한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제23권2호
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  • Pages.69-78
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  • 2017
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
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노인환자 스크리닝 결과와 낙상위험도 간의 관계

Associations Between Classification of the Geriatric Screening for Care-10 and the Morse Fall Scale

  • 김윤숙 (건국대학교병원 적정진료팀) ;
  • 이종민 (건국대학교병원 재활의학과) ;
  • 최재경 (건국대학교병원 가정의학과) ;
  • 신진영 (건국대학교병원 가정의학과) ;
  • 한설희 (건국대학교병원 신경과)
  • Kim, Yoon-Sook (Department of Quality Improvement, Konkuk University Medical Center) ;
  • Lee, Jong-Min (Department of Rehabilitation Medicines, Konkuk University Medical Center) ;
  • Choi, Jae-Kyung (Department of Family Medicine, Konkuk University Medical Center) ;
  • Shin, Jin-Yeong (Department of Family Medicine, Konkuk University Medical Center) ;
  • Han, Seol-Heui (Department of Neurology, Konkuk University Medical Center)
  • 투고 : 2017.11.01
  • 심사 : 2017.12.16
  • 발행 : 2017.12.31
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초록

Background: The purpose of this study was to examine associations between classification of the Geriatric Screening for Care-10 (GSC-10) and the Morse Fall Scale (MFS) among elderly inpatients. Methods: Among elderly inpatients aged over 65 admitted to hospital (from November 1, 2016 to July 31, 2017), the data for 5,780 patients (who were evaluated using the Morse Fall Scale and the Geriatric Screening for Care-10) were analyzed using x2-tests and t-tests to examine differences between the GSC-10 and MFS, according to general characteristics of elderly inpatients (i.e., gender) using IBM SPSS Statistics 24. Results: : Scores for the GSC-10 were significantly higher in women than men for depression (p<.001), delirium (p=.048), functional decline (p<.001), incontinence (p<.001), and pain (p<.001). Statistically significant differences in all domains of the GSC-10 for elderly hospitalized patients were found for the classification of fall risk. Conclusion: The findings of this study, as supported by the GSC-10, indicate that the most common problems experienced by the elderly are related to the risk of falling. In order to reduce the incidence of falls in elderly inpatients, customized fall prevention based on the GSC-10 results is necessary.

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