ududThe aim of the study was to determine how providing individualised falls prevention education facilitated behaviour change from the perspective of older hospital patients on rehabilitation wards and what barriers they identified to engaging in preventive strategies.udud ududA prospective qualitative survey.udud ududOlder patients (n=757) who were eligible (mini-mental state examination score>23/30) received falls prevention education while admitted to eight rehabilitation hospital wards in Western Australia. Subsequently, 610 participants were surveyed using a semistructured questionnaire to gain their response to the in-hospital education and their identified barriers to engaging in falls prevention strategies. Deductive content analysis was used to map responses against conceptual frameworks of health behaviour change and risk taking.udud ududParticipants who responded (n=473) stated that the education raised their awareness, knowledge and confidence to actively engage in falls prevention strategies, such as asking for assistance prior to mobilising. Participants’ thoughts and feelings about their recovery were the main barriers they identified to engaging in safe strategies, including feeling overconfident or desiring to be independent and thinking that staff would be delayed in providing assistance. The most common task identified as potentially leading to risk-taking behaviour was needing to use the toilet.udud ududIndividualised education assists older hospital rehabilitation patients with good levels of cognition to engage in suitable falls prevention strategies while on the ward. Staff should engage with patients to understand their perceptions about their recovery and support patients to take an active role in planning their rehabilitation.
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机译:ud ud研究的目的是确定从老年住院患者康复病房的角度来看,提供个性化的跌倒预防教育如何促进行为改变,以及他们确定采取预防策略的障碍。 ud ud ud ud定性调查。符合条件的老年患者(n = 757)(小精神状态检查得分> 23/30)在西澳大利亚州的八个康复医院病房接受了预防跌倒的教育。随后,使用半结构化问卷对610名参与者进行了调查,以了解他们对院内教育的反应以及他们确定的预防跌倒策略的障碍。演绎内容分析被用来根据健康行为变化和冒险的概念框架来绘制应对措施。预防策略,例如在动员之前寻求帮助。参加者对康复的想法和感受是他们确定采取安全策略的主要障碍,包括过分自信或渴望独立,以及认为工作人员会延迟提供援助。被识别为可能导致冒险行为的最常见任务是上厕所。 ud ud ud ud个性化的教育可以帮助老年康复患者以较高的认知水平在病房中采取适当的预防跌倒策略。工作人员应与患者接触,以了解他们对康复的看法,并支持患者在计划康复中发挥积极作用。
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