[1]朱欢欢,卢璇,王婷婷,等.医疗机构老年人预防跌倒环境管理的最佳证据总结[J].军事护理,2023,40(03):23-26.[doi:10.3969/j.issn.2097-1826.2023.03.006]
 ZHU Huanhuan,LU Xuan,WANG Tingting,et al.Best Evidence Summary of Environmental Management for Fall Prevention among the Elderly Institution Residents[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):23-26.[doi:10.3969/j.issn.2097-1826.2023.03.006]
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医疗机构老年人预防跌倒环境管理的最佳证据总结
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年03期
页码:
23-26
栏目:
老年护理专栏
出版日期:
2023-03-15

文章信息/Info

Title:
Best Evidence Summary of Environmental Management for Fall Prevention among the Elderly Institution Residents
文章编号:
2097-1826(2023)03-0023-04
作者:
朱欢欢1卢璇1王婷婷1刘文艳1孙倩倩2陈雁3
(1.江苏大学附属鼓楼临床医学院 老年医学科,江苏 南京210008; 2.南京大学医学院附属鼓楼医院 心脏科,江苏 南京210008; 3.南京大学医学院附属鼓楼医院 护理部)
Author(s):
ZHU Huanhuan1LU Xuan1WANG Tingting1LIU Wenyan1SUN Qianqian2CHEN Yan3
(1.Department of Geriatrics,Drum Tower Medical College of Jiangsu University,Nanjing 210008,Jiangsu Province,China; 2.Department of Cardiology,Nanjing Drum Tower Hospital Affiliated to Nanjing University,Medical School,Nanjing 210008,Jiangsu Province,China; 3.Department of Nursing,Nanjing Drum Tower Hospital Affiliated to Nanjing University,Medical School)
关键词:
跌倒 环境管理 老年人 医疗机构 循证护理
Keywords:
fall environmental management the elderly healthcare facilities evidence-based nursing
分类号:
R47
DOI:
10.3969/j.issn.2097-1826.2023.03.006
文献标志码:
A
摘要:
目的 检索医疗机构老年人预防跌倒环境管理的相关证据,形成最佳证据总结。方法 系统检索国内外数据库关于医疗机构老年人预防跌倒环境管理的临床决策、指南、证据总结、系统评价、专家共识等。结果 总结出包括环境评估、环境危险因素识别、营造适老化环境、建设无障碍环境、高危跌倒警示提醒、健康教育等6个方面共24条证据。结论 医疗机构可应用最佳证据开展老年人预防跌倒环境管理的实践变革,以降低老年人跌倒发生率,减少跌倒伤害。
Abstract:
Objective To search and summarize the best evidence on the environmental management for fall prevention among the elderly institution residents.Methods The clinical decisions,guidelines,evidence summaries,systematic reviews and expert consensus on the environmental management for fall prevention among the elderly institution residents were systematically retrieved from domestic and foreign databases.Results A total of 24 pieces of evidence were extracted, belonging to six aspects of environmental assessment,identification of environmental risk factors,creating a safe environment suitable for aging,building a barrier-free environment,high-risk fall warning reminders and health education.Conclusions Medical institutions can apply the best evidence to carry out the practice reform of environmental management for the prevention of falls among the elderly,and reduce the incidence of falls and fall injuries among the elderly.

参考文献/References:

[1] 中国政府网.国家卫生健康委员会2022年9月20日新闻发布会文字实录 [EB/OL].[2022-10-20].
[2] 陆治名,汪媛,叶鹏鹏,等.2015-2018年全国伤害监测系统中老年人跌倒/坠落病例分布特征[J].中华流行病学杂志,2021,42(1):137-141.
[3] PITCHAI P,DEDHIA H B,BHANDARI N,et al.Prevalence,risk factors,circumstances for falls and level of functional independence among geriatric population-a descriptive study [J].Indian J Public Health,2019,63(1):21-26.
[4] 中国老年保健医学研究会老龄健康服务与标准化分会.中国老年人跌倒风险评估专家共识[J].中国老年保健医学,2019,17(4):47-50.
[5] BERRY S,KIEL M P.Falls:Prevention in nursing care facilities and the hospital setting [EB/OL].[2022-05-08].
[6] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.
[7] DICENSO A,BAYLEY L,HAYNES R B.Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J].Evid Based Nurs,2009,12(4):99-101.
[8] BROUWERS M C,KHO M E,BROWMAN G P,et al.AGREE II:advancing guideline development,reporting,and evaluation in health care[J].CMAJ,2010,182(18):E839-E842.
[9] BROUWERS M C,KERKVLIET K,SPITHOFF K.The AGREE reporting checklist:a tool to improve reporting of clinical practice guidelines[JB/OL].[2016-03-08].
[10]张方圆,沈傲梅,曾宪涛,等.系统评价方法学质量评价工具AMSTAR 2解读[J].中国循证心血管医学杂志,2018,10(1):14-18.
[11]DOUGLAS P K.Falls in older persons:risk factors and patient evaluation [EB/OL].[2022-03-23].
[12]MATTISON M.Hospital Management for the elderly [EB/OL].[2022-05-08].
[13]CRANDALL M,DUNCAN T,MALLAT A,et al.Prevention of fall-related injuries in the elderly:an eastern association for the surgery of trauma practice management guideline[J].J Trauma Acute Care Surg,2016,81(1):196-206.
[14]Falls:assessment and prevention of falls in older people[M].London:National Institute for Health and Care Excellence(NICE),2013:10-15.
[15]REGISTERED NURSES' ASSOCIATION OF ONTARIO.Preventing falls and reducing injury from falls [EB/OL].[2022-05-22].
[16]MONTERO M,KAMKAR N,PIERUCCINI F,et al.Evaluation of clinical practice guidelines on fall prevention and management for older adults:a systematic review[J].JAMA Network Open,2021,4(12):1-15.
[17]周萌,苏莉,叶晶,等.老年住院患者跌倒预防措施的证据总结[J].中华现代护理杂志,2019,25(36):4704-4708.
[18]DAVIS A,HAINES T,WILLIAMS C.Do footwear styles cause falls or increase falls risk in healthy older adults? a systematic review[J].Footwear Science,2019,11(1):13-23.
[19]TRICCO A C,THOMAS S M,VERONIKI A A,et al.Quality improvement strategies to prevent falls in older adults:a systematic review and network meta-analysis[J].Age Ageing,2019(48):337-346.
[20]广东省药学会.老年人药物相关性跌倒预防管理专家共识[J].今日药学,2019,29(10):649-658.
[21]中国康复医学会老年康复专业委员会专家共识组,上海市康复医学会专家共识组.预防老年人跌倒康复综合干预专家共识[J].老年医学与保健,2017,23(5):349-352.
[22]王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[23]国家卫生健康委,国家中医药管理局.关于开展建设老年友善医疗机构工作的通知[EB/OL].[2020-12-01].
[24]汪春华,黎莉.分阶段视频教育在老年患者预防跌倒中的效果[J].中国临床护理,2021,13(9):574-576,581.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-07-15 【 修回日期 】 2022-12-15
【 基金项目 】 2021年江苏省干部保健科研课题立项(BJ21004)
【 作者简介 】 朱欢欢,硕士在读,副主任护师,电话:025-68182888
【 通信作者 】 陈雁,电话:025-83106666
更新日期/Last Update: 2023-03-15