Fall Prevention Behavior among Hospitalized Elderly Patients

Authors

  • Laísla Alves Moura
  • Jéssica Naiara de Medeiros Araújo
  • Ana Paula Nunes de Lima Fernandes
  • Mércio Gabriel de Araújo
  • Amanda Barbosa da Silva
  • Jéssica de Araújo Olímpio
  • Ângela Monic Lima de Souza
  • Marcos Antonio Ferreira Júnior
  • Rhanna Emanuela Fontenele Lima de Carvalho
  • Viviane Euzébia Pereira Santos
  • Allyne Fortes Vitor

DOI:

https://doi.org/10.3823/1928

Keywords:

Outcome Assessment (Health Care), Accidental Falls, Health Promotion, Nursing.

Abstract

Purpose: This study aimed to check fall prevention behavior among elderly patients admitted to a hospital, by assessing the indicators of a nursing outcome from the “Nursing Outcomes Classification†(NOC).

Methods: This is a quantitative, cross-sectional, survey conducted with elderly patients admitted to a university hospital. For collecting data, a validated instrument was applied, consisting of NOC indicators of the nursing outcome mentioned above.

Results: The indicator asks for physical assistance to the patient, it was correlated to fall within the last six months, and the indicators agitation control and use of safe actions during transfer were associated with difficulty in walking.

Conclusion: Fall prevention behavior by the elderly patient during hospital stay is a co-responsibility of her/his companion and the nursing team. There is a need to train nurses regarding patient safety measures, focusing on preventing falls and encouraging safe behavior among hospitalized elderly patients.

Author Biographies

Laísla Alves Moura

Nurse. Master in Nursing. Federal University of Rio Grande do Norte (RN). Natal, RN, Brazil.

Jéssica Naiara de Medeiros Araújo

Nurse. Student of the Nursing Graduate Program, Master level, at Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Ana Paula Nunes de Lima Fernandes

Nurse. Master in Nursing. Student    of the Nursing Graduate Program, Doctoral level, at Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Mércio Gabriel de Araújo

Nurse. Master in Nursing. Student    of the Nursing Graduate Program, Doctoral level, at Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Amanda Barbosa da Silva

Nurse. Student of the Nursing Graduate Program, Master level, at Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Jéssica de Araújo Olímpio

Nursing Student at the Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Ângela Monic Lima de Souza

Nursing Student at the Federal University of Rio Grande do Norte. Natal, RN, Brazil.

Marcos Antonio Ferreira Júnior

Nurse. Ph.D. Professor at the undergraduate and graduate nursing courses of the Federal University of Rio Grande do Norte (RE). Natal, RN, Brazil.

Rhanna Emanuela Fontenele Lima de Carvalho

Nurse. Ph.D. Professor at the undergraduate course of the Ceará State University (CE). Fortaleza, CE, Brazil. 

Viviane Euzébia Pereira Santos

Nurse. Ph.D. Professor at the undergraduate and graduate nursing courses of the Federal University of Rio Grande do Norte (RN). Natal, RN, Brazil.

vivianeepsantos@gmail.com

Allyne Fortes Vitor

Nurse. Ph.D. Professor at the undergraduate and graduate nursing courses of the Federal University of Rio Grande do Norte (RN). Natal, RN, Brazil.

References

Severo IM, Almeida MA, Kuchenbecker R, Vieira DFVB, Weschenfelder ME, Pinto LRC et al. Fatores de risco para quedas em pacientes adultos hospitalizados: revisão integrativa. Rev Esc Enferm USP 2014; 48(3): 540-54.

Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada da Anvisa – RDC nº 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Available at: http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html.

Vitor AF. Revisão do resultado de enfermagem Comportamento de Prevenção de Quedas: Análise do conceito e validação por especialistas [Tese]. Fortaleza (CE): Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará; 2010.

Costa AGS, Oliveira ARS, Lopes MVO, Araujo TL. Análise do conceito comportamento de prevenção no contexto de doença crônica. Rev enferm UERJ 2013; 21(1): 671-6.

Resolução nº 358 do Conselho Federal de Enfermagem, de 15 de outubro de 2009 (COFEN). Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências. Available at: http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html.

Herdman H. Diagnósticos de enfermagem da NANDA: definições e classificações (2012-2014). Porto Alegre: Artmed; 2012.

Bulechek GM, Butcher H, Dochterman JM. Classificação das intervenções de enfermagem (NIC). Porto Alegre: Artmed; 2010.

Moorhead S, Johnson M, Maas M. Classificação dos resultados de enfermagem (NOC). Porto Alegre: Artmed; 2010.

Vitor AF, Lopes MVO, Araújo TL. Diagnóstico de Enfermagem Risco de quedas em pacientes com angina instável. Rev RENE 2010; 11(1): 105-13.

Luzia MF. Análise do diagnóstico de enfermagem risco de quedas em pacientes adultos hospitalizados [Dissertação]. Porto Alegre: Escola de enfermagem, Universidade Federal do Rio Grande do Sul; 2012.

Resolução Nº 466 do Conselho Nacional de Saúde, de 12 de dezembro de 2012 (BR). Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Available at: http://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html.

Herman T, Mirelman A, Giladi N, Schweiger A, Hausdorff JM. Executive control deficits as a prodrome to falls in healthy older adults: a prospective study linking thinking, walking, and falling. J Gerontol A Biol Sci Med Sci 2010; 65A(10): 1086-92.

Portaria Nº 529 do Ministério da Saúde, de 01 de abril de 2013 (BR). Institui o Programa Nacional de Segurança do Paciente (PNSP). Available at: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html.

Dancey C, Reidy J. Estatística Sem Matemática para Psicologia: Usando SPSS para Windows. Porto Alegre: Artmed; 2006.

Organização Mundial da Saúde (OMS). Relatório global da OMS sobre prevenção de quedas na velhice. Geneva; 2007.

Oliveira ARS, Costa AGS, Sousa VEC, Moreira RP, Araújo TL, Lopes MVO, et al. Condutas para a prevenção de quedas de pacientes com acidente vascular encefálico. Rev enferm UERJ 2011; 19(1): 107-13.

Donoghue OA, Cronin H, George SM, O’Regan C, Kenny RA. Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults. Gait Posture 2013; 38(1): 120-4.

Cameron ID, Gillespie LD, Robertson MC, Murray GR, Colina KD, Cumming RG, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev 2012; 12.

Ellis AA, Trent RB. Hospitalized fall injuries and race in California. Inj Prev 2001; 7: 316–20.

Ambrose AF, Geet P, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas 2013; 75: 51–61.

Lei federal nº 10.741 do Ministério da Saúde, de 01 de outubro de 2003 (BR). Dispõe sobre o Estatuto do idoso e dá outras providências. Available at: http://www.planalto.gov.br/ccivil_03/leis/2003/l10.741.htm.

Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med 2009; 360:2390-2393.

Oliver D, Healey F, Haines TP. Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med 2010; 26(4):645-92.

Dykes PC, Carroll DL, Hurley A, Lipsitz S, Benoit A, Chang F, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA 2010; 304(17): 1912-8.

Downloads

Published

2016-04-22

Issue

Vol. 9 (2016)

Section

Global Health & Health Policy

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).

 

 

Most read articles by the same author(s)

<< < 1 2