Avtor/Urednik		Klančnik-Gruden, Maja
Naslov		Ogroženost za padce v terciarni bolnišnici
Prevedeni naslov		Risk for falls in a tertiary care hospital
Tip		članek
Vol. in št.		Letnik 52, št. 2
Leto izdaje		2018
Obseg		str. 100-107
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Jezik		slv
Abstrakt		Uvod: Namen raziskave je bil ugotoviti, kakšna je ogroženost za padce odraslih pacientov v akutni zdravstveni obravnavi ter kakšne so razlike v ogroženosti glede na spol, starost, kraj pacientove obravnave (kliniko) in specialnost stroke ter kategorijo zahtevnosti bolnišnične zdravstvene nege. Metode: Uporabljeno je bilo kvantitativno raziskovanje % presečna opazovalna raziskava. Vzorec (n = 1361) je vključeval odrasle paciente, hospitalizirane v Univerzitetnem kliničnem centru Ljubljana. Podatki so se zbirali na za to posebej razvitem instrumentu, pri čemer je bila ogroženost za padce vrednotena z Morsejino lestvico. Podatki so se zbirali od oktobra do novembra 2015. Poleg osnovne deskriptivne statistike so bili uporabljeni tudi Mann-Whitneyjev test, test ANOVA in Pearsonov korelacijski test. Rezultati: Raziskava je pokazala, da je v akutni zdravstveni obravnavi v slovenski terciarni bolnišnici zmerno do visoko ogroženih za padce 69,1 % (n = 940) pacientov, od tega je 28,0 % (n = 381) visoko ogroženih. Ogroženost pacientov za padce je pozitivno povezana s starostjo (r = 0,462, p < 0,001). Razlikuje se tudi glede na kliniko (F = 29,210, p < 0,001), specialnost stroke (Z = %5,660, p < 0,001) ter kategorijo zahtevnosti zdravstvene nege (F = 125,464, p < 0,001). Diskusija in zaključek: Pomembno bolj ogroženi so starejši, pacienti, razvrščeni v višje kategorije zahtevnosti bolnišnične zdravstvene nege, ter pacienti, zdravljeni v okviru internističnih strok. Rutinsko ocenjevanje ogroženosti, načrtovanje in izvajanje ukrepov za preprečevanje padcev so temelji zmanjševanja padcev.Introduction: The purpose of the study was to determine the risk for falls in adult patients in acute care setting and differences in risk between groups with respect to gender, age, clinical setting (clinic) and medical specialty, as well as the category of nursing care complexity. Methods: A quantitative study - a cross-sectional observational study was used. Adult patients hospitalized in University Medical Centre Ljubljana were included in the sample (n = 1,361). The instrument was developed for collecting data, where the risk for falls was evaluated with the Morse Fall Scale. The data were collected from October to November 2015. In addition to basic descriptive statistics, the Mann-Whitney test, the ANOVA test and Pearson correlation test were also used. Results: The study showed that in acute care given in a Slovenian tertiary hospital, 69.1 % (n = 940) of patients were at moderate to severe risk for falls, of which 28.0 % (n = 381) were at severe risk. The risk for falls was positively related to age (r = 0.462, p < 0.001). It also differed according to department (F=29.210, p < 0.001), according to the medicine specialty (Z = %5.660, p < 0.001) and according to the category of nursing complexity of care (F = 125.464, p < 0.001). Discussion and conclusion: Older people, people in higher categories of nursing care complexity and medical units' patients have a significantly higher risk for falls than others. Routine assessment of risk for falls, planning and implementation of falls prevention measures are the basis for reducing falls.
Proste vsebinske oznake		Morsejina lestvica padcev varnostni zapleti padci akutna zdravstvena oskrba dejavniki tveganja Morse Falls Scale falls risk factors acute care safety incidents