Abstract:
AIM AND OBJECTIVES:To describe associations between patient fall risk and common symptoms among hospitalised inpatients. BACKGROUND:Predictors of falls have been identified in a variety of populations and settings, but the role of inpatients' symptom experience has not been adequately evaluated. DESIGN:Cross-sectional. METHODS:Participants included 614 medical and elective surgical patients in an acute hospital in Norway. Patient falls during hospitalisation were assessed by self-report and incident reports. Pain intensity and the occurrence and distress of 15 other symptoms were assessed by self-report. RESULTS:Patient falls were associated with male sex and having more comorbidities. Medical patients were more likely to fall than elective surgical patients. In logistic regression analyses, higher symptom counts were associated with increased risk of fall, with each additional symptom conferring a 15% increase in fall risk. Symptom distress related to concentration difficulties, lack of energy, sleep problems, nausea, vomiting and diarrhoea was associated with increased risk of fall, even after adjusting for the influence of age, sex and comorbidities (odds ratios ranged 2.3-4.8). Severe pain, as well as symptom distress related to drowsiness, itching, dizziness or swelling of arms/legs, was also associated with patient falls, although these associations were attenuated after accounting for age, sex and comorbidities. Overall, symptom distress was more strongly associated with fall risk than symptom occurrence. CONCLUSIONS:Symptom burden and distress may help identify hospital patients at risk for fall. Additional research is needed to determine whether symptoms are useful for assessing fall risk among hospital patients and other high-risk populations. If symptoms are useful indicators of fall risk, they should be considered for inclusion in standardised risk assessments. RELEVANCE TO CLINICAL PRACTICE:Clinicians ought to pay particular attention to increased fall risk among patients reporting many symptoms and those experiencing distress from concentration difficulties, fatigue, sleep problems, nausea, vomiting and diarrhoea.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Lerdal A,Sigurdsen LW,Hammerstad H,Granheim TI,Risk Study Research Group.,Gay CLdoi
10.1111/jocn.14364subject
Has Abstractpub_date
2018-05-01 00:00:00pages
1826-1835issue
9-10eissn
0962-1067issn
1365-2702journal_volume
27pub_type
杂志文章abstract:AIMS:The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours. BACKGROUND:Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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abstract:AIMS AND OBJECTIVES:To examine themes of communication between office-based primary care providers and nurses working in private residences; to assess which methods of communication elicit fruitful responses to nurses' concerns. BACKGROUND:Lack of effective communication between home health care nurses and primary car...
journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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更新日期:2011-01-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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更新日期:2007-11-01 00:00:00
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journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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