Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis

被引:7
|
作者
Costa dos Reis, Karine Marques [1 ,2 ]
Costa de Jesus, Cristine Alves [3 ]
机构
[1] Univ Brasilia, BR-70910900 Brasilia, DF, Brazil
[2] Hosp Apoio Brasilia, Secretaria Saude Brasilia, Brasilia, DF, Brazil
[3] Univ Brasilia, Fac Ciencias Saude, Dept Enfermagem, BR-70910900 Brasilia, DF, Brazil
来源
关键词
Accidental Fall; Aged; Institutionalization; Risk Factors; Nursing Diagnosis; BRAZIL; STATE;
D O I
10.1590/0104-1169.0285.2658
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: to determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice. Method: this was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors. Results: the results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145). Conclusion: the taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.
引用
收藏
页码:1130 / 1138
页数:9
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