Application of modified fall risk assessment tool combined with patient-participation interventions in hospitalized elderly patients at high risk of falls
FAN Bolin
ZHANG Yin
LIU Qingqing
LIANG Xiao
LI Wanling
WANG Mei
Abstract：Objective:To explore the application effect of a modified fall risk assessment tool combined with patient-participation interventions in hospitalized elderly patients at high risk of falls.Methods:Expert consultation was used to improve the Chinese version of the i Engaging Fall self-Assessment Tool,and a pre-survey was conducted on 270 eligible patients.Using convenience sampling method,high-risk elderly patients admitted to the geriatric department of a hospital in Wuhan city from February 2022 to June 2024 were selected as the research subjects.They were divided into a control group(n=236),observation group 1(n=235),and observation group 2(n=232).The control group used the Chinese Version of the i Engaging Fall Self-Assessment Scale.The Observation group 1 used the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale.The observation group 2 received the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale combined with patient-participation interventions.The incidence of falls,the workload of fall prevention nurses,and fall alertness among three groups were evaluated.Results:In the control group,4 cases experienced falls,with a fall incidence rate of 0.195%.In observation group 1,3 cases experienced falls,with an incidence rate of 0.131%;In observation group 2,only one person fell,with an incidence rate of 0.047%.There were no statistically significant differences in terms of the occurrence of falls among three groups(P>0.05).The duration of fall protection in observation group 2 was shorter than that in observation group 1 and control group(P<0.05).The duration of fall assessment was longer than that in observation group 1 and control group(P<0.05).The total score of the Fall Vigilance Scores and the dimensions of activity safety and environmental alert,physical function alert,drug alert,and cognitive behavioral alert in observation group 2 were higher than those in the control group and observation group 1(P<0.05).Conclusions:Modified fall assessment tools combined with patient-participation interventions could reduce nursing workload,enhance patients' fall vigilance,and promote patient safety.
Keywords：hospitalized elderly patientsfallrisk assessmentpatient-participationthe Modified Chinese Version of the i Engaging Fall Self-Assessment Scale
Publication Date：2026-02-10
Online Publishing Date：2026-02-04(First online date of this platform, not the publication date of the document)
Pages：11( 455-465 )