Clinical Nursing
Development of an fall prevention early warning bracelet based on red dot indication system and evaluation of its clinical application
Fang Qunyao, Gong Fanghua, Chen Yali, Ma Dan
Published 2022-01-21
Cite as Chin J Prac Nurs, 2022, 38(3): 198-202. DOI: 10.3760/cma.j.cn211501-20210207-00418
Abstract
Objectiveto provide a new type of fall prevention early warning bracelet and share the feedback of clinical preliminary application data in order to reduce the incidence of falls in inpatients.
MethodsThe convenience sampling method was used to select the inpatients who were hospitalized in the Department of Geriatrics of Hunan Provincial People′s Hospital from January to February 2021. The 30 patients who did not use bracelets in November 2020 were taken as the routine group and 30 patients who used bracelets in December 2020 were taken as the experimental group. The two groups were monitored during hospitalization and 2 weeks after discharge. The patients in the routine group were given routine anti-fall signs and health education, while the patients in the experimental group were given the use and health education of early warning bracelets on the basis of routine. The incidence of fall was recorded. The inpatients′ nursing job satisfaction scale and the self-designed bracelet use feedback questionnaire (experimental group) were used to evaluate the application effect.
ResultsNo fall occurred in the experimental group, but 4 patients fell in the routine group (13.3%). The incidence of fall in the experimental group was significantly lower than that in the routine group (χ2=4.29, P=0.038). The scores of all dimensions of nursing satisfaction in the experimental group were also higher than those in the routine group (t values were -8.20--4.05, all P<0.05). Another 26.7% (8/30) of patients said that wearing a bracelet would have a certain impact on hand movement or rest, but all the 30 patients surveyed indicated that they were willing to continue to wear the bracelet. Three nurses said it would not necessarily reduce the incidence of falls, but all the 10 nurses involved said the shift was more convenient.
ConclusionsThe preliminary clinical trial feedback of the bracelet is good, and the patients and their families have high recognition, which is helpful for the patients and their families to participate in the fall prevention activities and improve the self-management of the patients.
Key words:
Nursing care; Red dot indicator system; Fall; Fall prevention; Satisfaction
Contributor Information
Fang Qunyao
Nursing Department, Medical College of Hunan Normal University, Changsha 410005, China
Gong Fanghua
Nursing Department, Hunan Provincial People′s Hospital, Changsha 410006, China
Chen Yali
Nursing Department, Hunan Provincial People′s Hospital, Changsha 410006, China
Ma Dan
Nursing Department, Medical College of Hunan Normal University, Changsha 410005, China