Impact of educational intervention in hospitalized patients’ fall risk perception and associated factors
Abstract
Objective: To analyze the impact of educational intervention on hospitalized patients’ perception about fall risk and their associated factors.
Methods: This is quasi-experimental research with 157 patients hospitalized in a tertiary-level public institution in northern Ceará, Brazil. Data were collected before and after educational intervention mediated by a booklet on fall prevention. “Risk for falls” Nursing Diagnosis was identified, and the Falls Risk Awareness Questionnaire (FRAQ-Brazil) scale was applied. Data analysis occurred from McNemar’s and Wilcoxon tests.
Results: In pre-test, the groups were different regarding fall risk perception (p<0.000), in which the group with the least risk had a median of correct answers of 12 (interquartile range=9), while the group higher risk for falls had a median equal to 14 (interquartile range=8). However, in post-test, the groups become homogeneous regarding fall risk perception (p=0.676) with an increase in the median number of correct answers in both.
Conclusion: The results found in this study indicate that the educational intervention performance mediated by the booklet is effective to promote improvement in hospitalized patients’ fall risk perception
Downloads
References
World Health Organization (WHO). Falls. Genève: WHO; c2019. Disponível em: https://www.who.int/news-room/fact-sheets/detail/falls.
Carmo JR, Cruz MEA, Silva DVA, Pereira FAF, Gusmão ROM, Araújo DD. Falls of patients with home care: prevalence and associated factors. REME - rev min enferm. 2020;24:e-1286. Disponível em: http://www.dx.doi.org/10.5935/1415-2762.20200015
Agência Nacional de Vigilância Sanitária (Brasil). Boletim Segurança do Paciente e Qualidade em Serviços de Saúde – Incidentes Relacionados à Assistência à Saúde – 2019 a 2020. Disponível em: https://www20.anvisa.gov.br/segurancadopaciente/index.php/publicacoes/category/relatorios-dos-estados
Luzia MF, Prates CG, Bombardelli CF, Adorna JB, Moura GMSS. Characteristics of damage falls in hospitalized patients. Rev Gaúcha Enferm. 2019;40:e20180307. https://doi.org/10.1590/1983-1447.2019.20180307
Ximenes MAM, Fontenele NÂO, Bastos IB, Macêdo TS, Galindo-Neto NM, Caetano JÁ et al. Construction and validation of educational booklet content for fall prevention in hospitals. Acta paul. Enferm. 2019;32(4):433-441. Disponível em: https://doi.org/10.1590/1982-0194201900059
Aguiar JR, Barbosa AO, Galindo-Neto NM, Ribeiro MA, Caetano JÁ, Barros LM. Risk factors associated to falls of hospitalized patients in medical-surgical clinics. Acta paul. Enferm. 2019;32(6):617-623. Disponível em: https://doi.org/10.1590/1982-0194201900086
Ximenes MAM, Aguiar JR, Bastos IB, Sousa LV, Caetano JA, Barros LM. Risk of fall in hospitalized patients: risk factors and nursing interventions. Rev Bras Promoç Saúde. 2019;32:9003. https://doi.org/10.5020/18061230.2019.9003
Chehuen-Neto JA, Braga NAC, Brum IV, Gomes GF, Tavares PL, Silva RTC et al. Awareness about falls and elderly people’s exposure to household risk factors. Ciênc saúde coletiva. 2018;23(4):1097-1104. Disponível em: https://doi.org/10.1590/1413-81232018234.09252016
Caramelli P, Nitrini R. How to briefly and objectively assess a patient's mental state?. Rev Assoc Med Bras. 2000; 46(4):301. Disponível em: https://dx.doi.org/10.1590/S0104-42302000000400018
Diagnósticos de enfermagem da NANDA-I: definições e classificação 2018-2020. 11. ed. Porto Alegre: Artmed; 2018.
Severo IM, Kuchenbecker RS, Vieira DFVB, Lucena AF, Almeida MA. Risk factors for fall occurrence in hospitalized adult patients: a case-control study. Rev Latino-Am Enfermagem. 2018; 26:e3016. Disponível em: https://doi.org/10.1590/1518-8345.2460.3016
Kempegowda P, Chandan JS, Hutton R, Brown L, Madden W, Webb J. et al. Focused educational intervention improves but may not sustain knowledge regarding falls management. BMJ Open Qual. 2018; 7(3):e000222. Disponível em: https://doi.org/10.1136/bmjoq-2017-000222
Nassar N, Helou N, Madi C. Predicting falls using two instruments (the Hendrich Fall Risk Model and the Morse Fall Scale) in an acute care setting in Lebanon. J Clin Nurs. 2014; 23(11-12):1620‐1629. Disponível em: https://doi.org/10.1111/jocn.12278
Jia H, Lubetkin EI, DeMichele K, Stark DS, Zack MM, Thompson WW. Prevalence, risk factors, and burden of disease for falls and balance or walking problems among older adults in the U.S. Prev Med.2019; 126:105737. Disponível em: https://doi.org/10.1016/j.ypmed.2019.05.025
Castellan C, Sluga S, Spina E, Sanson G. Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit. J Adv Nurs. 2016; 72(6):1273‐1286. Disponível em: https://doi.org/10.1111/jan.12913
Tucker S, Sheikholeslami D, Farrington M, Picone D, Jonhson J, Matthews G et al. Patient, Nurse, and Organizational Factors That Influence Evidence-Based Fall Prevention for Hospitalized Oncology Patients: An Exploratory Study. Worldviews Evid Based Nurs. 2019; 16(2):111‐120. Disponível em: https://doi.org/10.1111/wvn.12353
Kiyoshi-Teo H, Northrup-Snyder K, Cohen DJ, Dieckmann N, Stoyles S, Winters-Stone, K et al. Older hospital inpatients' fall risk factors, perceptions, and daily activities to prevent falling. Geriatr Nurs. 2019; 40(3):290‐295. Disponível em: https://doi.org/10.1016/j.gerinurse.2018.11.005
Kuhlenschmidt ML, Reeber C, Wallace C, Chen Y, Barnholtz-Sloan J, Mazanec SR. Tailoring education to perceived fall risk in hospitalized patients with cancer: a randomized, controlled trial. Clin J Oncol Nurs. 2016; 20(1):84‐89. Disponível em: https://doi.org/10.1188/16.CJON.84-89
Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019; 21(1):e10008. Disponível em: https://doi.org/10.2196/10008
Rosa VPP, Cappellari FCBD, Urbanetto JS. Analysis of risk factors for falls among institutionalized elderly persons. Rev. bras. geriatr. Gerontol. 2019; 22(1):e180138. Disponível em: https://doi.org/10.1590/1981-22562019022.180138
Meesters J, Conijn D, Vermeulen HM, Vliet Vlieland T. Physical activity during hospitalization: Activities and preferences of adults versus older adults. Physiother Theory Pract. 2019; 35(10):975‐985. Disponível em: https://doi.org/10.1080/09593985.2018.1460429
Guedes LPCM, Oliveira MLC, Carvalho GA. Deleterious effects of prolonged bed rest on the body systems of the elderly - a review. (2018). Rev. bras. geriatr. Gerontol. 2018; 21(4):499-506. Disponível em: https://doi.org/10.1590/1981-22562018021.170167
Pena SB, Guimarães HCQCP, Lopes JL, Guandalini LS, Taminato M, Barbosa DA et al . Fear of falling and risk of falling: a systematic review and meta-analysis. Acta paul. Enferm. 2019; 32(4):456-463. https://doi.org/10.1590/1982-0194201900062
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
