Purpose This study aimed to investigate the impact of physical performance and fear of falling on fall risk in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis.
Methods: This study included 132 patients who regularly received hemodialysis treatment at outpatient clinics in B City from January to April 2022. Data were collected on demographic and clinical characteristics, physical performance (the Short Physical Performance Battery [SPPB]), fear of falling (the Korean Falls Efficacy Scale-International [KFES-I]), and fall risk (the Morse Fall Scale [MFS]). The collected data were analyzed using hierarchical multiple regression in the SPSS/WIN 25.0 program.
Results: Thirty-eight patients (28.8%) had experienced accidental falls in the past year, with an average of 1.68 falls per patient. The average SPPB score was 7.89±3.55 (range, 0 to 12), the KFES-I score was 23.18±9.36 (range, 16 to 64), and the MFS score was 45.68±19.52 (range, 0 to 125). Fall risk showed a significant negative correlation with physical function (r=-.72, p<.001) and a significant positive correlation with fear of falling (r=.65, p<.001). Factors affecting the patients' fall risk included the level of serum intact parathyroid hormone (β=.15, p=.004), fear of falling (β=.24, p=.010), number of falls (β=.34, p<.001), and physical performance (β=-.41, p<.001). The regression model was statistically significant (F=22.71, p<.001), with an explanatory power of 64.9%.
Conclusion: To prevent accidental falls in ESRD patients undergoing hemodialysis treatment, it is necessary to develop and apply interventions that can enhance physical performance and reduce the fear of falling.
Citations
Citations to this article as recorded by
Fear of Falling among Elderly Individuals with Various Medical Conditions T.K. Konovalchik Clinical Psychology and Special Education.2025; 13(4): 76. CrossRef
PURPOSE This methodological study was conducted to evaluate the interrater agreement in pressure ulcer risk assessment using the Braden scale, and in pressure ulcer classification, by nurses in a medium-sized hospital. METHODS Data were collected from a medium-sized hospital, located in Seoul, from December 18, 2017 to February 28, 2018. The author (Rater 1) and 20 randomly sampled nurses (Rater 2) independently assessed 100 patients. The Braden scale for risk assessment and the six-stage pressure ulcer classification system were used. The interrater agreement was evaluated using the Intraclass Correlation Coefficient (ICC), the proportion of agreement (Po), and the Bland-Altman plots. RESULTS For the total score on the Braden scale, the ICC was .85 and the Po was .29. Among the scale items, ‘moisture’ had the lowest agreement (ICC=.55, Po=.46). The interrater agreement had Po values of .84 and .69 for the presence and the classification of pressure ulcers, respectively. CONCLUSION For nurses in medium-sized hospitals, interrater agreement for the Braden scale and for the classification of pressure ulcers should be enhanced. In order to do this, overall institutional support is needed, including training in the accurate use of tools for pressure ulcer care.
Citations
Citations to this article as recorded by
Impact of multifaceted interventions on pressure injury prevention: a systematic review Usha Rani Kandula BMC Nursing.2025;[Epub] CrossRef
Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
Determining Optimal Cut-off Score for the Braden Scale on Assessment of Pressure Injury for Tertiary Hospital Inpatients Sook Hyun Park, hyeyeon Choi, Youn-Jung Son Journal of Korean Critical Care Nursing.2023; 16(3): 24. CrossRef
Impact of Pressure Injury Prevention Protocol in Home Care Services on the Prevalence of Pressure Injuries in the Dubai Community Sajitha Prasad, Nazneen Hussain, Sangeeta Sharma, Somy Chandy, Jessy Kurien Dubai Medical Journal.2020; 3(3): 99. CrossRef
PURPOSE This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment. METHODS The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. RESULTS Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's alpha.95. The final scale was a self-reported four Likert scale including 50 items. CONCLUSION Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.
Citations
Citations to this article as recorded by
Identifying Predictors of Unfavorable Treatment Outcomes in Tuberculosis Patients Ji Yeon Lee, Jun-Pyo Myong, Younghyun Kim, Ina Jeong, Joohae Kim, Sooim Sin, Yunhyung Kwon, Chieeun Song, Joon-Sung Joh International Journal of Environmental Research and Public Health.2024; 21(11): 1454. CrossRef
Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic Bongsil Lim, Min Young Kim The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87. CrossRef
Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance Hyun Ju Lee, Jiyoung Park Korean Journal of Adult Nursing.2020; 32(3): 305. CrossRef
PURPOSE Purposes of this study were to develop a reliable and valid checklist to assess and manage post-stroke dysphagia and to identify its utilization. METHODS The first step was to develop checklist through systematic literatures reviews, to test the content validity from 11 clinical experts, and to test the construct validity and the internal consistency from 97 patients with post-stroke dysphagia. The second step was to identify clinical use of the checklist from the same 97 patients. RESULTS A total of 18 items compromised the assessment checklist and 64 items for intervention checklist. Internal consistencies of assessment checklist and intervention checklist were .84 and .98, respectively. In both checklists, level of utilization of general appearance was the highest, while that of early signs of aspiration was the lowest. The utilization levels of two checklists were significantly higher among patients who were less than 60 years old, and had liquid diet, facial paralysis, and previous history of aspiration pneumonia. CONCLUSION We found that the checklists were reliable and valid. Further study is needed to develop specific strategies to improve nurses' use of assessment and intervention checklists for post-stroke dysphagia.
PURPOSE The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. METHODS The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. RESULTS There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. CONCLUSION The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.
Citations
Citations to this article as recorded by
Evaluation of Risk Factors for Fall Incidence Based on Statistical Analysis Da Hye Moon, Tae-Hoon Kim, Myoung-Nam Lim, Seon-Sook Han International Journal of Environmental Research and Public Health.2025; 22(5): 748. CrossRef
Nurses’ perspectives on the adoption of new smart technologies for patient care: focus group interviews Hyein Choi, Sunghee H. Tak, Young Ae Song, Jiyeon Park BMC Health Services Research.2025;[Epub] CrossRef
The Impact of Possible Sarcopenia and Obesity on the Risk of Falls in Hospitalized Older Patients Kahyun Kim, Dukyoo Jung The Korean Journal of Rehabilitation Nursing.2023; 26(1): 18. CrossRef
Predication of Falls in Hospitalized Cancer Patients Jun-Nyun Kim, Sun-Hwa Beak, Bo-Seop Lee, Mi-Ra Han Asian Oncology Nursing.2023; 23(2): 56. CrossRef
A Clinical Data Warehouse Analysis of Risk Factors for Inpatient Falls in a Tertiary Hospital: A Case-Control Study Eunok Kwon, Sun Ju Chang, Mikyung Kwon Journal of Patient Safety.2023; 19(8): 501. CrossRef
Comparative Study of the Accuracy of At-Point Clinical Frailty Scale and Morse Fall Scale in Identifying High-Risk Fall Patients among Hospitalized Adults Sunghwan Ji, Hee-Won Jung, Jeounghee Kim, Younghye Kwon, Yeonmi Seo, Semin Choi, Hyoun Jin Oh, Ji Yeon Baek, Il-Young Jang, Eunju Lee Annals of Geriatric Medicine and Research.2023; 27(2): 99. CrossRef
Falls in Patients of Medical Institutions in South Korea: A Literature Review Jongwon Choi, Woochol Joseph Choi Physical Therapy Korea.2023; 30(1): 1. CrossRef
Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim Journal of Clinical Nursing.2022; 31(23-24): 3584. CrossRef
The risk of falls among the aging population: A systematic review and meta-analysis Qingmei Xu, Xuemei Ou, Jinfeng Li Frontiers in Public Health.2022;[Epub] CrossRef
The Association between Comorbidities and Comorbid Injuries on Treatment Outcome in Pediatric and Elderly Patients with Injuries in Korea: An Observational Study Kyunghee Lee, Jieun Hwang International Journal of Environmental Research and Public Health.2022; 19(10): 6277. CrossRef
Risk Factors according to Fall Risk Level in General Hospital Inpatients Yeon Hwa Lee, Myo Sung Kim Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 35. CrossRef
Development of a senior-specific, citizen-oriented healthcare service system in South Korea based on the Canadian 48/6 model of care Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Hee Joung Kim, Jinyoung Shin, Jae-Min Park, Kyeong Eun Uhm, Kyoung Jin Kim, Jung A. Yoo, Yun Kyoung Oh, Pilsuk Byeon, Kunsei Lee, Seol-Heui Han, Jaekyung Choi BMC Geriatrics.2020;[Epub] CrossRef
Improving Prediction of Fall Risk Using Electronic Health Record Data With Various Types and Sources at Multiple Times Hyesil Jung, Hyeoun-Ae Park, Hee Hwang CIN: Computers, Informatics, Nursing.2020; 38(3): 157. CrossRef
Factors Influencing Falls in High- and Low-Risk Patients in a Tertiary Hospital in Korea Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park Journal of Patient Safety.2020; 16(4): e376. CrossRef
Comparison of the predictive validity of three fall risk assessment tools and analysis of fall‐risk factors at a tertiary teaching hospital Eun Hee Cho, Yun Jung Woo, Arum Han, Yoon Chung Chung, Yeon Hee Kim, Hyeoun‐Ae Park Journal of Clinical Nursing.2020; 29(17-18): 3482. CrossRef
Use of the Nursing Outcomes Classification for Falls and Fall Prevention by Nurses in South Korea Eunjoo Lee International Journal of Nursing Knowledge.2019; 30(1): 28. CrossRef
Tool for Categorizing Remaining Functional Ability of Nursing Home Residents Hyun Ju Kim, Sung Ok Chang Journal of Korean Gerontological Nursing.2019; 21(1): 1. CrossRef
Triggers and Outcomes of Falls in Hematology Patients: Analysis of Electronic Health Records Min Kyung Jung, Sun-Mi Lee Journal of Korean Academy of Fundamentals of Nursing.2019; 26(1): 1. CrossRef
Incidence of Falls and Risk Factors of Falls in Inpatients Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang Quality Improvement in Health Care.2018; 24(2): 2. CrossRef
Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients Young Ok Kang, Rhayun Song Korean Journal of Adult Nursing.2018; 30(1): 49. CrossRef
A risk-factor analysis of medical litigation judgments related to fall injuries in Korea Insook Kim, Seonae Won, Mijin Lee, Won Lee Medicine, Science and the Law.2018; 58(1): 16. CrossRef
Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals Ji Hyun Park, Jung Tae Son Journal of Korean Academy of Fundamentals of Nursing.2018; 25(4): 269. CrossRef
Influencing Factors on Hospital Fall Prevention Activities of Tertiary Hospital Nurses and General Hospital Nurses Misook Jin, Yeongmi Ha Journal of Health Informatics and Statistics.2017; 42(4): 361. CrossRef
Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park Journal of Korean Academy of Nursing.2017; 47(3): 420. CrossRef
Factors influencing fall prevention nursing performance of hospital nurses Keong-Sook Jang, Hae-Sook Kim The Korean Journal of Emergency Medical Services.2016; 20(3): 69. CrossRef
Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis Young Ok Kang, Rhayun Song Korean Journal of Adult Nursing.2015; 27(1): 29. CrossRef
Identifying Characteristics of Fall Episodes and Fall-related Risks of Hospitalized Patients Young Ok Kang, Rhayun Song Journal of muscle and joint health.2015; 22(3): 149. CrossRef
Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis Yoon Lee Kim, Seok Hee Jeong Journal of Korean Academy of Nursing.2015; 45(4): 469. CrossRef
Fall Risk Factors and Characteristics of an Acute Hospital Setting across Clinical Departments In-Sil Jang, Sun-Gyo Lee Journal of Korean Academy of Fundamentals of Nursing.2014; 21(3): 264. CrossRef
PURPOSE The purpose of this study was To exam the skin and pressure sore and To evaluate the predictive validity for the new pressure sores risk assessment scale. METHOD: There was finally 211 neurosurgery subject admitted in Chung-Ang Univ. Hospital from Nov, 11, 2002 to Feb, 11, 2003. Data was collected three times per week from 48-72hr after admission until incidence of pressure sores or discharge or die. Inclusion criteria were; (1) no pressure sores at admittance, (2) at least 3 times assessment, (3) adults older than 16yrs, (4) patients consent to participate in study. RESULT: 1. 34 case of 211 developed pressure sores(11.6%). 2. The coccyx area was the most common occurrence site of pressure sores. 3. At the cutoff point 23 of sensitivity 100%, specificity 76.3% was higher in 2003 than specificity 63.8% at the cutoff point 26 of sencitivity 100% in 1991. 4. "Moisture" of subscale for pressure sores risk factor was the strongest predictor. CONCLUSION: This study shows that the New Pressure Sores Risk Assessment Scale still predict the risk of developing pressure sores in neurosurgical subject.
E-SUBMISSION
First
Prev
