Analysis of high-risk factors and preventive measures for falls in hospitalized patients with chronic schizophrenia
Objective To explore the high-risk factors and preventive measures for falls in hospitalized patients with chronic schizophrenia (SCH).Methods A retrospective analysis was conducted on clinical data of 119 chronic SCH patients.They were divided into a fall group and a non-fall group based on the occurrence of falls during hospitalization.Basic data on age,gender,daily living ability,balance ability,disease course were collected for univariate analysis.Multivariate Logistic regression analysis was carried out on the factors with statistical difference in the univariate analysis to obtain the risk factors affecting falls.Results A total of 46 falls occurred in 119 patients,and the incidence rate of falls was 38.66％ (46/119).There was no statistically significant difference between the two groups in terms of gender,body mass index (BMI),smoking history,drinking history,education level,and comorbid hypertension (P>0.05).In the fall group,there were 22 cases (47.83％) aged ≥60 years,29 cases (63.04％) with diabetes mellitus,24 cases (52.17％) with coronary heart disease,30 cases (65.22％) with poor daily living ability,28 cases (60.87％) with poor balance,and 32 cases (69.57％) with disease course of ≥10 years.In the non-fall group,there were 19 cases (26.03％) aged ≥60 years,22 cases (30.14％) with diabetes mellitus,20 cases (27.40％) with coronary heart disease,20 cases (27.40％) with poor daily living ability,22 cases (30.14％) with poor balance,and 33 cases (45.21％) with disease course ≥10 years.Comparison of age,comorbid diabetes,comorbid coronary heart disease,daily living ability,balance,and disease course between the two groups showed statistically significant differences (P<0.05).Age,comorbid diabetes mellitus,comorbid coronary heart disease,daily living ability,balance,and disease course,which were statistically significant in the univariate analysis,were included in the multivariate Logistic regression analysis model,which showed that ≥60 years of age[OR=2.605,95％ confidence interval=(1.195,5.682)],comorbid diabetes mellitus[OR=3.955,95％ confidence interval=(1.813,8.627)],comorbid coronary heart disease[OR=2.891,95％ confidence interval=(1.333,6.269)],poor daily living ability[OR=4.969,95％ confidence interval=(2.243,11.008)],poor balance[OR=3.605,95％ confidence interval=(1.661,7.823)],and disease course ≥10 years[OR=2.771,95％ confidence interval=(1.271,6.040)]were high-risk factors affecting falls in hospitalized chronic SCH patients (P<0.05).Conclusion The fall of hospitalized chronic SCH patients is closely related to ≥ 60 years of age,comorbid diabetes mellitus,comorbid coronary heart disease,poor daily living ability,poor balance,and disease course ≥10 years,which needs to be paid more attention to,and preventive measures should be taken to reduce the risk of falls.
万方数据
维普
