Gambaran Tingkat Risiko Jatuh dan Penanganannya pada Pasien Jiwa di Rumah Sakit



Tiara Sas Dhewanti(1*), Intansari Nurjannah(2)

(1) Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
(2) Departemen Keperawatan Jiwa dan Komunitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: One of the concerns associated with patient safety is prevention of falls. Patients with mental disorders have a higher risk of falling compared to other patient age, diagnosis of depression, use of antipsychotics medication, and medical therapy management of Electro Convulsive Therapy.

Objective: This study was aimed to explore the description of risk for fall levels in the category of psychiatric patients and to identify risk for falls management of mental health patients based on Client Categorization System.

Method: A descriptive quantitative research with case study design was performed on 20 psychiatric patients and 4 nurses. The instruments used were Edmonson Fall Risk Assessment Tool (EFRAT) to identify the risk for falls on patients, and Client Categorization System (CCS) to categorize the psychiatric patients. The univariate analysis was used to accomplish the aim of the study.

Result: As much as 37,5% patients have risk for falls. The risk of falling level of psychiatric patients occurred mostly on respondents with crisis category (66,7%). No patients with health promotion category have risk for falls. The most activity done with the Nursing Intervention Classification (NIC) (environment modification is using safety equipment. Meanwhile, the most activities done on NIC fall prevention are preparing an appropriate lighting and collaborate with other medical team. Moreover collaboration with other medical team is also needed.

Conclusions: Risk for falls on patients with mental health disorders can be found on patients with these category: crisis, acute, and maintenance. Management of patients with mental disorders based in NIC are Fall Prevention and Environmental Modification.


Keywords: Environmental modification, fall risk, mental disorder.


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