Nurse's interventions in preventing falls in hospitalized children: scoping review

ABSTRACT Objectives: map both nursing interventions for the prevention of falls in paediatric age during hospitalization and the instruments for assessing the risk of falls in paediatrics. Methods: scoping review according to the protocol of Joanna Briggs Institute, with acronym PCC (P - children, C - fall preventive nursing interventions and instruments for assessing the risk of falling, C - hospital admission), in three sources of information (EBSCO, PubMed and SciELO). Results: the sample consisted of seven articles. The education of the child/family is the basis of the interventions, and the instruments for assessing the risk of falling identified were: Humpty Dumpty Falls Scale, GRAF PIF, CUMMINGS, I'M SAFE and CHAMPS. Conclusions: the education of children/parents on preventive measures is important and should be reinforced during hospitalization, using different methodologies. The Humpty Dumpty Falls Scale was the most analyzed.

摘要
目的：系统梳理住院儿科患者的跌倒预防护理干预方案，以及儿科跌倒风险评估工具。
方法：遵循乔安娜·布里格斯研究所（Joanna Briggs Institute）的范围综述研究方案，采用PCC框架（P-儿童；C-跌倒预防护理干预措施及跌倒风险评估工具；C-住院期间），检索EBSCO、PubMed及SciELO三个数据库作为信息源。
结果：最终纳入7篇文献。干预措施的核心为患儿及家属健康教育；本次研究识别到的跌倒风险评估工具包括：Humpty Dumpty跌倒量表（Humpty Dumpty Falls Scale）、GRAF PIF、CUMMINGS量表、I'M SAFE量表及CHAMPS量表。
结论：针对儿童及家长开展跌倒预防措施的健康教育至关重要，应在住院期间通过多元方法强化落实；其中Humpty Dumpty跌倒量表是目前研究最为广泛的评估工具。