Application of STEADI tool kit in the prevention of falls in elderly patient in the Department of Cardiology

Objective To investigate the application value of Stopping Elderly Accidents, Deaths and Injuries(STEADI) tool kit in the prevention of falls in elderly patient in the Department of Cardiology. Methods A total of 130 elderly patients admitted to the Department of Cardiology between March 2021 and March 2022 were divided into intervention group and control group according to random number table method, with 65 cases in each group. The control group received routine fall prevention education about hospital environment and medication use. The intervention group used the STEADI toolkit including education on fall prevention, gait and balance assessment, communication skills guidance, case learning, etc. The scores of the Fall Risk Self-assessment Table and the Barthel index of activity of daily living before and after intervention were compared between the two groups. The incidence of falls during hospitalization, 1 week of discharge, 1 month of discharge, and 3 months of discharge were compared between the two groups. Results There was a significant difference in fall risk self-assessment scores and Barthel index score between the two groups after the intervention finished and 3 months after intervention(P＜0. 05). There was a significant difference in the incidence of falls between the two groups at 3 months of discharge (P＜0. 05). Conclusion The use of STEADI toolkit can effectively improve patients' activity of daily living, reduce risk of falls in patients with cardiovascular diseases (目的 探讨美国STEADI工具包在心内科老年患者跌倒预防中的应用研究。方法 将2021年3月—2022年3月在北京市某三甲医院心内科收治的130名老年患者按随机数字表法分为干预组和对照组, 每组65例。对照组采用常规跌倒预防措施, 向患者介绍住院环境、用药注意事项等。干预组采用STEADI工具包进行干预, STEADI工具包主要内容包括跌倒相关知识、步态及平衡力评估工具、沟通技巧指导、案例学习以及跌倒相关的健康教育资料等。比较分析两组患者干预前和干预后跌倒风险自我评估表得分以及日常生活活动能力得分, 并比较两组患者住院期间、出院1周、出院1月、出院3月时的跌倒发生率等。结果 干预完成时和干预后3个月, 干预组患者的跌倒风险自我评估得分均优于对照组, 差异有统计学意义(P＜0. 05); 干预组患者BI评分优于对照组, 差异有统计学意义(P＜0. 05)。出院后3个月, 干预组患者跌倒发生次数少于对照组, 差异有统计学意义(P＜0. 05)。结论 应用STEADI工具包能有效提高心内科老年患者的日常生活活动能力, 降低患者跌倒风险。)