制止老年人意外事故、死亡和伤害计划对预防神经外科患者跌倒的影响。

Hebah Alsaqer, Jehad A. Rababah, M. Al-Hammouri, Mohamed M Barbarawi, Mohammad Suliman
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引用次数: 0

摘要

摘要背景:尽管神经外科患者在急症护理环境中跌倒会造成不良后果,但目前还缺乏成功预防跌倒计划的高质量证据。本研究旨在评估 "制止老年人意外事故、死亡和伤害(STEADI)"项目与常规跌倒预防方案相比,对约旦神经外科患者跌倒预防的有效性。方法:本研究采用前瞻性准实验设计。样本包括来自约旦一所大型大学附属医院的 70 名神经外科患者。研究样本被分为对照组(35 名患者)和干预组(35 名患者)。根据 STEADI 计划的建议,本研究使用了人口统计学问卷、不同的跌倒风险筛查工具和测试。结果:多变量方差分析结果显示,STEADI 计划对结果测量的线性组合有显著影响(P = .001)。独立样本 t 检验进一步证实了该计划的有效性,干预后,干预组和对照组之间大多数结果测量的平均值差异具有统计学意义。在实施研究干预后,干预组参与者的跌倒风险在统计学上明显降低。结论:研究结果表明,在改善神经外科患者的治疗效果和降低跌倒风险方面具有潜在的有效性。实施研究建议可提高患者安全,促进神经外科患者采取循证预防跌倒干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of the Stopping Elderly Accidents, Deaths, and Injuries Program on Falls Prevention in Neurosurgical Patients.
ABSTRACT BACKGROUND: Despite the negative consequences of falls among neurosurgery patients in acute care settings, there is a lack of high-quality evidence for successful fall prevention programs. This study was conducted to evaluate the effectiveness of the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) program on falling prevention compared with routine falling protocol in neurosurgical patients in Jordan. METHODS: A prospective quasi-experimental design was used in this study. The sample comprised 70 neurosurgical patients from a major university-affiliated hospital in Jordan. The study sample was assigned into a control group (35 patients) and an intervention group (35 patients). A demographics questionnaire, and different fall risk screening tools and tests were used in this study as recommended by the STEADI program. RESULTS: Multivariate analysis of variance results showed a significant effect (P = .001) of the STEADI program on the linear combination of outcome measures. Independent samples t tests further confirmed the program's effectiveness, with statistically significant mean differences in most outcome measures between the intervention and control groups post intervention. After implementing the study intervention, participants in the intervention group had a statistically significant lower risk for falls. CONCLUSION: The findings indicate potential effectiveness in improving neurosurgery patients' outcomes and reducing the risk of falls. Implementing the study recommendations can enhance patient safety and promote evidence-based fall prevention interventions in neurosurgery patients.
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