Cohort study of institutionalized elderly people: fall risk factors from the nursing diagnosis

Revista Latino-Americana de Enfermagem

Karine Marques Costa Dos Reis¹  Cristine Alves Costa De Jesus¹ 

关键词: Accidental Fall;    Aged;    Institutionalization;    Risk Factors;    Nursing Diagnosis;    Acidentes por Quedas;    Idoso;    Institucionalização;    Fatores de Risco;    Diagnóstico de Enfermagem;    Accidentes por Caídas;    Anciano;    Institucionalización;    Factores de Riesgo;    Diagnóstico de Enfermería;   

DOI  :  10.1590/0104-1169.0285.2658

来源: SciELO

【 摘 要 】

Objective:to determine the incidence of falls in elderly residents of long-stay institutions of the Federal District, to identify the aspects involved in the falls, in terms of risk factors, from the application of scales and the Taxonomy II of NANDA-I, and to define the level of accuracy with its sensitivity and specificity for application in the clinical nursing practice.Method:this was a cohort study with the evaluation of 271 elderly people. Cognition, functionality, mobility and other intrinsic factors were evaluated. After six months, the elderly people who fell were identified, with significance analysis then performed to define the risk factors.Results:the results showed an incidence of 41%. Of the 271 patients included, 69 suffered 111 episodes of falls during the monitoring period. Risk factors were the presence of stroke with its sequelae (OR: 1.82, 95% CI 1.01 - 3.28, p=.045), presenting more than five chronic diseases (OR: 2.82, 95% CI 1.43 - 5.56, p=.0028), foot problem (OR: 2.45, 95% CI 1.35 - 4.44, p=.0033) and motion (OR: 2.04, 95% CI 1.15 - 3.61, p=.0145).Conclusion:the taxonomy has high validity regarding the detection of elderly people at risk of falling and should be applied consistently in the clinical nursing practice.

【 授权许可】

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