (36,6%, 37,7% e 41,2%, respectivamente), com correlação positiva forte entre a primeira e a última avaliação (r=0,810; p=0,000). As quedas ocorreram entre o 1º e o 10º dia de avaliação (85,7%), no turno da manhã (52,4%), na enfermaria (à beira do leito), no banheiro e durante o deslocamento, resultando em dano psicológico (58,8%) e físico (29,4%). Dentre os fatores contribuintes destacaram-se a superestima da capacidade por parte do paciente, vertigem, agitação, penumbra, cama alta e grades inadequadas e/ou de difícil manuseio. Conclui-se que a MFS é um importante instrumento para avaliação do risco de quedas e recomenda-se a implantação da mesma como um indicador de qualidade da assistência à saúde na instituição pesquisada. Espera-se que este estudo sirva de subsídio para os profissionais de saúde, em especial a equipe de enfermagem, para a implementação de estratégias que previnam a ocorrência de quedas de pacientes durante a internação.Universidade Federal de Santa MariaBREnfermagemUFSMPrograma de Pós-Graduação em EnfermagemMagnago, Tânia Solange Bosi de Souzahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4770938E2Urbanetto, Janete de Souzahttp://lattes.cnpq.br/8935137454685552Almeida, Miriam de Abreuhttp://lattes.cnpq.br/5814144892283070Lima, Suzinara Beatriz Soares dehttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4734730A0Dalmolin, Graziele de Limahttp://lattes.cnpq.br/7268927320407160Pasa, Thiana Sebben2015-02-272015-02-272014-03-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfapplication/pdfPASA, Thiana Sebben. RISK ASSESSMENT OF FALLS IN ADULT HOSPITALIZED PATIENTS. 2014. 155 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2014.http://repositorio.ufsm.br/handle/1/7411ark:/26339/001300000wcp9porinfo:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2017-07-30T06:39:00Zoai:repositorio.ufsm.br:1/7411Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2017-07-30T06:39Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Avaliação do risco de quedas em pacientes adultos hospitalizados
Risk assessment of falls in adult hospitalized patients
title Avaliação do risco de quedas em pacientes adultos hospitalizados
spellingShingle Avaliação do risco de quedas em pacientes adultos hospitalizados
Pasa, Thiana Sebben
Enfermagem
Acidentes por quedas
Segurança do paciente
Hospitalização
Nursing
Accidental falls
Patient safety
Hospitalization
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Avaliação do risco de quedas em pacientes adultos hospitalizados
title_full Avaliação do risco de quedas em pacientes adultos hospitalizados
title_fullStr Avaliação do risco de quedas em pacientes adultos hospitalizados
title_full_unstemmed Avaliação do risco de quedas em pacientes adultos hospitalizados
title_sort Avaliação do risco de quedas em pacientes adultos hospitalizados
author Pasa, Thiana Sebben
author_facet Pasa, Thiana Sebben
author_role author
dc.contributor.none.fl_str_mv Magnago, Tânia Solange Bosi de Souza
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4770938E2
Urbanetto, Janete de Souza
http://lattes.cnpq.br/8935137454685552
Almeida, Miriam de Abreu
http://lattes.cnpq.br/5814144892283070
Lima, Suzinara Beatriz Soares de
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4734730A0
Dalmolin, Graziele de Lima
http://lattes.cnpq.br/7268927320407160
dc.contributor.author.fl_str_mv Pasa, Thiana Sebben
dc.subject.por.fl_str_mv Enfermagem
Acidentes por quedas
Segurança do paciente
Hospitalização
Nursing
Accidental falls
Patient safety
Hospitalization
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
topic Enfermagem
Acidentes por quedas
Segurança do paciente
Hospitalização
Nursing
Accidental falls
Patient safety
Hospitalization
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description The fall of hospitalized patients is a world reality and the most frequent adverse events in this environment. This study aims to evaluate the risk of falls among adult patients in clinical and surgical unit of a university hospital. It is a cohort study with follow up of patients admitted in the Surgical Clinic and Medical I and II Clinic of the Hospital Universitário de Santa Maria (HUSM) between March to June 2013 (122 days). For data collection was utilized semi-structured form with demographic and clinical questions of patients and the Brazilian version of the Morse Fall Scale (SPS) was used. The data were organized in Excel ® with double entered independently. After the correction of errors and inconsistencies the analysis was realized in PASW ® Statistics (Predictive Analytics Software, Chicago - USA) version 18.0 for Windows, using the descriptive and inferential statistics. The study included 831 patients. Of these patients 60.2 % were male, the mean age was 58.1 (± 16.1) years , were on average 7.7 days (± 9.2) and were hospitalized on average 5.4 days (± 5.2) for evaluation. During the period 19 patients fell the floor / ground representing an average of 4.7 falls / month, a percentage of 2.28 % (95% CI: 1.66 to 2.91) falls in the period and a fee incidence of 1.68 % (95% CI: 1.51 to 1.72 % ). The MFS score had averaged 39.37 points (± 19.4). In the first evaluation and in the average final evaluation higher percentage of patients were classified as high risk for falls (36.6 %, 37.7 % and 41.2 %, respectively), with strong positive correlation between the first and final evaluation (r = 0.810, p = 0.000). The falls occurred between the 1st and 10th day of evaluation (85.7 %) during the morning (52.4 %), in the ward (at the bedside), bathroom and during the displacement, resulting in psychological harm (58.8 %) and physical (29.4%). Among the contributing factors highlight overestimate of the ability of patient, dizziness, agitation, gloom, high bed and inadequate and / or difficult of handle bars. It is concluded that MFS is an important tool for evaluation of risk of falls and recommended the deploying of the same as a quality indicator of health care in the research institution. It is hoped that this study will serve as subsidy for health professionals, particularly the nursing staff to implement of strategies that prevent the occurrence of falls during the hospitalization.
publishDate 2014
dc.date.none.fl_str_mv 2014-03-14
2015-02-27
2015-02-27
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv PASA, Thiana Sebben. RISK ASSESSMENT OF FALLS IN ADULT HOSPITALIZED PATIENTS. 2014. 155 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2014.
http://repositorio.ufsm.br/handle/1/7411
dc.identifier.dark.fl_str_mv ark:/26339/001300000wcp9
identifier_str_mv PASA, Thiana Sebben. RISK ASSESSMENT OF FALLS IN ADULT HOSPITALIZED PATIENTS. 2014. 155 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2014.
ark:/26339/001300000wcp9
url http://repositorio.ufsm.br/handle/1/7411
dc.language.iso.fl_str_mv por
language por
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
BR
Enfermagem
UFSM
Programa de Pós-Graduação em Enfermagem
publisher.none.fl_str_mv Universidade Federal de Santa Maria
BR
Enfermagem
UFSM
Programa de Pós-Graduação em Enfermagem
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
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institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv atendimento.sib@ufsm.br||tedebc@gmail.com
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