NGUY CƠ TÉ NGÃ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TRÊN BỆNH NHÂN SUY TIM NHẬP VIỆN

Abstract

Background: Falls are among the most significant adverse events in hospitals. Hospitalized heart failure patients aged 65 years or older have a 14% higher risk of falling compared to those without heart failure. The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) is widely used in patient care, including for heart failure patients. JHFRAT is a useful tool that helps nurses assess fall risk and implement comprehensive care measures for heart failure patients. However, its application requires collaboration with physicians to collect further information about clinical symptoms, adjust treatment regimens, provide guidance on the use of assistive devices, and educate patients as well as their families. Objective: To define the prevalence of fall risk levels and the factors involved in fall risk in hospitalized heart failure patients. Materials and methods: A descriptive cross-sectional study was conducted on 91 cases diagnosed with heart failure admitted to the Department of Cardiology, Cho Ray Hospital. We collected patient information and performed a Johns Hopkins Fall Risk Assessment Tool (JHFRAT). Results: The mean age was 60.8 ± 14.5 years, male patients accounted for 42.9% of the study population. The heart failure patients with a high risk of falls was 28.6%, the moderate and low fall risk were 47.2% and 24.2%, respectively. Conditions associated with an increased risk in falls include chronic coronary syndrome, hypokalemia, medications such as furosemide, ACE inhibitors or receptor inhibitors, and nitrates Conclusion: Clinicians, especially nurses, should consider using the Johns Hopkins Fall Risk Assessment Tool to evaluate fall risk in hospitalized patients with heart failure.