Izvorni znanstveni članak
https://doi.org/10.31306/s.63.1.2
Nurse role in prevention of falls in cardiac patients
Danijela Grgurević
; Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Valentina Jezl
; Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Ksenija Vitale
; Medicinski fakultet Sveučilišta u Zagrebu, ŠNZ "A. Štampar, Zagreb, Hrvatska
Sažetak
Patient’s fall is classified as an adverse event and it is one of the indicators of patient safety and an indicator of the quality of health care, but also the most commonly reported adverse event in healthcare institutions. Fall prevention with adequate risk assessment has highlighted the need to investigate fall predictors. Hyponatremia has been associated with many risk factors and has become the subject of research in fall prevention in the last decade. The aim of this study was to identify critical factors for fall risk and explore hyponatremia (monitored by nurse) as a possible predictor for physiological fall.
The study investigated 77 reported patient falls at the Department of Intensive Cardiac Care, Arrhythmias and Transplant Cardiology, Clinical Hospital Center Zagreb, in the period from 1.1.2010. to 31.12.2018. We examined the time, location, causes, and consequences of each fall, as well as the risk for fall and fall category relying on Janice Morse’s fall categorization system, as well as the concentration of serum sodium.
The Chi-square test of independence did not show a statistically significant relation (2 = 1.033, P = 0.597) between the decreased serum sodium level and the unexpected physiological fall. However, Phi is 0.112 and, according to Koen’s criterion, there is a small influence of sodium level on the fall category in this research.
Results should be regarded with caution due to the relatively small number of investigated cases. However, despite the weak statistical correlation, these data indicate the need to further investigate the impact of hyponatremia as a predictor of cardiac patient falls.
Ključne riječi
cardiology patients, hyponatremia, Morse scale, nurse role, patient falls
Hrčak ID:
255546
URI
Datum izdavanja:
12.4.2021.
Posjeta: 2.829 *