| Summary: | 碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 105 === Abstract
In recent years, the medical concept of patient-centered and attention of the patient safety care is the mainstream of global medical quality improvement. Falling not only cause physical harm, accompanied by the increase of the number of days in hospital and medical expenses, but also caused the burden to the patient, the patient family and the society. Its psychological and social impact on patients and their families is also difficult to estimate; Therefore, how to make patients to avoid nociceptive falling, and to reduce the disability and death after falling, is an important subject of medical care.
This study analyze for the relevant factors in the case of inpatients' nociceptive falling notifications circulate by the patient safety notification system from April 1, 2012 to December 31, 2016, in a teaching hospital in the central Taiwan. The aim of this study is to investigate the current status of falling in the inpatients, to study the factors associated with the fall of the patients, and the high-risk factors of nociceptive fall. Used the retrospective data collection method, the descriptive statistics, chi-square test and logistic regression analysis.
The results showed that the age distribution of the patients was 16-64 years old, with the largest number of males and internal medicine. The victims are often with their family while it happens. Often during night swift while it happens, and the patients who were able to get out of bed are the high-risk groups. It mostly happens at the bedside. Most victims are unconstrained and conscious while it happens. The reasons mostly related to patient's health problems. The number of the victims who have hurt is lower than which have not. All personal background variables and fall-related variables did not reach significant levels in the chi-square test (p> .05) .Using binary logistic regression analysis, a falling case with a conscious victim would be at a lower risk of moderate to severe injury (p <.01),the cases with a constrained victim, with a conscious victim or happened in the saloon, would be at a lower risk of moderate to severe injury (p <.05).
The results of this study can provide to clinical personnel, to appropriate precautions against the high-risk factors of nociceptive falling, to reduce the incidence and the degree of injury of falling, to improve the patient hospitalization and medical care quality.
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