期刊論文
| 學年 | 101 |
|---|---|
| 學期 | 2 |
| 出版（發表）日期 | 2013-06-01 |
| 作品名稱 | Risk Factors for Inpatient Falls at a Mental Hospital |
| 作品名稱（其他語言） | 精神專科醫院住院病人跌倒的危險因子 |
| 著者 | 曾志傑; Tseng, Chih-Chieh; 蘇碧玉; Su, Pi-Yu; 黃信得; Huang, Hsin-Te; 張玉坤; Chang, Yue-Cune; 戴月明; Tai, Yueh-Ming |
| 單位 | 淡江大學數學學系 |
| 出版者 | 臺北市：臺灣精神醫學會 |
| 著錄名稱、卷期、頁數 | 臺灣精神醫學=Taiwanese Journal of Psychiatry 27(2)，頁131-139 |
| 摘要 | Objective: The objectives of this study were to identify predictors of falls and to measure the severity of injuries among psychiatry inpatients. Methods: We first examined a five-year adverse event registry data of a psychiatric teaching hospital, which is a 450-bed long-term acute care facility located in northern Taiwan. Out of 5,894 registered patients, 545 patients fell at least once, and 27.2% of them were women. We next compared the difference between groups of falls versus non-fall and single fall versus repeat falls in demographic characteristics, psychiatric diagnosis and injury severity. Results: Patients who were male in sex (OR = 1.58, p ＜ 0.05), those who were 60 years or older (Odds ratio, OR = 21.42, p ＜ 0.001), and those with bipolar disorder (OR = 14.14, p ＜ 0.001) were significantly more likely to have repeated (3 or more) falls. More serious injuries were significantly more common in female patients (OR = 3.59, p ＜ 0.05), in patients with repeated (3 or more) falls (OR = 5.14, p ＜ 0.01), and in patients who were admitted to chronic wards (OR = 5.30, p ＜ 0.01). Conclusion: The risk factors for falls in psychiatric inpatients included older age and a diagnosis of schizophrenia, bipolar disorder, dementia, or substance dependence. The risk factors for repeated falls included older age, male gender, and a diagnosis of schizophrenia, bipolar disorder, or dementia. Risk factors for major injuries included female gender, repeated falls, and living in a chronic ward. 目的：本研究的目的主要是探討與精神科住院病人跌倒相關的危險因子。方法：某精神專科醫院2007年至2013年5,894個住院病人中，有545個病人至少經歷了一次以上的跌倒，其中包含397位男性，148位女性。資料整理後分析相關跌倒危險因子。結果：男性病人(OR= 1.58)，超過60歲(OR = 21.42)，以及雙極性疾患病人(OR = 14.14) 容易有3次以上跌倒。女性病人(OR = 3.59)，跌倒3次以上(OR = 5.14)，以及住在慢性病房病人(OR = 5.30) 容易發生嚴重傷害的跌倒。結論：建議精神醫療照顧者應注意精神科病人跌倒危險因子，針對高風險病人給予更多的協助。 |
| 關鍵字 | 跌倒; 危險因子; 跌倒次數; 受傷嚴重程度; Falls; risk factors; numbers of falls; severity of injuries |
| 語言 | en |
| ISSN | 1028-3684 |
| 期刊性質 | 國內 |
| 收錄於 | TSCI |
| 產學合作 | |
| 通訊作者 | |
| 審稿制度 | 是 |
| 國別 | TWN |
| 公開徵稿 | |
| 出版型式 | 紙本 |
| 相關連結 |
機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/93106 ) |