Needs Assessment for Home Modification and Risk Factors for Home Unintentional Injuries in Post-total Knee Arthroplasty Patients.

IF 1.7 3区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of Patient Safety Pub Date : 2025-01-14 DOI:10.1097/PTS.0000000000001313

Saowalak Tongta, Patarawan Woratanarat, Siwadol Wongsak, Rossarin Phonakhae, Nartanong Arunwilai, Thira Woratanarat

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引用次数: 0

Abstract

Objectives: Home assessment and modification are crucial to prevent fall and fall-related injuries, especially in vulnerable subjects. This study assessed the need for home modifications and investigated risk factors associated with home injuries in post-total knee arthroplasty (TKA) patients.

Methods: This study was conducted at the university hospital from July 2022 to July 2023. The patients who had undergone TKA without perioperative complications were recruited. The demographics, clinical data, home environmental factors, needs for home modification, and factors related to home unintentional injury were collected at 2 weeks postoperatively. The analysis was done by using descriptive statistics, and logistic regression.

Results: A total of 140 patients were included. The occurrence of falls within 2 weeks after TKA was 33.57%. The location of falls was the home entrance (29.09%), living room (23.64%), and bathroom (18.18%). About 38.5% of the patients explicitly needed home modifications. Falls were associated with inefficient grab bars [adjusted odds ratio=3.26, 95% CI=1.37-7.81, P=0.008] and lighting (adjusted odds ratio=12.83, 95% CI=1.36-121.34, P=0.026).

Conclusions: Falls among post-TKA patients were frequently occurred. Preoperative home assessment and home modifications should be done in order to minimize risks of falls, particularly in common locations.

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全膝关节置换术后患者居家改造需求评估及居家意外伤害风险因素。

目的：家庭评估和修改是预防跌倒和跌倒相关伤害的关键，特别是在脆弱的受试者中。本研究评估了全膝关节置换术（TKA）后患者家中损伤的相关危险因素，并对家中损伤的必要性进行了评估。方法：本研究于2022年7月至2023年7月在大学附属医院进行。我们招募了没有围手术期并发症的TKA患者。术后2周收集人口统计学、临床资料、家庭环境因素、家庭改造需求和家庭意外伤害相关因素。分析采用描述性统计和逻辑回归。结果：共纳入140例患者。TKA术后2周内跌倒发生率为33.57%。跌倒地点依次为家庭入口（29.09%）、客厅（23.64%）和浴室（18.18%）。约38.5%的患者明确需要家庭改造。跌倒与无效的抓杆（调整优势比=3.26,95% CI=1.37-7.81， P=0.008）和照明（调整优势比=12.83,95% CI=1.36-121.34， P=0.026）有关。结论：tka后患者摔倒时有发生。术前应进行家庭评估和家庭改造，以尽量减少跌倒的风险，特别是在常见位置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

13.60%

发文量

302

期刊介绍： Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.