对社区居住老人的护理诊断 "成人跌倒风险(00303)"进行临床验证。

IF 1.4 4区 医学 Q3 NURSING
Jack Roberto Silva Fhon, Regina Célia Dos Santos Diogo, Alexandre Pereira Dos Santos Neto, Alice Regina Felipe Silva Djinan, Eveline Fontes Costa Lima, Rosalina Aparecida Partezani Rodrigues
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引用次数: 0

摘要

目的:确定对社区居住的老年人进行成人跌倒风险护理诊断(00303)的风险因素:这是一项方法学研究,采用定量方法,于2018年2月至12月对居住在巴西南太平洋州里贝朗普雷图市的老年人进行了调查。在收集数据时,使用了人口统计学概况、迷你精神状态检查、疾病自我报告、功能独立性测量、劳顿和布罗迪量表、老年抑郁量表以及步态自我感知工具。对准确性和风险因素的相关性进行了检验,检验结果为 p≤ 0.05:样本中共有 262 名 80 岁以上的老人(55.7%),其中 71% 为女性,42.7% 为丧偶老人。82.1%的老人患有血管疾病,72.1%的老人患有糖尿病,20.6%的老人患有抑郁症。最主要的风险因素是日常生活工具活动困难(58.8%)、认知功能障碍(43.5%)和抑郁症状(26.3%)。日常生活工具性活动困难的灵敏度高于 60%。阳性和阴性预测值大多大于 50%。在回归分析中发现,如果老年人出现焦虑(p = 0.05)、身体活动能力受损(p = 0.02)和日常生活工具性活动困难(p = 0.03)等风险因素,则其发生跌倒的风险更高:可以在居家老年人的临床背景下识别成人跌倒风险诊断(00303)存在的风险因素,有助于分类标准的临床验证,增加诊断的证据和重要性,并为老年护理学提供新的知识:帮助护士识别导致老年人在家中跌倒的风险因素,并在其家人的支持下在社区开展预防行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical validation of the nursing diagnosis "Fall risk in adults (00303)" in elderly people in the community-dwelling.

Purpose: To identify the risk factors for the nursing diagnosis of fall risk in adults (00303) in elderly people in the community-dwelling.

Method: This is a methodological study, with a quantitative approach, carried out with elderly people living in the city of Ribeirão Preto, SP, Brazil, from February to December 2018. For data collection, the demographic profile, Mini-Mental State Examination, diseases self-reported, functional independence measure, Lawton and Brody scale, geriatric depression scale, and self-perception of gait instruments were used. Tests of accuracy and association of risk factors with p ≤ 0.05 were performed.

Findings: A total of 262 elderly people, aged over 80 years (55.7%), 71% of which were female and 42.7% were widowed, were included in the sample. A total of 82.1% had vascular diseases, 72.1% had diabetes, and 20.6% had depression. The predominant risk factors were difficulty performing instrumental activities of daily living (58.8%), cognitive dysfunction (43.5%), and depressive symptoms (26.3%). Difficulty performing instrumental activities of daily living had a sensitivity greater than 60%. The positive and negative predictive values were mostly greater than 50%. In the regression analysis, it was found that the elderly have a higher risk of suffering a fall if they present anxiety (p = 0.05), impaired physical mobility (p = 0.02), and difficulty to perform instrumental activities of daily living as risk factors (p = 0.03).

Conclusion: It was possible to identify the presence of risk factors for the diagnosis fall risk in adults (00303) in the clinical context of the elderly in home settings and contribute to the clinical validation of the taxonomy, increase the evidence and importance of the diagnosis, and generate new knowledge for gerontological nursing.

Implications for nursing practice: To help nurses identify risk factors that lead elderly people to suffer falls at home and to implement preventive actions in their community with the support of their families.

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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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