Intervensi Keperawatan pada Penatalaksanaan Pasien Resiko Jatuh
Abstract
This study aims to determine interventions that can be carried out to reduce the risk of falls and the incidence of falls in patients. The research method used is scoping review through databases, namely CINAHL, MEDLINE, Scopus, and Proquest. The results showed that out of 14 articles, 13 articles showed a reduced risk of falling or falling events. Interventions provided to prevent the risk of falling use technology, video media, posters, and e-learning modules. Forms of giving information include providing education, training, and webinars. Fall risk interventions are provided to patients, caregivers, multidisciplinary teams, families, and communities. The material provided varies, such as the nursing care process, medication fall safety, fall risk prevention strategies, forms of physical exercise, and technology systems. In conclusion, the method for preventing patients at risk of falling and falling must get support. Support can be done through training, education, and organizational support.
Keywords: Falls, Nursing, Organization, Fall Prevention, Fall Risk
References
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Buyle, M., Jung, Y., Pavlou, M., Gonzalez, S. C., & Bamiou, D. E. (2022). The Role of Motivation Factors in Exergame Interventions for Fall Prevention in Older Adults: A Systematic Review and Meta-Analysis. Frontiers in Neurology, 13, 5–7. https://doi.org/10.3389/fneur.2022.903673
Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for Preventing Falls in Older People in Care Facilities and Hospitals (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD005465.pub4
Chan, D. K. Y., Sherrington, C., Chen, J., Kneebone, I., & Cumming, R. (2018). Innovation and Translation Key Issues to Consider and Innovative Ideas on Fall Prevention in the Geriatric Department of a Teaching Hospital. Australasian Journal on Ageing, 37(2), 140–144. https://doi.org/10.1111/ajag.12528
Dahodwala, M., Geransar, R., Babion, J., de Grood, J., & Sargious, P. (2018). The Impact of the Use of Video-Based Educational Interventions on Patient Outcomes in Hospital Settings: A Scoping Review. Patient Education and Counseling, 101(12), 2116–2124. https://doi.org/10.1016/j.pec.2018.06.018
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. JAMA Network Open, 3(11). https://doi.org/10.1001/jamanetworkopen.2020.25889
Fowler, S. B., & Reising, E. S. (2021). A Replication Study of Fall TIPS ( Tailoring Interventions for Patient Safety ): A Patient-Centered Fall Prevention Toolkit. CNE Series, 30(1), 28-34. https://www.proquest.com/openview/c4a433ea24d71da9a9bf3b672a897011/1?pq-origsite=gscholar&cbl=30764
Guo, X., Wang, Y., Wang, L., Yang, X., Yang, W., Lu, Z., & He, M. (2023). Effect of a Fall Prevention Strategy for the Older Patients: A Quasi-Experimental Study. Nursing Open,10(2), 1116–1124. https://doi.org/10.1002/nop2.1379
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A., & Morris, M. E. (2020). Hospital Falls Prevention with Patient Education : A Scoping Review. BMC Geriatrics, 20(140), 1-12. https://doi.org/10.1186/s12877-020-01515-w
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A., & Morris, M.. (2019). Educating Hospital Patients to Prevent Falls : Protocol for a Scoping Review. BMJ Open, 9(9), 1–4. https://doi.org/10.1136/bmjopen-2019-030952
Heng, H., Kiegaldie, D., Shaw, L., Jazayeri, D., Hill, A., & Morris, M. E. (2022). Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial. Healthcare, 10(7), 1–14. https://doi.org/10.3390/healthcare10071298
James, K. M., Ravikumar, D., Myneni, S., Sivagananam, P., Chellapandian, P., Manickaraj, R. G. J., Sargunan, Y., Kamineni, S. R. T., Veeraraghavan, V. P., Kullappan, M., & Mohan, S. K. (2022). Knowledge, Attitudes on Falls and Awareness of Hospitalized Patient’s Fall Risk Factors among the Nurses Working in Tertiary Care Hospitals. AIMS Medical Science, 9(2), 304–321. https://doi.org/10.3934/medsci.2022013
Kirimlioğlu, N. (2018). Patient Education and its Importance in Terms of Patient Safety. International Journal of Research -GRANTHAALAYAH, 6(12), 109–120. https://doi.org/10.29121/granthaalayah.v6.i12.2018.1090
Lopez, M., Ma, C., Aavik, L., & Cortes, T. A. (2023). Implementing a Quality Improvement Program to Reduce Falls and Increase Patient Medication Satisfaction in an Academic Medical Center. Geriatric Nursing, 49, 207–211. https://doi.org/10.1016/j.gerinurse.2022.09.002
Nakanishi, T., Ikeda, T., Nakamura, T., Yamanouchi, Y., Chikamoto, A., & Usuku, K. (2021). Development of an Algorithm for Assessing Fall Risk in a Japanese Inpatient Population. Scientific Reports, 11(17993),1–11. https://www.nature.com/articles/s41598-021-97483-1
Ong, R. H. S., Nurjono, M., Jumala, J., Teo, R. C. C., Png, G. K., Tan, P. C., Kee, M. N., Oh, H. C., Wee, M. K., Kan, K. L. M., Rosle, L. F. B., Lien, C. T. C., & Low, S. L. (2022). A Community-Based Single Fall Prevention Exercise Intervention for Older Adults (STEADY FEET): Study Protocol for a Randomised Controlled Trial. PLoS ONE, 17(10), 1–15. https://doi.org/10.1371/journal.pone.0276385
Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022). Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. JMIR Mental Health, 9(5). https://doi.org/10.2196/35159
Shu, F., & Shu, J. (2021). An Eight‑Camera Fall Detection System Using Human Fall Pattern Recognition Via Machine Learning by a Low‑Cost Android Box. Scientific Reports, 11(2471),1-17. https://doi.org/https://doi.org/10.1038/s41598-021-81115-9
Wensing, M., & Grol, R. (2019). Knowledge Translation in Health : How Implementation Science Could Contribute More. BMC Medicine, 17(88), 1–6. https://doi.org/10.1186/s12916-019-1322-9
WHO. (2021). Strategies for Preventing and Managing Falls Across the Life-Course. https://www.who.int/publications-detail-redirect/978924002191-4
World Health Organization. (2017). Evidence Profile: Risk of Falls. https://apps.who.int/iris/rest/bitstreams/1354196/retrieve
Buyle, M., Jung, Y., Pavlou, M., Gonzalez, S. C., & Bamiou, D. E. (2022). The Role of Motivation Factors in Exergame Interventions for Fall Prevention in Older Adults: A Systematic Review and Meta-Analysis. Frontiers in Neurology, 13, 5–7. https://doi.org/10.3389/fneur.2022.903673
Cameron, I. D., Dyer, S. M., Panagoda, C. E., Murray, G. R., Hill, K. D., Cumming, R. G., & Kerse, N. (2018). Interventions for Preventing Falls in Older People in Care Facilities and Hospitals (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD005465.pub4
Chan, D. K. Y., Sherrington, C., Chen, J., Kneebone, I., & Cumming, R. (2018). Innovation and Translation Key Issues to Consider and Innovative Ideas on Fall Prevention in the Geriatric Department of a Teaching Hospital. Australasian Journal on Ageing, 37(2), 140–144. https://doi.org/10.1111/ajag.12528
Dahodwala, M., Geransar, R., Babion, J., de Grood, J., & Sargious, P. (2018). The Impact of the Use of Video-Based Educational Interventions on Patient Outcomes in Hospital Settings: A Scoping Review. Patient Education and Counseling, 101(12), 2116–2124. https://doi.org/10.1016/j.pec.2018.06.018
Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. JAMA Network Open, 3(11). https://doi.org/10.1001/jamanetworkopen.2020.25889
Fowler, S. B., & Reising, E. S. (2021). A Replication Study of Fall TIPS ( Tailoring Interventions for Patient Safety ): A Patient-Centered Fall Prevention Toolkit. CNE Series, 30(1), 28-34. https://www.proquest.com/openview/c4a433ea24d71da9a9bf3b672a897011/1?pq-origsite=gscholar&cbl=30764
Guo, X., Wang, Y., Wang, L., Yang, X., Yang, W., Lu, Z., & He, M. (2023). Effect of a Fall Prevention Strategy for the Older Patients: A Quasi-Experimental Study. Nursing Open,10(2), 1116–1124. https://doi.org/10.1002/nop2.1379
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A., & Morris, M. E. (2020). Hospital Falls Prevention with Patient Education : A Scoping Review. BMC Geriatrics, 20(140), 1-12. https://doi.org/10.1186/s12877-020-01515-w
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A., & Morris, M.. (2019). Educating Hospital Patients to Prevent Falls : Protocol for a Scoping Review. BMJ Open, 9(9), 1–4. https://doi.org/10.1136/bmjopen-2019-030952
Heng, H., Kiegaldie, D., Shaw, L., Jazayeri, D., Hill, A., & Morris, M. E. (2022). Implementing Patient Falls Education in Hospitals: A Mixed-Methods Trial. Healthcare, 10(7), 1–14. https://doi.org/10.3390/healthcare10071298
James, K. M., Ravikumar, D., Myneni, S., Sivagananam, P., Chellapandian, P., Manickaraj, R. G. J., Sargunan, Y., Kamineni, S. R. T., Veeraraghavan, V. P., Kullappan, M., & Mohan, S. K. (2022). Knowledge, Attitudes on Falls and Awareness of Hospitalized Patient’s Fall Risk Factors among the Nurses Working in Tertiary Care Hospitals. AIMS Medical Science, 9(2), 304–321. https://doi.org/10.3934/medsci.2022013
Kirimlioğlu, N. (2018). Patient Education and its Importance in Terms of Patient Safety. International Journal of Research -GRANTHAALAYAH, 6(12), 109–120. https://doi.org/10.29121/granthaalayah.v6.i12.2018.1090
Lopez, M., Ma, C., Aavik, L., & Cortes, T. A. (2023). Implementing a Quality Improvement Program to Reduce Falls and Increase Patient Medication Satisfaction in an Academic Medical Center. Geriatric Nursing, 49, 207–211. https://doi.org/10.1016/j.gerinurse.2022.09.002
Nakanishi, T., Ikeda, T., Nakamura, T., Yamanouchi, Y., Chikamoto, A., & Usuku, K. (2021). Development of an Algorithm for Assessing Fall Risk in a Japanese Inpatient Population. Scientific Reports, 11(17993),1–11. https://www.nature.com/articles/s41598-021-97483-1
Ong, R. H. S., Nurjono, M., Jumala, J., Teo, R. C. C., Png, G. K., Tan, P. C., Kee, M. N., Oh, H. C., Wee, M. K., Kan, K. L. M., Rosle, L. F. B., Lien, C. T. C., & Low, S. L. (2022). A Community-Based Single Fall Prevention Exercise Intervention for Older Adults (STEADY FEET): Study Protocol for a Randomised Controlled Trial. PLoS ONE, 17(10), 1–15. https://doi.org/10.1371/journal.pone.0276385
Philippe, T. J., Sikder, N., Jackson, A., Koblanski, M. E., Liow, E., Pilarinos, A., & Vasarhelyi, K. (2022). Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. JMIR Mental Health, 9(5). https://doi.org/10.2196/35159
Shu, F., & Shu, J. (2021). An Eight‑Camera Fall Detection System Using Human Fall Pattern Recognition Via Machine Learning by a Low‑Cost Android Box. Scientific Reports, 11(2471),1-17. https://doi.org/https://doi.org/10.1038/s41598-021-81115-9
Wensing, M., & Grol, R. (2019). Knowledge Translation in Health : How Implementation Science Could Contribute More. BMC Medicine, 17(88), 1–6. https://doi.org/10.1186/s12916-019-1322-9
WHO. (2021). Strategies for Preventing and Managing Falls Across the Life-Course. https://www.who.int/publications-detail-redirect/978924002191-4
World Health Organization. (2017). Evidence Profile: Risk of Falls. https://apps.who.int/iris/rest/bitstreams/1354196/retrieve
