防止社区老年人落的干预措施:美国预防服务工作组建议声明
, David C Grossman1, Susan J Curry2
1Kaiser Permanente Washington Health Research Institute, Seattle.
JAMA
|May 1, 2018
概括
运动干预有效地预防高风险的老年人跌倒. 多因素干预提供了很小的益处,而维生素D补充剂不建议在这种人群中预防跌倒.
科学领域:
- 老年学
- 预防医学
- 公共卫生
背景情况:
- 跌倒是美国65岁及以上成年人受伤,发病和死亡的主要原因.
- 2015年,估计有3万3000名老年人因跌倒而死亡.
- 2014年报告有超过2900万次跌倒,其中37.5%需要医疗护理或导致活动限制.
研究的目的:
- 提供关于预防社区老年人跌倒的最新建议.
- 审查预防跌倒的初级保健干预措施的有效性和危害.
- 为老年人提供预防跌倒策略的临床实践.
主要方法:
- 对预防跌倒的初级保健相关干预措施的系统审查.
- 专注于65岁或以上的社区成年人,没有被诊断为骨质疏松症或维生素D缺乏症.
- 评估运动的有效性和危害,多因素干预和维生素D补充.
主要成果:
- 运动对有风险的老年人预防跌倒具有中等效益.
- 多因素干预在预防跌倒方面具有很小的益处.
- 维生素D补充剂在预防跌倒方面没有益处,并带有轻微至中度的危害.
结论:
- 建议在有风险的老年人中进行运动干预 (B建议).
- 可以选择性地提供多因素干预措施,考虑个体患者的因素 (C建议).
- 在此人群中不建议补充维生素D以预防跌倒 (D建议).
相关概念视频
Preventive Healthcare Services
2.2K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.2K
Cancer Prevention
8.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
8.2K
Community Based Intervention
487
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
487
Prevention of Further Absorption of Poison
1.3K
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.3K
Pneumonia V: Nursing management and Prevention
3.6K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.6K
Healthcare Associated Infections II: Preventive Measures
4.2K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.2K


