Reviewing Patient�s Falls Following Implementation of the Fall Prevention Program

¹Department of Nursing,Baskent University,Ankara,Turkey
²Baskent University Ankara Hospital

INTRODUCTION: This study was conducted to investigate patient falls occurred after a fall prevention program implemented in a university
hospital.
METHODS: This is a retrospective study conducted to investigate patient falls that occurred in a foundation (private) university hospital
located in Ankara. The sample consisted of patients (n: 103) who fell from a height in a foundation university hospital in Turkey.
The Fall Prevention program has been revised over time. Itaki Fall Risk Scale, Enviromental Risk Assesment Form, Falling Patient
Monitoring Form, Incident Report Form, Data Collection Form were used.
RESULTS: While the rate of patient falls decreased from 0.16% to 0.12%, fall risk of the patients increased from 25.3% to 67.6%. The
63.1% of the patient falls were caused by intrinsic factors. Patients� age, risky medication(s), balance problem, confusion, fatigue,
dizziness and failure to ask for help during mobilization were found as the determinants of the fall risk.
DISCUSSION AND CONCLUSION: In the study, fall prevention programs can be improved considering all risk factors. Considering the results of this
study; making adjustments for improving functional strength and balance, providing adequate information on fall prevention measures
and closer monitoring can be suggested. With the help of health team, the program can further focus on the exercises,
contributing to the reduction of falls by strengthening the patients in this way.

Keywords:

D��me �nleme Program�n�n Uygulanmas�n� Takiben Hasta D��melerinin �ncelenmesi

¹Ba�kent �niversitesi Sa�l�k Bilimleri Fak�ltesi,Hem�irelik B�l�m�,Ankara
²Ba�kent �niversitesi Ankara Hastanesi

G�R�� ve AMA�: Bu �al��ma, bir �niversite hastanesinde d��me �nleme program� sonras� ortaya ��kan hasta d��melerinin incelenmesi
amac�yla yap�lm��t�r.
Y�NTEM ve GERE�LER: Bu �al��ma, retrospektif t�rden bir �al��ma olup, Ankara�da bir vak�f �niversite hastanesinde ger�ekle�tirilmi�tir. Ara�t�rman�n
�rneklemini, bir �niversite hastanesinde d��en 103 hasta olu�turmu�tur. Bu �niversite hastanesinde hasta d��melerini �nleme
program� zaman i�inde yeniden d�zenlenmi�tir. Ara�t�rmada veri toplamak i�in �Hendrich II D��me Risk De�erlendirme Formu,
�taki D��me �l�e�i ve Hasta D��melerini �nceleme Formu� kullan�lm��t�r.
BULGULAR: �al��ma s�recinde, hasta d��me oran� %0,16�dan %0,12�ye d��erken, d��me riski olan hastalar %25,3�ten %67,6�ya
y�kselmi�tir. Hastalar�n %63,1�inde d��menin hastaya ait fakt�rlerden kaynakland�� belirlenmi�tir. D��me nedenlerinin ilk s�ralar�nda
hastalar�n ya��, kullan�lan riskli ila�lar, denge sorunu, konf�zyon, ba� d�nmesi ve mobilizasyon s�ras�nda yard�m istememesi
gibi durumlar d��me riskinin belirleyicisi olarak bulunmu�tur.
TARTI�MA ve SONU�: �al��mada, t�m risk etmenlerinin g�z �n�ne al�nd�� d��meyi �nleme programlar� geli�tirilebilece�i belirlenmi�tir. Bu �al��man�n
sonu�lar�n� g�z �n�nde bulundurarak fonksiyonel g�� ve dengenin iyile�tirilmesi i�in d�zenlemelerin yap�lmas�, d��me
�nleme �nlemleri hakk�nda yeterli bilgi sa�lanmas� ve daha yak�ndan izlenmesi �nerilebilir. Ayr�ca bu program, sa�l�k ekibinin
yard�m�yla, hastalar� bu �ekilde g��lendirerek d��melerin azalt�lmas�na katk�da bulunan egzersizlere de odaklanmal�d�r.

Anahtar Kelimeler:

Azize Karahan, Sultan Kav, Ziyafet U�urlu, Berrak Balanuye, H�lya Karaer. Reviewing Patient�s Falls Following Implementation of the Fall Prevention Program. Journal of Health and Nursing Management. 2020; 7(2): 280-291

Corresponding Author: Berrak Balanuye, T�rkiye