Falls of patients with home care
prevalence and associated factors
DOI:
https://doi.org/10.5935/1415-2762.20200015Keywords:
Homebound Persons, Accidental Falls, Home Nursing, NursingAbstract
Objective: to estimate the prevalence of falls, identify the associated factors and establish a prediction model for their development in patients treated by a home care program. Methods: a cross-sectional study conducted between June 2017 and January 2018, with 131 patients treated by Melhor em Casa Program, in a city in the north of Minas Gerais. We collected socio-demographic and clinical data through an instrument. Descriptive analysis was performed and the adjusted prevalence ratios were obtained by multiple Poisson regression analysis with robust variance. Results: 72 (55%) of the 131 patients were female, the average age was 66.8 years old and 43.5% had a fall. The independent variables that had a significant and joint impact on the fall outcome were: type of fall - accidental; fall location - bedroom; fall location – dining-room; fall location - kitchen; fall location - yard; fall location - street; and fear of further falls. Conclusion: falls are a common finding with home care patients and care for their prevention should be established.
References
Souza MFM, Malta DC, Franca EB, Barreto ML. Changes in health and disease in Brazil and its States in the 30 years since the Unified Healthcare System (SUS) was created. Ciênc Saúde Colet. 2018[citado 2018 out. 24];23(6):1737-50. Disponível em: http://www.scielo.br/pdf/csc/v23n6/en_1413-8123-csc-23-06-1737.pdf
Barreto ML, Teixeira MG, Bastos FI, Ximenes RAA, Barata RA, Rodrigues LC. Successes and failures in the control of infectious diseases in Brazil: social and environmental context, policies, interventions, and research needs. Lancet. 2011[citado 2018 out. 24]; 377(9780):1877-89. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(11)60202-X
Oliveira Neto AV, Dias MB. Atenção Domiciliar no Sistema Único de Saúde (SUS): o que representou o Programa Melhor em Casa? Divulg Saúde Debate. 2014[citado 2018 out. 24];(51):58-71. Disponível em: http://cebes.org.br/site/wp-content/uploads/2014/12/Divulgacao-51.pdf
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica, Departamento de Atenção Hospitalar e de Urgência. Manual de monitoramento e avaliação: Programa Melhor em Casa. Brasília: Ministério da Saúde; 2016[citado 2018 out. 24]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/manual_monitoramento_avaliacao_programa.pdf
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Hospitalar e de Urgência. Segurança do paciente no domicílio. Brasília: Ministério da Saúde; 2016[citado 2018 set. 15]. Disponível: http://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_domicilio.pdf
Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011[citado 2018 ago.10];59(1):148-57. Disponível em: https://doi.org/10.111Vj.1532-5415.2010.03234.x
Schildmeijer KGI, Unbeck M, Ekstedt M, Lindblad M, Nilsson L. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. BMJ Open. 2018[citado 2018 ago. 15];8(1):e019267. Disponível em: https://bmjopen.bmj.com/content/bmjopen/8/1/e019267.full.pdf
Bizerra CDA, Gonçalves RF, Carmo AFS, Mendes RNC, Moura LA. Falls in elderly: identification of extrinsic risk factors at home. Rev Pesqui Cuid Fundam Online. 2014[citado 2018 out. 03];6(1):203-12. Disponível em: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/2858/pdf_1103
Cavalcante DPM, Silva LJ, Matos N, Borges I, Araújo DP, Pinheiro HA. Perfil e ambiente de idosos vítimas de quedas atendidos em um ambulatório de Geriatria e Gerontologia no Distrito Federal. Rev Kairós. 2015[citado 2018 out. 24];18(1):93-107. Disponível em: https://revistas.pucsp.br/kairos/article/view/23890/17135
Alves AHC, Patrício ACFA, Albuquerque KF, Duarte MCS, Santos JS, Oliveira MS. Ocorrência de quedas entre idosos institucionalizados: prevalência, causas e consequências. Rev Pesqui Cuid Fundam Online. 2016[citado 2018 set. 24];8(2):4376-86. Disponível em: http://www.seer.unirio.br/index. php/cuidadofundamental/article/view/4438/pdf_1885
Chianca TCM, Andrade CR, Albuquerque J, Wenceslau LCC, Tadeu LFR, Macieira TGR, et al. Prevalência de quedas em idosos cadastrados em um Centro de Saúde de Belo Horizonte-MG. Rev Bras Enferm. 2013[citado 2018 ago. 07];66(2):234-40. Disponível em: http://www.scielo.br/pdf/reben/v66n2/13.pdf
Ferretti F, Lunardi D, Bruschi L. Causas e consequências de quedas de idosos em domicílio. Fisioter Mov. 2013[citado 2018 set. 04];26(4):753-62. Disponível em: http://www.scielo.br/pdf/fm/v26n4/a05v26n4.pdf
Prato SCF, Andrade SM, Cabrera MAS, Dip RM, Santos HG, Dellaroza MSG, et al. Frequência e fatores associados a quedas em adultos com 55 anos e mais. Rev Saúde Pública. 2017[citado 2018 out. 24];51(37):1-11. Disponível em: http://www.scielo.br/pdf/rsp/v51/pt_0034-8910-rsp-S1518-87872017051005409.pdf
Vieira LS, Gomes AP, Bierhals IO, Farías-Antúnez S, Ribeiro CG, Miranda VIA, et al. Quedas em idosos no Sul do Brasil: prevalência e determinantes. Rev Saúde Pública. 2018[citado 2018 out. 03];52(22):1-13. Disponível em: http://www.scielo.br/pdf/rsp/v52/pt_0034-8910-rsp-S1518-87872018052000103.pdf
Guerra HS, Sousa RA, Bernardes DCF, Santana JÁ, Barreira LM. Prevalência de quedas em idosos na comunidade. Rev Saúde Pesq. 2016[citado 2018 nov. 10];9(3):547-55. Disponível em: http://docs.bvsalud.org/biblioref/2017/04/833006/16.pdf
Pereira SG, Santos CB, Doringn M, Portella MR. Prevalence of household falls in long-lived adults and association with extrinsic factors. Rev Latino-Am Enferm. 2017[citado 2018 nov. 25];25:e2900. Disponível em: http://www.scielo.br/pdf/rlae/v25/0104-1169-rlae-25-e2900.pdf
Oliveira AS, Trevizan PF, Bestetti MLT Melo RC. Fatores ambientais e risco de quedas em idosos: revisão sistemática. Rev Bras Geriatr Gerontol. 2014[citado 2018 out. 01];17(3):637-45. Disponível em: http://www.scielo.br/pdf/rbgg/v17n3/1809-9823-rbgg-17-03-00637.pdf
Andrade AM, Silva KL, Seixas CT, Braga PP. Nursing practice in home care: na integrative literature review. Rev Bras Enferm. 2017[citado 2018 nov. 06];70(1):199-208. Disponível em: http://www.scielo.br/pdf/reben/v70n1/en_0034-7167-reben-70-01-0210.pdf
Araújo Neto AH, Patrício ACFA, Ferreira MAM, Rodrigues BFL, Santos TD, Rodrigues TDB, et al. Falls in institutionalized older adults: risks, consequences and antecedents. Rev Bras Enferm. 2017[citado 2018 set. 01];70(4):719-25. Disponível em: http://www.scielo.br/pdf/reben/v70n4/0034-7167-reben-70-04-0719.pdf
Leiva-Caro JA, Salazar-González BC, Gallegos-Cabriales EC, Gómez-Meza MV, Hunter KF. Connection between competence, usability, environment and risk of falls in elderly adults. Rev Latino-Am Enferm. 2015[citado 2018 nov. 24];23(6):1139-48. Disponível em: http://www.scielo.br/pdf/rlae/v23n6/0104-1169-rlae-23-06-01139.pdf
Sears N, Baker GR, Barnsley J, Shortt S. The incidence of adverse events among home care patients. Int J Qual Health Care. 2013[citado 2018 nov. 24];25(1):16-28. Disponível em: https://academic.oup.com/intqhc/article-lookup/doi/10.1093/intqhc/mzs075
Pimenta CJL, Lima RJ, Costa TF, Bezerra TA, Martins KP, Leal NPR, et al. Prevalence of falls in elderly people treated in a comprehensive care Center. REME - Rev Min Enferm. 2017[citado 2018 out. 24];21:e-1045. Disponível em: http://www.reme.org.br/artigo/detalhes/1183
Luzia MF, Victor MAG, Lucena AF. Nursing diagnosis risk for falls: prevalence and clinical profile of hospitalized patients. Rev Latino-Am Enferm. 2014[citado 2018 nov. 24];22(2):262-8. Disponível em: http://www.scielo.br/pdf/rlae/v22n2/0104-1169-rlae-22-02-00262.pdf
Onder G, Giovannini S, Sganga F, Manes-Gravina E, Topinkova E, Finne-Soveri H, et al. Interactions between drugs and geriatric syndromes in nursing home and home care: results from Shelter and IBenC projects. Aging Clin Exp Res. 2018[citado 2018 nov. 03]; 30(9):1015-21. Disponível em: https://doi.org/10.1007/s40520-018-0893-1
Ribeiro AP, Souza ER, Sousa CAM, Freitas MG. Accidental falls in urgent and emergency care: results of the 2014 VIVA Survey. Ciênc Saúde Colet. 2016[citado 2018 nov. 27];21(12):3719-27. Disponível em: http://www.scielo.br/pdf/csc/v21n12/en_1413-8123-csc-21-12-3719.pdf
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Reme: Revista Mineira de Enfermagem

This work is licensed under a Creative Commons Attribution 4.0 International License.