Related influencing factors and prevention strategies for falls in geriatric patients in the emergency department
Objective To explore the related influencing factors and corresponding prevention strategies for falls in geriatric patients in the emergency department,aiming to provide a reference for clinical intervention.Methods A total of 120 geri-atric patients who visited the emergency department of the First Affiliated Hospital of Hebei North University from March 2022 to March 2023 were selected as the study participants.Patients were allocated to a fall group and a control group based on whether they experienced a fall during their treatment in the emergency department.A questionnaire survey was conduc-ted by distributing and collecting questionnaires on-site.The survey included personal basic information,osteoporosis risk,physical function,nutritional status,and sleep conditions.Multifactorial logistic stepwise regression analysis was used to analyze the influencing factors of falls in geriatric patients in the emergency department.Results Among the 120 enrolled patients,23 cases of falls occurred,with an incidence of 19.17％(23/120).Univariate analysis showed statistically signifi-cant differences in age,osteoporosis risk,physical function,fall history within 6 months,use of assistive devices,stroke,and hypertension between the two groups(P＜0.05).Multifactorial logistic regression analysis showed that age,hyperten-sion,stroke,osteoporosis risk,physical function,use of assistive devices,and fall history within 6 months are influencing factors for falls in these patients(P＜0.05),among which the use of assistive devices is a protective factor(P＜0.05).Conclusion There are multiple influencing factors for falls in geriatric patients in the emergency department,mainly inclu-ding age＞70 years,hypertension,stroke,high risk of osteoporosis,unqualified physical function,use of assistive devices,and a history of falls within 6 months.Therefore,it is necessary to combine the actual situation of patients to provide corre-sponding nursing intervention strategies to reduce the risk of falls.
万方数据
维普
