Düşme şikayeti ile acil servise başvuran 65 yaş ve üzeri bireylerde düşme nedenlerinin incelenmesi
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Düşme Şikayeti ile Acil Servise Başvuran 65 Yaş ve Üzeri Bireylerde Düşme Nedenlerinin İncelenmesi Amaç: Bu çalışma, retrospektif,kesitsel ve tanımlayıcı tipte olup, düşme şikayeti ile acil servise başvuran 65 yaş ve üzeri bireylerde düşme nedenleri ve etkileyen etmenlerin incelenmesi amacıyla yapılmıştır. Metod: Bu çalışma İzmir 'de bir Üniversite Hastanesi (Sağlık ve Uygulama Merkezi) Acil Tıp Ana Bilim Dalı Kliniğinde yapılmıştır. Araştırmanın evrenini acil servise düşme şikayeti ile başvuran 65 yaş ve üzeri hastalar (N=3407) oluşturmuştur. Araştırmanın örneklemini kriterlerine uyan (N=2502) hasta dosyası oluşturmuştur. Araştırmada veriler, elektronik hasta dosyaları, geriye dönük taranarak toplanmıştır. Verilerin toplanmasında; Veri Toplama Formu kullanılmıştır. Araştırmada elde edilen veriler SPSS programında; tanımlayıcı istatistiksel metotlar, t Testi, Tek Yönlü Varyans Analizi (ANOVA), Pearson Korelasyon Analizi, Mann Whitney U testi, Kruskal Wallis H testi ve Pearman korelasyon analizi kullanılarak değerlendirilmiştir. Araştırma için Ege Üniversitesi Tıbbi Araştırmalar Etik Kurulu'ndan yazılı izin alınmıştır. Bulgular: Bireylerin yaşlarının ortalaması 76,52 ± 8,31 olarak belirlenmiştir. Bireylerin %61,7'sinin kadın, %38,3'ünün erkek olduğu belirlenmiştir. Bireylerin %89'unun başkasıyla birlikte yaşadığı belirlenmiş olup %60,4'ünün eşi, %28,5'inin çocuklarıyla birlikte yaşadığı görülmüştür. Araştırmada yer alan Bireylerin %30'unun sonbaharda , %68,3'ünün gündüz, %60,2'sinin ambulans ile hastaneye başvurduğu belirlenmiştir. Bireylerin %48,8'inin kayma nedeniyle düştüğü, %26,7'sinin daha önce düşme öyküsüne sahip olduğu,%85,8'inin ek hastalığı olduğu belirlenmiş olup bireylerin %74,3'ünde hipertansiyon hastalığı olduğu görülmüştür. Elde edilen sonuçlara göre; bireylerin %56,2'sinde kırık geliştiği belirlenmiştir. Bireylerin hastaneye başvurma zamanlarına göre düşmeye bağlı yüzde etkilenme oranları arasında istatistiksel olarak anlamlı fark görülmüştür (X 2 =18,115; p<0,05). Hastaneye ilkbaharda başvuranların düşmeye bağlı yüzde etkilenme oranlarının hastaneye yazın başvuranlara göre daha yüksek olduğu görülmüştür. 7 Bireylerin hastaneye başvurdukları saate göre hastaneye başvurma şekiller arasında istatistiksel olarak anlamlı fark görülmüştür (X 2 =15,986; p<0,05). Hastaneye gündüz başvuranların hastaneye ayaktan başvurma oranlarının hastaneye gece başvuranlara göre yüksek olduğu ve ambulans ile başvurma oranlarının hastaneye gece başvuranlara göre daha düşük olduğu görülmüştür. Bu çalışmada bireylerin düşme yerlerini etkileyen faktörlerin lojistik regresyon analizi sonuçlarına göre; 75 ve üstü yaş grubunda yer alanların 75 altı ya grubunda yer alanlara kıyasla dış mekanda düşme olasılıklarının 0,73 kat daha fazla olduğu görülmüştür (%95 GA: 0,580 – 0,922; p<0,05). Erkeklerin kadınlara kıyasla dış mekanda düşme olasılıklarının 10,65 kat daha fazla olduğu görülmüştür (%95 GA: 1,367 – 1,981; p<0,05). Bu çalışmada bireylerin düşme sonrası ameliyat olmalarını etkileyen faktörlerin lojistik regresyon analizi sonuçlarına göre; 75 ve üstü yaş grubunda yer alanların 75 altı ya grubunda yer alanlara kıyasla düşme sonrası ameliyat olma olasılıklarının 1,38 kat daha fazla olduğu görülmüştür (%95 GA: 1,046 – 1,832; p<0,05). Erkeklerin kadınlara kıyasla düşme sonrası ameliyat olma olasılıklarının 0,7 kat daha fazla olduğu görülmüştür (%95 GA: 0,562 – 0,875; p<0,05). Daha önce düşme öyküsü olanların daha önce düşme öyküsü olmayanlara kıyasla düşme sonrası ameliyat olma olasılıklarının 1,4 kat daha fazla olduğu görülmüştür (%95 GA: 1,088 – 1,805; p<0,05). Sonuç: Bireylerin hastaneye başvurdukları saate göre hastaneye başvurma şekiller arasında fark olduğu, 75 ve üstü yaş grubunda yer alanların dış mekanda düşme olasılıklarının 0,73 kat daha fazla olduğu, düşme sonrası ameliyat olmalarını etkileyen faktörlerden 75 ve üstü yaş grubu bireylerde 1,38 kat daha fazla olduğu, erkeklerin kadınlara kıyasla düşme sonrası ameliyat olma olasılıklarının 0,7 kat daha fazla olduğu Daha önce düşme öyküsü olanların daha önce düşme öyküsü olmayanlara kıyasla düşme sonrası ameliyat olma olasılıklarının 1,4 kat daha fazla olduğu görülmüştür . Anahtar Kelimeler: Düşme; acil servis; yaşlı birey.
Investigation of Factors Affecting Falls of Individuals Aged 65 and Over Who Applied to The Emergency Service With The Complaint of Falling Aim: This retrospective, cross-sectional and descriptive study was conducted to examine the causes of falls in individuals aged 65 and over who applied to the emergency department with the complaint of falling. Method: The research was carried out in Ege University Hospital (Health and Practice Center) Emergency Medicine Department. The population of the study consisted of patients aged 65 and over (N=3407) who applied with the complaint of falling to the emergency department. The sample of the study consisted of a patient file that met the criteria (N=2502). In the study, data were collected by retrospectively scanning electronic patient files. In data collection; Data Collection Form was used. The data obtained in the research are in the SPSS program; were evaluated using descriptive statistical methods, t-Test, One-Way Analysis of Variance (ANOVA), Pearson Correlation Analysis, Mann Whitney U test, Kruskal Wallis H test and Pearman correlation analysis. Written permission was obtained from Ege University Medical Research Ethics Committee for the study. Results: The mean age of the persons was determined as 76.52 ± 8.31. It was determined that 61.7% of the participants were female and 38.3% were male. It was determined that 89% of the participants lived with someone else, 60.4% of them lived with their spouses and 28.5% with their children. It was determined that 30% of the participants in the study applied to the hospital in autumn, 68.3% during the day, and 60.2% by ambulance. It was determined that 48.8% of the participants fell due to slipping, 26.7% had a history of falling before, 85.8% had an additional disease, and 74.3% of the participants had hypertension. According to the results obtained; It was determined that 56.2% of the participants developed fractures. A statistically significant difference was found between the percentage of exposure to falls 9 according to the time of admission to the hospital (X 2 =18,115; p<0,05). It was determined that the percentage of the patients who applied to the hospital in the spring due to falling was higher than the ones who applied to the hospital in the summer (X 2 =15,986; p<0,05) . It was determined that outpatient admission rates of those who applied to the hospital during the daytime were higher than those who applied to the hospital at night, and the rates of admission by ambulance were lower than those who applied at night. It was determined that the probability of falling outdoors was 0.73 times more in the 75 and over age group compared to those in the under 75 age group (%95 GA: 0,580 – 0,922; p<0,05). It was found that men were 10.65 times more likely to fall outdoors compared to women (%95 GA: 1,046 – 1,832; p<0,05). It was determined that those in the 75 and over age group were 1.38 times more likely to have surgery after falling compared to those in the under 75 age group (%95 GA: 0,562 – 0,875; p<0,05). Men were found to be 0.7 times more likely to have surgery after falling than women (%95 GA: 1,088 – 1,805; p<0,05). Conclusion: It was found that there was a difference between the way the participants applied to the hospital according to the time they applied to the hospital, the probability of falling outdoors was 0.73 times higher for those aged 75 and over, and 1.38 times more for those aged 75 and over, which is one of the factors affecting the surgery after falling. It was found that men with a previous fall history were 0.7 times more likely to have surgery after a fall compared to women, and those with a previous fall were 1.4 times more likely to have surgery after a fall compared to those without a previous fall history. Keywords: Fall; emergency room; elderly patient.
Investigation of Factors Affecting Falls of Individuals Aged 65 and Over Who Applied to The Emergency Service With The Complaint of Falling Aim: This retrospective, cross-sectional and descriptive study was conducted to examine the causes of falls in individuals aged 65 and over who applied to the emergency department with the complaint of falling. Method: The research was carried out in Ege University Hospital (Health and Practice Center) Emergency Medicine Department. The population of the study consisted of patients aged 65 and over (N=3407) who applied with the complaint of falling to the emergency department. The sample of the study consisted of a patient file that met the criteria (N=2502). In the study, data were collected by retrospectively scanning electronic patient files. In data collection; Data Collection Form was used. The data obtained in the research are in the SPSS program; were evaluated using descriptive statistical methods, t-Test, One-Way Analysis of Variance (ANOVA), Pearson Correlation Analysis, Mann Whitney U test, Kruskal Wallis H test and Pearman correlation analysis. Written permission was obtained from Ege University Medical Research Ethics Committee for the study. Results: The mean age of the persons was determined as 76.52 ± 8.31. It was determined that 61.7% of the participants were female and 38.3% were male. It was determined that 89% of the participants lived with someone else, 60.4% of them lived with their spouses and 28.5% with their children. It was determined that 30% of the participants in the study applied to the hospital in autumn, 68.3% during the day, and 60.2% by ambulance. It was determined that 48.8% of the participants fell due to slipping, 26.7% had a history of falling before, 85.8% had an additional disease, and 74.3% of the participants had hypertension. According to the results obtained; It was determined that 56.2% of the participants developed fractures. A statistically significant difference was found between the percentage of exposure to falls 9 according to the time of admission to the hospital (X 2 =18,115; p<0,05). It was determined that the percentage of the patients who applied to the hospital in the spring due to falling was higher than the ones who applied to the hospital in the summer (X 2 =15,986; p<0,05) . It was determined that outpatient admission rates of those who applied to the hospital during the daytime were higher than those who applied to the hospital at night, and the rates of admission by ambulance were lower than those who applied at night. It was determined that the probability of falling outdoors was 0.73 times more in the 75 and over age group compared to those in the under 75 age group (%95 GA: 0,580 – 0,922; p<0,05). It was found that men were 10.65 times more likely to fall outdoors compared to women (%95 GA: 1,046 – 1,832; p<0,05). It was determined that those in the 75 and over age group were 1.38 times more likely to have surgery after falling compared to those in the under 75 age group (%95 GA: 0,562 – 0,875; p<0,05). Men were found to be 0.7 times more likely to have surgery after falling than women (%95 GA: 1,088 – 1,805; p<0,05). Conclusion: It was found that there was a difference between the way the participants applied to the hospital according to the time they applied to the hospital, the probability of falling outdoors was 0.73 times higher for those aged 75 and over, and 1.38 times more for those aged 75 and over, which is one of the factors affecting the surgery after falling. It was found that men with a previous fall history were 0.7 times more likely to have surgery after a fall compared to women, and those with a previous fall were 1.4 times more likely to have surgery after a fall compared to those without a previous fall history. Keywords: Fall; emergency room; elderly patient.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing, Düşme, acil servis, yaşlı birey., Fall, emergency room, elderly patient.
