Thiana Sebben Pasa

Avaliação do risco e incidência de quedas em pacientes adultos hospitalizados

Abstract Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.

Evaluación del riesgo e incidencia de caídas en pacientes adultos hospitalizados

Abstract Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.

Risk assessment and incidence of falls in adult hospitalized patients

Abstract Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.Objectives: assess the risk of falls in adult hospitalized patients and verify the incidence of the event in this environment. Method: cohort study, with approval by the Research Ethics Committee, which monitored 831 patients hospitalized at a university hospital. The Morse Fall Scale (MFS) was used to assess the risk and patients with high risk (≥45 points) were considered exposed to falls. Results: the mean MFS score was 39.4 (±19.4) points. Between the first and the final assessment, the score increased by 4.6%. The first assessment score presented a strong and positive correlation with the final assessment score (r=0.810; p=0.000). Conclusion: the higher the risk score for falls when the patient is admitted, the higher the score at the end of the hospitalization period and vice-versa. The incidence rate corresponded to 1.68% with a higher percentage of patients classified at high risk of falls.

Percepção de usuários hospitalizados sobre o atendimento nos serviços de saúde

Aim: To know the perception of hospitalized patients about the care in health services. Method: qualitative, descriptive and exploratory research, carried out in a Surgical Clinic unit, from October to November 2014. Data were collected through semistructured interviews with hospitalized users and analyzed from the thematic analysis. Results: The results were discussed from the following categories: walking in the health services; and realities of the primary health care and of the hospital. It was identified that users perceive that the care received in health services is hampered by the lack of structure thereof, by poor or non-existent communication and lack of humanization in assistance. Conclusion: In the face of perceived difficulties in primary health care services, users seek care in hospitals, a situation that discourages the establishment and coordination of health care networks

Análise da capacidade de predição de risco e validade da Morse Fall Scale versão brasileira

Objective To analyse the power to predict risk and verify the validity of the Morse Fall Scale - Brazilian version (MFS-B). Method This is a methodological, longitudinal study with 1487 adult patients of two university hospitals of Rio Grande do Sul, Brazil conducted from November 2013 to March 2014. The MFS-B was used to assess the risk of falls. Statistical analysis comprised multivariate methods (discriminant function analysis and ROC curve). The research was approved by the ethics committees of the institutions. Results The best estimate to predict falls was at the cutoff point 44.78 of the average MFS-B score, with a sensitivity of 95.2% and a specificity of 64%. The occurrence of falls and the high-risk classification were significant (p<0.00001). Conclusions The results show that the MFS-B can appropriately predict the risk of falls at the cutoff point for the high-risk classification, according to the original classification. The MFS-B had adequate validation test results and maintained the six items of the original scale.Objetivo: Analisar o poder de predicao de risco da Morse Fall Scale na versao brasileira (MFS-B). Metodo: Estudo metodologico, longitudinal, com 1487 pacientes adultos de dois hospitais universitarios do Rio Grande do Sul, Brasil. A MFS-B foi utilizada para avaliar o risco para quedas. A analise estatistica englobou metodos multivariados (Analise Fatorial e Discriminante, curva ROC para determinar o ponto de corte otimo). Pesquisa aprovada pelos Comites de Etica das instituicoes. Resultados: A melhor estimativa para predizer a queda foi no ponto de corte 44,78 da pontuacao media da MFS-B, com sensibilidade de 95,2% e especificidade de 64%. A ocorrencia de queda e a classificacao de risco elevado foram significativas (p<0,00001). Conclusoes: Os resultados apontam para uma boa capacidade de predicao de queda pela MFS-B, no ponto de corte para a classificacao do risco elevado, conforme classificacao original. Palavras-chave: Estudos de validacao. Seguranca do paciente. Acidentes por quedas. Enfermagem.

Riscos ergonômicos para trabalhadores de enfermagem ao movimentar e remover pacientes

Aim: to map the ergonomic risks for nursing workers when handling and moving adult patients in a university hospital. Method: cross-sectional study involving 123 hospitalized adult patients, between the months of February to April 2011. Data regarding sociodemographic characteristics were collected and the Scale of Risk Assessment in Patient Handling was applied. Excel® software was used for data organization and data analysis was developed on PASW Statistics, through descriptive statistics. Results: it was found that 55.3% of patients had moderate and high ergonomic risk. From the units evaluated, the Intensive Care Unit and the Intensive Cardiology Unit showed the greatest ergonomic risks, with 83.3% of patients classified as high risk. Conclusion: measures to reduce ergonomic risks should include training and capacity-building programs, as well as supply of materials and equipment to aid in patients handling