산업융합연구 (Journal of Industrial Convergence)

대한산업경영학회 (DAEHAN Society of Industrial Management)
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성인 입원 환자의 낙상전후 건강상태 관련 특성의 차이

Differences in Health Status-related Characteristics Before and After Falls in Adult Hospitalized Patients

  • Kim, Myo-Youn (Dept. of Nursing, Kangbuk Samsung Hospital) ;
  • Lee, Mi-Joon (Dept. of Medical Information Management, Kongju National University) ;
  • So, Hye-Eun (Dept. of Nursing, Kangbuk Samsung Hospital) ;
  • Youn, Byoung-Sun (Dept. of Nursing, Kangbuk Samsung Hospital)
  • 투고 : 2022.07.13
  • 심사 : 2022.10.20
  • 발행 : 2022.10.28
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초록

본 연구의 목적은 입원환자가 낙상사고 전후에 따라 건강상태 관련 특성의 차이를 확인하기 위함이며, 2016년 1월 1일부터 2020년 12월 31일까지 입원 후 낙상사고가 발생하여 환자안전보고시스템에 보고된 환자 328명의 데이터를 활용한 후향적 연구이다. 연구대상자의 연령은 평균 68.57±14.13세로서 70대가 30.49%로 가장 많았고, 입원 이후 평균 13.86±25.03일이 경과 시에 낙상사건이 발생하였고, 발생 시간대는 야간(22:30- 06:59)이 42.99%로 가장 많았다. 입원 후 낙상 전후에 배변문제(x2=314.0, p<.001), 배뇨문제(x2=284.0, p<.001), 정맥수액요법(x2=85.16, p<.001), 걸음걸이의 허약감(x2=69.77. p<.001), 와상(x2=51.60, p<.001), 의식이 불명하거나 자신의 기능을 과대평가한 경우(x2=17.52, p<.001) 비협조적 태도(x2=220.17, p<.001)에서 통계적으로 유의한 차이가 있었다. 낙상 전후 환자의 건강상태 관련 특성의 차이를 파악하여 환자의 특성에 맞는 적절한 낙상예방 및 개별적인 교육중재활동을 모색할 필요가 있다.

This study aims to investigate the changes in health status of inpatients before and after a fall accident, and it is a retrospective study using data from 328 inpatients who fell from January 1, 2016 to December 31, 2020, reported to the patient safety reporting system. The average age of the study subjects was 68.57(±14.13), and those in their 70s accounted for the most at 30.49%. Falls occurred on average 13.86(±25.03) days after hospitalization, and the time when the most falls occurred was between 22:30 and 06:59 with 42.99%. Before and after a fall during hospitalization, bowel problems (x2=314.0, p<.001), urination problems (x2=284.0, p<.001), intravenous fluid therapy (x2=85.16, p<.001), and walking (x2=69.77. p<.001), bedridden state (x2=51.60, p< .001), mental state and performance (x2=17.52, p<.001) patient's attitude (x2=220.17, p<.001), there was a statistically significant difference. It is necessary to develop an appropriate method and education program for fall prevention in hospital by considering the individual characteristics of inpatient.

키워드

과제정보

This study was supported by the development research of the Kangbuk Samsung Hospital.

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