입원 아동의 낙상 경험에 대한 조사연구

초록

Purpose: This study was designed to invastigate the fall experiencein in inpatients of children. Method : The medical records of 68 inpatients of children were reviewed. The data collected from January to July 2003. Frequencies, percentage points and cross- tab were done using the SPSS program. Result : 1) General character : sex(boy : 21 inpatients (47.7%)), age(1~3 : 20's(64.5%)), diagnosis department (7's of surgical : 50%), admission(11's of ER : 52.4%),admisson method (3’s of wheel chair : 60.0%), operation (18’s of Yes : 50.0/0), skin disorder(4’s of fall experiens : 66.7%) are higher on each factor. 1 inpatient of gastrointestinal disorder(33.3%), 5's of pulmonary disor(38.5%), 2's of visual disorder(66.7%) have fall experience. 32 children(48.5%) have fall experience with parents.(without parents : 0%) In spite of fall education, 31 children on primary education(46.3%), 25’s on reeducation(44.6%) have fall experience. Differences in fall by assessment of risk factor group are 22’s of Have group(47.8%) and 10’s of None group. 2) Fall experience result by groups : sex(2.62±0.93), body ballance(1.10±1.44), depression(0.03±0.18), medication(0.17±0.46)， total score or risk factor(5.86±3.94) are high on fall experience group. Hospital day(2.95±0.32), fall history(0.2±(0.82), agitation (0.13±0.41), anxiety(0.13±0.41), visual conditions(0.26±0.82), communication(0.61±1.19) chronic disease(0.26±0.61) are high on non fall experience group. 3) Falls occured during day time(37.5%), evening time(34.4%) and night time(28.l%). The palces of fall accident were hospital bed(90.6%) and floors(3.1%). Anatomical locations of injuries by falls were head(62.5%), face(31.3%) and lower limbs(6.3%). Types of injuries were hematona(37.5%), abrasion(12.5%) and fracture(12.5). Treatment of injuries by falls were observation (87.5%) and simple dressing(9.4%). Conclusion : The findings of this study suggest that broad intervention program should be provided to prevent related to inpatients of children's fall.

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