title: [Implementation of a best practice guideline for the prevention of falls: Perception among hospitalized patients and its caregivers].
abstract: OBJECTIVE
  To analyze the influence that the implementation of a fall prevention Best Practice Guideline (BPG) could have on the perception of patients and their caregivers about the utility of the activities implemented, about the care provided during admission and the adherence (the level of follow-up) to the recommendations received at discharge.
  
  
  METHODS
  Design. Quasi-experimental study. Patients >65 years admitted≥48h to the Medical Area of the General Hospital of Albacete.
  
  
  METHODS
  104 subjects (consecutive sampling January-March 2013). Experimental group (EG). Patients admitted to BPG implementation units. Control group (CG). Usual care units.
  
  
  METHODS
  Sociodemographic characteristics; previous and during admission falls, cognitive status (Pfeiffer); independence in daily life activities (ADLs); satisfaction with care and information provided, utility perceived, adherence to recommendations at discharge.
  
  
  METHODS
  Interview and clinical history. Statistical analysis (SPSS 15.0). Descriptive and bivariant. Relative Risk. CI95%.
  
  
  RESULTS
  104 patients, EG 46.2% (48) and CG 53.8% (56). Women 51.9%, average age 79.9 years (s.d.=7.8). Pfeiffer 4,3 (s.d.=3.7). Previous falls 31.1%. In process, 1 fall in each group. There were statistically significant differences between EG/CG: age, cognitive status and independence in ADLs. In the EG was higher the percentage of perception about the usefulness of the recommendations to prevent falls (P<.001), greater adherence to them (P=0.0002), and to be very or quite satisfied with the information (P<.00004) and care received (P=.002).
  
  
  CONCLUSIONS
  To implement recommendations according to an Evidence-based BPG to prevent falls in older people has shown, in users and caregivers, greater satisfaction, better perception of its usefulness and greater adherence to the recommendations.
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España. Electronic address: tebisama@hotmail.com.
authors.forename: M D
authors.initials: MD
authors.lastname: Saiz-Vinuesa
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: E
authors.initials: E
authors.lastname: Muñoz-Mansilla
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: T
authors.initials: T
authors.lastname: Muñoz-Serrano
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: M P
authors.initials: MP
authors.lastname: Córcoles-Jiménez
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: M V
authors.initials: MV
authors.lastname: Ruiz-García
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: P
authors.initials: P
authors.lastname: Fernández-Pallarés
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: L
authors.initials: L
authors.lastname: Herreros-Sáez
authors.affiliation: Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: F
authors.initials: F
authors.lastname: Calero-Yáñez
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D010351:Patient Discharge; D010353:Patient Education as Topic; D010361:Patients; D017410:Practice Guidelines as Topic
keywords: Accidental falls; Calidad asistencial; Caídas; Cuidados de enfermería; Guías de buenas prácticas clínicas; Nursing care; Patient satisfaction; Practice guidelines; Quality of health care; Satisfacción del paciente