Effect of Fall Precaution Guideline in the Women General Ward 1 at Lop Buri Cancer Hospital


  • Choeychom L, Tiplamai C, Thadthong S


Fall, Risk factors for fall, Guideline risk fall assessment


The purpose of this research were: (1) to development guideline to risk evaluation for preventive falls in patient at in-patient department”, and (2) to study effectiveness of guideline to risk evaluation for preventive falls in patient at in-patient department. The subjects were 8 professional nurses and 83 patients. Guideline to risk evaluation for preventive falls, assessment of practice following guideline form and satisfaction questionnaire were used as the research instruments. The content validity of the questionnaires was verified and approved by three nursing education experts. The Cronbach Alpha reliability coefficient of the third part was 0.97. Statistical devices used for data analysis were frequency, percentage, mean, standard deviation and Chi-square test. The research results are as follows. (1) the patient was over 60 years old about 43.4%, they were from chemotherapy group about 43.4% and they were in high risk level by using the guideline 32.53% (2) The professional nurses using the guideline for nursing care at fair level (95%) and the satisfaction mean score of using guideline to risk evaluation for preventive falls at fair level (Χ=5). (3) The incident rate of falls after implementation for falls prevention at 0, the professional nurse should know about risk factor of falls and using guideline for risk assessment to prevention falls in every patient.


Download data is not yet available.


Assantachai P. Condition falls in the elderly and prevention.In: Assantachai P. Health problems are common in older people and prevention. Bangkok: Union creation; 1999. Page 51-66.

Sukhothai Thammatirat Open University. Document cases of nursing services, rehabilitation. Bangkok: Chuanpim Printing; 2006.

Hathirat S. Applied Physiology. Bangkok: Thai Khem Printing House; 1999.

Nimakorn S, Internal Medicine. Chiang Mai: Tha Phae Printing; 1977

Faculty of the Royal Institute Adult and Elderly Nursing. Royal Institute Academic welfare program; 2009.

Faculty of Medicine Khonkaen University. Risk Assessment and Fall Prevention. Srinagarind Hospital. Khonkaen University; 2013.

Kamar J. The Northern Hospital modified STATIFFY risk falls assessment [Internet]. Victorian Quality Council; 1998 [cited 2017 Feb 15]. Available from https://www.mnhospitals.org/ Portals/0/Documents/ptsafety/falls/tools.pdf

Jiont Commission an Accreditation of Healthcare Organization. Reducing injuries from patient and resident falls [Internet]; 2005 [cited 2017 Feb 15]. Available from http://www.joint commission resource.com

Kallin K, Gustfson Y, Sandman P, Karlsson S. Factors associatedwith falls among older,cognitive impaired people in geriatric care setting [Internet]; 2005 [cited 2017 Feb 15]. Available from http://www. Psychiatryonline.com/risk/ fall/ factors associated with falls among older, cognitive impaired people in geriatric care setting. Bangkok: Chuanpim printing; 2006.

Lindsay J, Sykes E, Mcdowell I, Verreault R, Laurin D. More than the epidemiology at alzhiem’s disease : contribution of the Canadian study of health and aging [Internet].

Can J Phychiatry; 2004, [cited 2017 Feb 15]. Available from https://www.ncbi.nlm.nih.gov/pubmed/15065741

Mackey A. Fall Prevention/Intervention Strategies [Internet]. ; 2006. [cited 2017 Feb 15]. Available from http://www.uth. tmc.edu/uth orgs/hcpc/procedures/volumel/chapter7/ quality improvement activities 11.htm

Shanley C. Falls and injury reduction in residential aged care : Translating research into practice [Internet]. ; 2006. [cited 2017 Feb 15]. Available from http://www.contemporary nurse Volume 15 no_1-2.htm

Shaw E F. Falls in older prople with dementia [Internet]. ; 2006. [cited 2017 Feb 15]. Available from http://www.Geriatricsandanging,com/content/2003/August/0607 dementiafall.

Walker W. Promoting a safe environment for confused older people at risk from falling in hospital. Journal of Orthopeadic Nursing 2004; 8:72-6.

Zecevic A, A Salmoni W, Speechley M, Vandervoort A A. Definition a fall and reasons for falling : Comparisons among the views of seniors, Health care providers, And the research literature. Journal of The Gerontologica Society of America 2006;4:3.

Thungtrong T, Yamwong N, Kongsakorn N, Deenok S. Development of risk assessment guidelines for falling fall prevention in the ward. [Internet]. Khon Kaen: Faculty of Medicine Srinakharinwirot University; 2010 [Accessed 18 Feb 2017]. Accessed from http://ir.swu.ac.th/xmlui/ handle/123456789/2630.

Polit D, Hunger B. Nursing Research: Principles and Methods, 6th edition (Study Guide) [Internet]. Philadelphia : Lippincott; 1983 [cited 2017 Feb 15]. Available from http://opac.fkik. uin-alauddin.ac.id/repository/Denise_F._Polit_Essentials_of_Nursing_Research_Appraising_Evidence_for_Nursing_ Practice_Essentials_of_Nursing_Research_Polit_2009. Pdf.

Shumpway-Cook A, Ciol M, Gruber W, Robison C. Incidence of and risk factors for falls following hip fracture in community-dwelling older adults [Internet]. Published 2005 in Physical therapy; 2005 [cited 2017 Feb 15]. Available from https://www.semanticscholar.org/paper/Incidenceof-and-risk-factors-for-falls-following-Shumway-CookCiol/497a22d6bda81af535a648a7ac263781509de688

Chuangpanich U, Development of Guidelines to Reduce Fall Incidence in Patients Receiving Chemotherapy.

In: Phachari Promsomphon, Nat Chaya Chaiwong, Natthaya Chansomyong. A project to reduce falls in cancer patients receiving chemotherapy. Nursing Services Khon Kaen Hospital; 2008.

National Health and Medical Research Council: NHMRC [Internet]. Published by Lippincott Williams & Wilkins; 1988 [cited 2017 Feb 15]. Available from https://en.wikipedia.org/wiki/National_Health_and_Medical_Research_Council.

Triamwisit S, Lertkhonsan N, Wongprasert W, Paphan Baiya, Pannee Piyawong, Somporn Khamdeef. Effectiveness of Clinical Practice Guidelines for Fall Prevention and Falling. In Neurosurgical Patients, Maharaj Nakorn Chiang Mai Hospital. Journal of Nursing. Flower garden; 2005. 12 (2): 8-18.

Gensen M, Nyberg L, Gustafson Y, Lundin-Olsson L. Fall and Injury Prevention in Residential Care-Effects in Residents with Higher and Lower Levels of Cognition [Internet]. Journal of the American Geriatricts Society; 2003 [cited 2017 Feb 15]. Available from https://onlinelibrary.wiley.com/doi/ abs/10.1034/j.1600-0579.2003.00206.

Ubonsri S. The Effectiveness of Using Clinical Practice Guidelines for Fall Prevention in Elderly with Orthopedic Special Fractures in the Elderly. Maharaj Nakorn Chiang Mai Hospital [thesis]. Chiang Mai: Chiang Mai University; 2006.

Chancharat B. Development of Fall Risk Assessment Form for Orthopedic Patients. [Master of Nursing Science Thesis in Administrative Administration]. Chiang Mai: Chiang Mai University; 2005.



How to Cite

Choeychom L, Tiplamai C, Thadthong S. Effect of Fall Precaution Guideline in the Women General Ward 1 at Lop Buri Cancer Hospital. j dept med ser [Internet]. 2019 Oct. 1 [cited 2022 Oct. 5];44(5):54-61. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/246640



Original Article