Contenuto dell'articolo principale
Abstract
BACKGROUND: Le cadute in ogni setting di cura rappresentano un problema globale in considerazione della frequenza con cui si verificano e delle conseguenze per la persona, gli operatori, l'organizzazione.
La letteratura evidenzia quanto la persona affetta da disturbo psichiatrico, presenti specificità che la espongono ulteriormente a tale rischio; la Italian Psychiatric Fall Risk Assessment Tool (IPFRAT) ha dimostrato promettenti doti di validità ed affidabilità in ambito acuto.
SCOPO: Valutare le proprietà psicometriche della IPFRAT nel riconoscimento delle persone a rischio di cadere in un setting di degenza psichiatrica sub-acuto.
METODI: somministrazione della IPFRAT-modified ad un campione di sogetti ricoverati presso la struttura “Casa di Cura Parco dei Tigli” di Teolo (PD); valutazione della validità e dell'affidabilità della scala.
RISULTATI: Sono stati arruolati 167 pazienti 24 (14.37%) dei quali caduti durante il ricovero; la sensibilità dello strumento era del 79.17% la specificità dell'72.72%; il confronto con il giudizio clinico dell’infermiere (rho=0.92, p=0.01) la consistenza interna (Alfa di Cronbach= 0.63) e la validità di contenuto (CVI-S=93.75%) hanno confermato le buone doti psicometriche della scala.
CONCLUSIONI: I risultati ottenuti suggeriscono che la IPFRAT-modified è uno strumento valido ed affidabile a supporto della valutazione del rischio di cadere all'interno di un setting di degenza psichiatrica sub-acuto.
PAROLE CHIAVE: Cadute; Disturbo Psichico; Scala; Sicurezza.
Dettagli dell'articolo
Riferimenti
- Castello, M., Ferrara, P., Destrebecq, A., & Terzoni, S. (2019). The perception of clinical risk among students of different health professions: a multicentre study. British Journal of Nursing, 28(3), 193–197. https://doi.org/10.12968/bjon.2019.28.3.193
- Cattelani, L., Palumbo, P., Palmerini, L., Bandinelli, S., Becker, C., Chesani, F., & Chiari, L. (2015). FRAT-up, a Web-based fall-risk assessment tool for elderly people living in the community. Journal of medical Internet research, 17(2), e41. https://doi.org/10.2196/jmir.4064
- De Freitas Luzia, M., Cassola, T.P., Suzuki, L.M., Mendes Dias, V.L., Barbosa de Pinho, L., de Fatime Lucena, A. (2018). Incidence of falls and preventive actions in a University Hospital. Rev Esc Enferm USP, 52:e03308.
- Gulka, H. J., Patel, V., Arora, T., McArthur, C., & Iaboni, A. (2020). Efficacy and Generalizability of Falls Prevention Interventions in Nursing Homes: A Systematic Review and Meta-analysis. Journal of the American Medical Directors Association, 21(8), 1024–1035.e4. https://doi.org/10.1016/j.jamda.2019.11.012
- Guzzo, A. S., Meggiolaro, A., Mannocci, A., Tecca, M., Salomone, I., & La Torre, G. (2015). Conley Scale: assessment of a fall risk prevention tool in a General Hospital. Journal of preventive medicine and hygiene, 56(2), E77–E87.
- Hopewell, S., Adedire, O., Copsey, B. J., Boniface, G. J., Sherrington, C., Clemson, L., Close, J. C., & Lamb, S. E. (2018). Multifactorial and multiple component interventions for preventing falls in older people living in the community. The Cochrane database of systematic reviews, 7(7), CD012221. https://doi.org/10.1002/ 14651858.CD012221.pub2
- Joint commission international (2015). Sentinel alert event. disponibile al sito: https://www. jointcommission.org/-/media/tjc/documents /resources/patient-safety-topics/sentinel-event/sea_55_falls_4_26_16.pdf
- Kannus, P., Niemi, S., Parkkari, J., & Sievänen, H. (2016). Rising incidence of fall-induced maxillofacial injuries among older adults. Aging clinical and experimental research, 28(6), 1127–1131.
- Lavsa, S. M., Fabian, T. J., Saul, M. I., Corman, S. L., & Coley, K. C. (2010). Influence of medications and diagnoses on fall risk in psychiatric inpatients. AJHP, 67(15), 1274–1280.
- López-Soto, P. J., Smolensky, M. H., Sackett-Lundeen, L. L., De Giorgi, A., Rodríguez-Borrego, M. A., Manfredini, R., Pelati, C., & Fabbian, F. (2016). Temporal Patterns of In-Hospital Falls of Elderly Patients. Nursing Research, 65(6), 435–445.
- Lovallo, C., Rolandi, S., Rossetti, A.M., Lusignani, M. (2010). Accidental falls in hospital inpatients: evaluation of sensitivity and specificity of two risk assessment tools. Journal Advanced Nursing, 66(3):690–696.
- Mathew, L., Steigman, D., Driscoll, D., Moran-Peters, J. A., Fischer, I. M., Cordle, P., Hyde, V., & Eckardt, S. (2020). Making Fall Risk Assessment Clinically Relevant in an Adult Psychiatric Setting. Journal of psychosocial nursing and mental health services, 58(2), 21–26.
- Ministero della Salute (2015). Protocollo di Monitoraggio degli eventi sentinella 5°Rapporto (Settembre2005-Dicembre2012 disponibile al sito: https://www.salute.gov.it/imgs/C_17_pubblicazioni_2353_allegato.pdf
- Ministero della Salute (2011). Raccomandazione per la prevenzione e la gestione della caduta del paziente nelle strutture sanitarie. disponbilie al sito: https://www.salute.gov.it/imgs/C_17_pubblicazioni_1639_allegato.pdf
- Morici, V., Terzoni, S., Ferrara, P., Destrebecq, A. (2015). Development and Validation of A New Tool for Assessing Risk of Falls in Acute Psychiatric Settings. International Journal of Emergency Mental Health and Human Resilience, 18(2):742.
- Morsch, P., Shenk, D., Bos, A.J.G. (2015). The relationship between falls and psychological well-being in a Brazilian community sample. J Cross Cult Gerontol, 30(1):119–27
- Oepen, D., Fleiner, T., Oliva Y Hausmann, A., Zank, S., Zijlstra, W., Haeussermann, P. (2018). Falls in hospitalized geriatric psychiatry patients: high incidence, but only a few fractures. International psychogeriatrics, 30(1), 161–165.
- Polit, D.F., Back, C.T., Owen, S.V. 165.
- Polit, D.F., Back, C.T., Owen, S.V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4):459-67
- Puvvada, R. K., Undela, K., & Parthasarathi, G. (2021). Prevalence, Risk Factors, and Cost Burden of Fall-Related Hospital Admissions in india. The Senior care pharmacist, 36(7), 343–349.
- Turner, K., Bjarnadottir, R., Jo, A., Repique, R., Thomas, J., Green, J. F., & Staggs, V. S. (2020). Patient Falls and Injuries in U.S. Psychiatric Care: Incidence and Trends. Psychiatric services (Washington, D.C.), 71(9), 899–905.
Riferimenti
Castello, M., Ferrara, P., Destrebecq, A., & Terzoni, S. (2019). The perception of clinical risk among students of different health professions: a multicentre study. British Journal of Nursing, 28(3), 193–197. https://doi.org/10.12968/bjon.2019.28.3.193
Cattelani, L., Palumbo, P., Palmerini, L., Bandinelli, S., Becker, C., Chesani, F., & Chiari, L. (2015). FRAT-up, a Web-based fall-risk assessment tool for elderly people living in the community. Journal of medical Internet research, 17(2), e41. https://doi.org/10.2196/jmir.4064
De Freitas Luzia, M., Cassola, T.P., Suzuki, L.M., Mendes Dias, V.L., Barbosa de Pinho, L., de Fatime Lucena, A. (2018). Incidence of falls and preventive actions in a University Hospital. Rev Esc Enferm USP, 52:e03308.
Gulka, H. J., Patel, V., Arora, T., McArthur, C., & Iaboni, A. (2020). Efficacy and Generalizability of Falls Prevention Interventions in Nursing Homes: A Systematic Review and Meta-analysis. Journal of the American Medical Directors Association, 21(8), 1024–1035.e4. https://doi.org/10.1016/j.jamda.2019.11.012
Guzzo, A. S., Meggiolaro, A., Mannocci, A., Tecca, M., Salomone, I., & La Torre, G. (2015). Conley Scale: assessment of a fall risk prevention tool in a General Hospital. Journal of preventive medicine and hygiene, 56(2), E77–E87.
Hopewell, S., Adedire, O., Copsey, B. J., Boniface, G. J., Sherrington, C., Clemson, L., Close, J. C., & Lamb, S. E. (2018). Multifactorial and multiple component interventions for preventing falls in older people living in the community. The Cochrane database of systematic reviews, 7(7), CD012221. https://doi.org/10.1002/ 14651858.CD012221.pub2
Joint commission international (2015). Sentinel alert event. disponibile al sito: https://www. jointcommission.org/-/media/tjc/documents /resources/patient-safety-topics/sentinel-event/sea_55_falls_4_26_16.pdf
Kannus, P., Niemi, S., Parkkari, J., & Sievänen, H. (2016). Rising incidence of fall-induced maxillofacial injuries among older adults. Aging clinical and experimental research, 28(6), 1127–1131.
Lavsa, S. M., Fabian, T. J., Saul, M. I., Corman, S. L., & Coley, K. C. (2010). Influence of medications and diagnoses on fall risk in psychiatric inpatients. AJHP, 67(15), 1274–1280.
López-Soto, P. J., Smolensky, M. H., Sackett-Lundeen, L. L., De Giorgi, A., Rodríguez-Borrego, M. A., Manfredini, R., Pelati, C., & Fabbian, F. (2016). Temporal Patterns of In-Hospital Falls of Elderly Patients. Nursing Research, 65(6), 435–445.
Lovallo, C., Rolandi, S., Rossetti, A.M., Lusignani, M. (2010). Accidental falls in hospital inpatients: evaluation of sensitivity and specificity of two risk assessment tools. Journal Advanced Nursing, 66(3):690–696.
Mathew, L., Steigman, D., Driscoll, D., Moran-Peters, J. A., Fischer, I. M., Cordle, P., Hyde, V., & Eckardt, S. (2020). Making Fall Risk Assessment Clinically Relevant in an Adult Psychiatric Setting. Journal of psychosocial nursing and mental health services, 58(2), 21–26.
Ministero della Salute (2015). Protocollo di Monitoraggio degli eventi sentinella 5°Rapporto (Settembre2005-Dicembre2012 disponibile al sito: https://www.salute.gov.it/imgs/C_17_pubblicazioni_2353_allegato.pdf
Ministero della Salute (2011). Raccomandazione per la prevenzione e la gestione della caduta del paziente nelle strutture sanitarie. disponbilie al sito: https://www.salute.gov.it/imgs/C_17_pubblicazioni_1639_allegato.pdf
Morici, V., Terzoni, S., Ferrara, P., Destrebecq, A. (2015). Development and Validation of A New Tool for Assessing Risk of Falls in Acute Psychiatric Settings. International Journal of Emergency Mental Health and Human Resilience, 18(2):742.
Morsch, P., Shenk, D., Bos, A.J.G. (2015). The relationship between falls and psychological well-being in a Brazilian community sample. J Cross Cult Gerontol, 30(1):119–27
Oepen, D., Fleiner, T., Oliva Y Hausmann, A., Zank, S., Zijlstra, W., Haeussermann, P. (2018). Falls in hospitalized geriatric psychiatry patients: high incidence, but only a few fractures. International psychogeriatrics, 30(1), 161–165.
Polit, D.F., Back, C.T., Owen, S.V. 165.
Polit, D.F., Back, C.T., Owen, S.V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4):459-67
Puvvada, R. K., Undela, K., & Parthasarathi, G. (2021). Prevalence, Risk Factors, and Cost Burden of Fall-Related Hospital Admissions in india. The Senior care pharmacist, 36(7), 343–349.
Turner, K., Bjarnadottir, R., Jo, A., Repique, R., Thomas, J., Green, J. F., & Staggs, V. S. (2020). Patient Falls and Injuries in U.S. Psychiatric Care: Incidence and Trends. Psychiatric services (Washington, D.C.), 71(9), 899–905.