Relationship between the selected factors and inpatient fall in private hospital

Main Article Content

รัตนาพร ทามี
ดร.พวงทิพย์ ชัยพิบาลสฤษดิ์
ดร.ปานตา อภิรักษ์นภานนท์

Abstract

This analytical study aimed to explore inpatient fall incidence and described relationship between the selected factors including personal factors, intrinsic factors, extrinsic factors, fall risk level and inpatient falls in a private hospital in Bangkok. Total of 400 patients (200 fall cases and 200 controls) over 15 years old who admitted from January 2014 to December 2016. Data were collected from the medical and nursing record including personal, physical, psychological, environmental, risk level and incident of fall data. Content validity index and interrater reliability were 0.97and 0.98 respectively. Most of the falls were anticipated physiology fall 58.0%, after 7 days of hospital stay 53.0%, near patient bed 38.00% and in the night shift 37.0%. Nearly half did not injure. Factors were associated with inpatient fall (p<0.05) including personal factors (age, gender, history of fall, interpretation need, and time zone), internal factors (mental/emotional state, confusion, dizziness/vertigo, incontinence of bowel/urine, hypnotic/benzodiazepine use, anticonvulsant use, and mobility), and external factors (lack of caregivers, length of stay, and fall risk level). Factors predicting fall in patients who admitted in private hospital were gender (OR: 2.48, 95 % CI : 1.36-4.52),  history of fall (OR 6.72, 95%CI 1.66-27.12), mental/emotional state (OR 4.75, 95%CI 1.13-18.55), hypnotic/benzodiazepine use (OR 2.08, 95%CI 1.00-4.33), anti-consultant use (OR 4.27, 95%CI 1.19-15.35), lack of caregiver (OR 6.09, 95%CI 1.86-19.94), and length of stay more than 7 days (OR 11.99, 95%CI 6.07-23.19). These factors explained 62% of the variance of falling.


The results of study lead to the development of a fall risk assessment tool and nursing supervision plan in private hospital. The knowledge and skill development of professional nurses in all aspect of fall prevention are also recommended.


key words: inpatient fall / private hospital

Article Details

How to Cite
ทามี ร., ชัยพิบาลสฤษดิ์ ด., & อภิรักษ์นภานนท์ ด. (2018). Relationship between the selected factors and inpatient fall in private hospital. Vajira Nursing Journal, 20(1), 12–26. Retrieved from https://he02.tci-thaijo.org/index.php/vnj/article/view/138753
Section
research article

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