Title
Compliance with external hip protectors in nursing homes in Norway
Author
TNO Preventie en Gezondheid
Forsén, L.
Sandvig, S.
Schuller, A.
Søgaard, A.J.
Publication year
2004
Abstract
Objectives: To investigate compliance with hip protector use. Design: Observational prospective study. Setting: 19 nursing homes (1040 beds). Subjects: All residents during an 18 month period were included in this study. Intervention: Hip protectors were introduced as a regular part of health care service for all residents. Residents at high risk were encouraged to use hip protectors regularly. Each nursing home had a contact person. Main outcome measures: The percentage of residents accepting the hip protector offer, probability of continued use, reasons for terminating use, and percentage of falls with hip protector were evaluated. Results: Fifty five percent of the residents accepted the hip protector offer. The percentage increased by age, but showed no significant dependence on gender, profession of the contact person, or size of nursing home. The probability of continued use showed no significant dependence on age and gender. Nursing homes with a nurse as contact person showed 51% higher risk of residents terminating regular hip protector use than nursing homes with a physiotherapist as contact person (relative risk (RR) 1.51, 95% confidence interval (CI) 1.11 to 2.05, p = 0.008). The corresponding result for large (75-92 beds) compared with small (24-68 beds) nursing homes was RR = 1.44 (95% CI 1.02 to 2.02, p = 0.036). Seventy six percent of 2323 falls occurred while using hip protectors. Conclusion: The contact person and size of the nursing home seemed to be important factors for continued use of hip protectors while age and gender seemed to be less important.
Subject
Accident prevention
Bed
Confidence interval
Controlled study
Correlation analysis
Device
Falling
Health service
High risk population
Physiotherapist
Probability
Prospective study
Protection
Risk assessment
Sex difference
Statistical significance
Accidental Falls
Adult
Aged
Aged, 80 and over
Female
Hip Fractures
Homes for the Aged
Humans
Male
Middle Aged
Norway
Nursing Homes
Patient Compliance
Prospective Studies
Protective Devices
Questionnaires
Risk Factors
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DOI
https://doi.org/10.1136/ip.2004.005124
TNO identifier
238203
ISSN
1353-8047
Source
Injury Prevention, 10 (10), 344-349
Document type
article