Study of the Fall due to Psychological Characteristics of Inpatients and Its Related Factors in the Acute University Hospital

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  • IBA Yasuhiro
    Rehabilitation Division, Tottori University Hospital
  • MATSUMOTO Hiromi
    Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare
  • YONEYAMA Kumiko
    Nursing Division, Tottori University Hospital
  • OSAKI Mari
    Rehabilitation Division, Tottori University Hospital Department of Rehabilitation, Tottori University Hospital
  • HAGINO Hiroshi
    Rehabilitation Division, Tottori University Hospital Department of Rehabilitation, Tottori University Hospital School of Health Science, Faculty of Medicine, Tottori University

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Other Title
  • 急性期大学病院における入院患者の心理特徴に基づく転倒と関連因子について
  • 急性期大学病院における入院患者の心理特徴に基づく転倒と関連因子について : インシデントレポートに基づく横断研究
  • キュウセイキ ダイガク ビョウイン ニ オケル ニュウイン カンジャ ノ シンリ トクチョウ ニ モトズク テントウ ト カンレン インシ ニ ツイテ : インシデントレポート ニ モトズク オウダン ケンキュウ
  • Cross-Sectional Study Based on the Incident Report
  • インシデントレポートに基づく横断研究

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Abstract

<p>【Objective】The purpose of this study is to investigates the fall due to psychological characteristics of inpatients and its related factors in the acute university hospital.</p><p>【Methods】Using our hospital’s incident report database, we recruited 430 patients with falls in the hospital from April 2015 to March 2016. We investigated the following factors: basic patient characteristics, falling after lights-out in the nighttime, the main clinical department, causes of falls, the posture or motion when the fall happened. Patients were divided into two groups: the falls group by the psychological characteristic of the inpatient (falls due to the psychological characteristics of the inpatient) and the falls group by other factors (falls due to other factors).</p><p>【Results】The falls caused by the psychological characteristics of the inpatient was 19.3% (83/430 cases). The falls caused by the psychological characteristics of the inpatients were classified into six groups. They were belief, hesitation, refusal, a fret, high will, and feeling embarrassed in descending order. The multivariate analysis showed the following significant fall-related psychological characteristics of the inpatients: hospitalization in urology department (odds ratio［OR］, 7.058; 95% confidence intervals［CI］, 1.128-44.158), drop of the lower limbs, human trunk motion function (OR, 1.716; 95% CI, 1.031-2.855), drop of the recognition, the mind function (OR, 0.305; 95% CI, 0.149-0.625) and human environmental influence (OR, 0.446; 95% CI, 0.263-0.754).</p><p>【Conclusions】Hospitalization in urology department, drop of the lower limbs and human trunk motion function, drop of the recognition and the mind function, and human environmental influence were related to the falls due to the psychological characteristics among inpatients in acute university hospital.</p>

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