Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Risk Factors for Pediatric Inpatient Falls

아동 입원환자의 낙상위험 예측요인

  • Cho, Myung Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Song, Mi Ra (Nursing Professional Development, Samsung Medical) ;
  • Cha, Sun Kyung (Department of Nursing Science, Sun Moon University)
  • 조명숙 (성균관대학교 의과대학 임상간호대학원) ;
  • 송미라 (삼성서울병원 간호업무개발팀) ;
  • 차선경 (선문대학교 간호학과)
  • Received : 2013.03.18
  • Accepted : 2013.06.25
  • Published : 2013.10.31
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Abstract

Purpose: The purpose of this study was to identify risk factors for pediatric inpatients falls. Methods: The study was a matched case-control design. The participants were 279 patients under the age of 6 who were admitted between January 1, 2004 and December 31, 2009. Through chart reviews, 93 pediatric patients who fell and 186 ones who did not fall were paired by gender, age, diagnosis, and length of stay. Five experts evaluated the 38 fall risk factors selected by the researchers. Results: In a general hospital, pediatric patients with secondary diagnosis, tests that need the patient to be moved, intravenous lines, hyperactivity, anxiolytics, sedatives and hypnotics, and general anesthetics showed significance for falls on adjusted-odds ratios. Conditional logistic regression analysis was performed to elucidate the factors that influence pediatric inpatient falls. The probability of falls increased with hyperactivity and general weakness. Patients who didn't have tests that required them to be moved and intravenous line had a higher risk of falls. Conclusion: These findings provide information that is relevant in developing fall risk assessment tools and prevention programs for pediatric inpatient falls.

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References

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