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作者 Cozart, Huberta Corazon Thiam
書名 Environmental effects on incidence of falls in the hospitalized elderly
國際標準書號 9781109648546
book jacket
說明 122 p
附註 Source: Dissertation Abstracts International, Volume: 71-03, Section: B, page: 1619
Adviser: Rae Langford
Thesis (Ph.D.)--Texas Woman's University, 2009
The aim of this experimental study was to measure the effectiveness of a primary prevention environmental fall intervention using a Fall Prevention Room (FPR) to reduce falls in an inpatient setting. FPRs were equipped with various fall prevention devices including; low beds, shower mats, non-skid double sided socks, non-skid slippers, quick-drying non-skid shower slippers, floor cushions, hipsters, and bed alarms. The study employed a two-group randomized block design that examined the difference in the proportion of falls between the experimental and control groups. The sample was drawn from hospitalized patients, aged 50 or older housed in a combined neurology and rehabilitation unit, who scored 45 and greater on the Morse Fall Scale, and were considered at high risk for falling. One hundred twenty participants were conveniently recruited, 111 participants consented, 64 participants (58%) completed the study, and forty-seven (42%) participants were lost to early discharge or transfer. Instruments used included an Equipment Safety Checklist, a Hospital Fall Incident Report Form, and patient self-report of falls. Findings revealed that participants were primarily male (97%), white (56%), or black (38%), with a mean age of 64 years (SD = 8.69). There were a total of four fallers among the 64 participants. One was in the experimental group and three were in the control group. A one-tailed Fisher's Exact Test revealed no differences between the two groups in the proportion of falls (p = .306, N = 64, p < .05). Lack of significance can be largely attributed to the small percentage of fallers in the sample. The study needs to be replicated with a larger sample to determine whether this environmental intervention is indeed effective at reducing fall rates. FPR may yet facilitate achievement of the ninth goal of The Joint Commission namely, to "reduce the risk of patient harm resulting from falls" and achievement of Healthy People 2010, 15th goal namely, to "reduce death from falls"
School code: 0925
Host Item Dissertation Abstracts International 71-03B
主題 Health Sciences, Aging
Health Sciences, Nursing
Military Studies
0493
0569
0750
Alt Author Texas Woman's University
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