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Relying on myself: The lived experience of being at risk for falling in the hospital among older adults
Geriatric Nursing ( IF 2.7 ) Pub Date : 2022-07-26 , DOI: 10.1016/j.gerinurse.2022.06.016
Hanne Dolan 1 , Cindy Rishel 1 , Jessica G Rainbow 1 , Ruth Taylor-Piliae 1
Affiliation  

Inpatient fall rates have not significantly decreased the last decade. Older adults have an estimated 50% greater inpatient fall rate than younger adults. How older adults perceive their own fall risk affects their adherence to fall prevention recommendations. The aim of this phenomenological study was to understand the lived experiences of being at risk for falling in the hospital among older adults. Nine participants (N=9) aged 65 years and older (female=55%) were interviewed twice using online video-conferencing after hospital discharge, and interview data was analyzed using van Manen's interpretive phenomenological method. Five major interpretive themes emerged: Relying on Myself, Managing Balance Problems in an Unfamiliar Environment, Struggling to Maintain Identity, Following the Hospital Rules, and Maintaining Dignity in the Relationships with Nursing Staff. Hospitalized older adults employed their self-efficacy to manage balance problems in the hospital. Additional fall prevention interventions supporting hospitalized older adults’ self-management of fall risk are needed.



中文翻译:

依靠自己:老年人有跌倒风险的生活经历

在过去的十年里,住院病人的跌倒率并没有显着下降。据估计,老年人的住院跌倒率比年轻人高 50%。老年人如何看待自己的跌倒风险会影响他们对跌倒预防建议的遵守情况。这项现象学研究的目的是了解老年人在医院有跌倒风险的生活经历。9 名 65 岁及以上(女性=55%)的参与者(N=9)在出院后通过在线视频会议进行了两次访谈,并使用 van Manen 的解释现象学方法分析了访谈数据。出现了五个主要的解释主题:依靠自己、在陌生环境中管理平衡问题、努力保持身份、遵守医院规则、在与护理人员的关系中保持尊严。住院的老年人利用他们的自我效能来管理医院的平衡问题。需要额外的跌倒预防干预措施来支持住院老年人跌倒风险的自我管理。

更新日期:2022-07-26
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