Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Characteristics of Fall Events and Fall Risk Factors among Inpatients in General Hospitals in Korea

입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로

  • Choi, Eun Hee (Department of Nursing, Korean Bible University) ;
  • Ko, Mi Suk (Department of Nursing, Korean Bible University) ;
  • Yoo, Cheong Suk (Integrate Logistics Management, Seoul National University Hospital) ;
  • Kim, Mi Kyoung (Department of Nursing, The Catholic University of Korea Seoul, St. Mary's Hospital)
  • 최은희 (한국성서대학교 간호학과) ;
  • 고미숙 (한국성서대학교 간호학과) ;
  • 유정숙 (서울대학교병원 통합물류부) ;
  • 김미경 (가톨릭대학교 서울성모병원 간호과)
  • Received : 2017.09.30
  • Accepted : 2017.11.08
  • Published : 2017.12.31
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Abstract

Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

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