JBiSE  Vol.7 No.14 , December 2014
Use of the Tinetti Index to Assess Fall Risk in Patients with Sequelae of Stroke
ABSTRACT
Background and Objective: The knowledge about risk of falls in patients with sequelae of stroke by applying a scale constitutes an important factor fort nurses since it allows planning for quality care and consequently improves the quality of life of such patients. The present study aimed to assess the risk of falls of patients with sequelae of stroke using Tinetti Index. Methods: Transversal descriptive study with 61 hospitalized patients. The data were collected through the application of Tinetti Index, the total score of which is 28 points. Results: The index evaluation shows que 47.9% had 19 points under the ideal score, indicating a high risk of falls, 41.7% from 24 to 28, indicating moderate risk and 10.4% from 19 to 23 points, indicating low risk of falls. The final average was (15.23), the median (16.50) and standard deviation (±11.034). Conclusions: There is a high risk of falls in this population, a quantification of impaired balance and gait anticipate the future risk of falls. The use of assessment instruments has important implications for improving the quality of life in patients with symptomatic stroke.

Cite this paper
de Figueiredo Carvalho, Z. , Coelho, J. , Campos, R. , de Oliveira, D. , Machado, W. and de Freitas Maniva, S. (2014) Use of the Tinetti Index to Assess Fall Risk in Patients with Sequelae of Stroke. Journal of Biomedical Science and Engineering, 7, 1088-1094. doi: 10.4236/jbise.2014.714106.
References
[1]   Pedreira, L.C. and Lopes, R.L.M. (2010) Home Care to the Elderly Who Had Stroke. Revista Brasileira de Enfermagem, 63, 837-840.
http://dx.doi.org/10.1590/S0034-71672010000500023

[2]   Dickson, V.V., Clark, R.A., Rebolo-Silva, E.R. and Buck, H.G. (2013) Self-Care and Chronic Disease, Nursing Research and Practice. Nursing Research and Practice, Article ID: 827409.
http://dx.doi.org/10.1155/2013/827409

[3]   O’Connell, B. and Baker, L. (2004) Managing as Carers of Stroke Survivors: Strategies from the Field. International Journal of Nursing Practice, 10,121-126.
http://dx.doi.org/10.1111/j.1440-172X.2004.00469.x

[4]   Go, A.S., Mozaffarian, D., Roger, V.L., et al. (2013) Heart Disease and Stroke Statistics—2013 Update: A Report from the American Heart Association. Circulation, 127, e6-e245.
http://dx.doi.org/10.1161/CIR.0b013e31828124ad

[5]   Castilla-Guerra, L., Serrano-Rodríguez, L., Alpanseque-Hoogesteyn, L., Fernández-Moreno, M.C. and Jiménez-Hernández, M.D. (2013) Prehospital Care of Acute Stroke: Have We Really Improved. Revista Neurologia, 56, 255-256.
http://www.neurologia.com/pdf/Web/5604/bh040255.pdf

[6]   Moreira, R.P., Araújo, T.L., Cavalcante, T.F., Guedes, N.G., Lopes, M.V.O., Costa, A.G.S. and Chave, D.B.R. (2010) Stroke: Risk Indicators Profile. Revista Rede de Enfermagem do Nordeste, 1, 201-212.
http://www.revistarene.ufc.br/revista/index.php/revista/article/view/381/pdf

[7]   Barker-Collo, S., Feigin, V.L. and Dudley, M. (2007) Post-Stroke Fatigue-Where Is the Evidence to Guide Practice? Journal of the New Zealand Medical Association, 120, 1264.
http://journal.nzma.org.nz/journal/120-1264/2780/

[8]   Lessmannl, J.C., Conto, F., Ramos, G., Borenstein, M.S. and Meirelles, B.H.S. (2011) Nursing Activities in Self-Care and Rehabilitation of Patients Who Suffered Stroke. Revista. Brasileira de Enfermagem, 64, 198-202.
http://dx.doi.org/10.1590/S0034-71672011000100030

[9]   Andrade, L.M., Costa, M.F.M., Caetano, J.A., Soares, E. and Beserra, E.P. (2008) The Issue of Family Caregivers of Patients with Stroke. Revista da Escola de Enfermagem da USP, 43, 37-43.

[10]   Aguiar, P.T., Rocha, T.N. and Oliveira, E.S. (2010) Scales of Trunk Control and Functional Outcome in Patients after Stroke. Acta Fisiatrica, 15, 160-164.
http://www.actafisiatrica.org.br/default.asp?ed=24

[11]   Tinetti, M.A., Richman, D. and Powell, L. (1990) Falls Efficacy as a Measure of Fear of Falling. Journal of Gerontology, 45, 239-243.
http://www.ncbi.nlm.nih.gov/pubmed/2229948
http://dx.doi.org/10.1093/geronj/45.6.P239


[12]   Silva, V.F. and Matsuura, C. (2002) Effects of Regular Physical Activity on the Cognitive Status and Prevention of Falls in the Elderly. Fitness Performance Journal, 3, 39-45.
http://www.ncbi.nlm.nih.gov/pubmed/2229948

[13]   Apóstolo, J.L.A. (2011) Tools for Assessment in Geriatrics (Geriatric Instruments). Doctoral Thesis, Escola Superior de Enfermagem de Coimbra/Portugal, Coimbra, 111 f.

[14]   Costa, A.G.S., Oliveira, A.R.S., Moreira, R.P., Cavalcante, T.F. and Araujo, T.L. (2010) Identification of the Risk of Falls in Elderly Stroke Patients. Escola Anna Nery, 14, 684-689.
http://dx.doi.org/10.1590/S1414-81452010000400005

[15]   Morais, H.C.C., Holanda, G.F., de S. Oliveira, A.R., de S. Costa, A.G., Ximenes, C.M.B. and de Araujo, T.L. (2012) Identification of Nursing Diagnosis Risk of Falls in Elderly Patients with Stroke. Revista Gaúcha de Enfermagem, 33, 117-124.

[16]   de S. Oliveira, A.R., de S. Costa, A.G., de Sousa, V.E.C., Moreira, R.P., et al. (2011) Pipelines for the Prevention of Patient Falls with Stroke. Revista Enfermagem UERJ, 19, 107-113.

[17]   Borges, P.S., Marinho Filho, E.N. and Mascarenhas, C.H.M. (2010) Correlation between Balance and Home Environment as Risk of Falls in Elderly Patients with Stroke. Revista Brasileira Geriatria end Gerontologia, 13, 41-50.
http://dx.doi.org/10.1590/S1809-98232010000100005

[18]   Damázio, L.C.M., Oliveira, J.C., Marciano, E.D. and Pissolati, M.G. (2014) Evaluation of the Risk of Falls and Quality of Life of Elderly Patients with Stroke. Saúde, 40, 43-50.

[19]   Nogueiro, A., Novo, A., Branco, D., Mendes, E. and Preto, L. (2010) Functional Potential and Downside Risk.
https://bibliotecadigital.ipb.pt/handle/10198/2899

 
 
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