Effect of Patient Fall Prevention Program on Nurses' Knowledge and the Number of Patient Falls in one of the Teaching Hospitals in Mashhad during 2019

Z. Saadati, Maliheh Sadeghnezhad, Maliheh Siasar, Marzieh Rajaeinasab, Maryam Touri
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Abstract

Introduction: This study aimed to evaluate the effect of a patient fall prevention program on nurses’ knowledge and number of patients falls in one of the teaching hospitals in Mashhad, Iran. Materials and Methods: This quasi-experimental study was conducted on 600 nurses working in a hospital affiliated with Mashhad University of Medical Sciences, Mashhad, Iran. The participants were selected via a proportionate stratification sampling method. The fall prevention program included two educational posters and a booklet that introduced key points regarding the prevention of patient falls based on the standard guidelines. The participants were asked to respond to a researcher-made questionnaire that measured their knowledge of patient fall prevention at pretest and posttest. The number of patient falls was evaluated before and after the prevention program. Data were analyzed using SPSS software (version 25) through descriptive and inferential (Wilcoxon test). A p-value less than 0.05 was considered statistically significant. Results: There was a significant difference between the scores of pretest and posttest regarding the nurses’ knowledge (p <0.001). Moreover, the examination of the number of falls in three months before and after the patient fall prevention program showed a significant decrease (63%) in the patient falls. Conclusion: The results demonstrated that the provision of prevention programs in this study had a significant impact on the improvement of patient safety level by reducing the number of patient falls through increasing the knowledge of nurses and awareness of patients.
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2019年马什哈德某教学医院患者跌倒预防项目对护士知识和患者跌倒数量的影响
本研究旨在评估在伊朗马什哈德的一所教学医院中,患者跌倒预防计划对护士知识和患者跌倒数量的影响。材料与方法:本准实验研究以伊朗马什哈德医学大学附属医院的600名护士为研究对象。通过比例分层抽样方法选择参与者。预防跌倒项目包括两张教育海报和一本小册子,介绍了根据标准指南预防病人跌倒的要点。参与者被要求回答一份研究人员制作的问卷,在测试前和测试后测量他们对患者跌倒预防的知识。在预防计划前后评估患者跌倒的次数。数据采用SPSS软件(version 25)进行描述性和推断性(Wilcoxon检验)分析。p值小于0.05被认为具有统计学意义。结果:护士知识前测与后测得分差异有统计学意义(p <0.001)。此外,对患者预防跌倒计划前后三个月内跌倒次数的检查显示,患者跌倒次数显著减少(63%)。结论:研究结果表明,本研究中提供的预防方案通过提高护士的知识和患者的意识,减少了患者跌倒的数量,对提高患者安全水平有显著的影响。
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