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医院中的布风险感知措施:COSMIN系统审查
Elissa Dabkowski1, Karen Missen2, Jhodie Duncan3
1Institute of Health and Wellbeing, Federation University Australia, Northways Road, Churchill, VIC, 3842, Australia. e.dabkowski@federation.edu.au.
评估患者对跌倒的担忧对于医院跌倒预防至关重要. 本次审查评估了衡量落风险感知的工具,发现了两项强烈推的措施,但强调需要进一步验证其他措施.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 临床心理学 临床心理学
背景情况:
- 由于不良的健康结果和成本,预防医院倒是优先考虑的.
- 更新的指导方针强调评估患者对跌倒的担忧.
- 本系统性审查评估了测量住院成年人跌倒风险感知的仪器.
研究的目的:
- 系统地审查和评估成人住院患者的跌倒风险感知措施的质量.
- 总结这些仪器的心理测量特性,可行性和临床建议.
主要方法:
- 根据基于共识的健康测量仪器选择标准 (COSMIN) 的指导方针进行系统审查.
- 搜索了十个数据库 (2002-2022) 关于在医院环境下对跌倒风险感知措施的研究.
- 包括18项研究,分析了5个结构中的20种跌倒风险感知仪器.
主要成果:
- 仪器被分为平衡信心,落效率/关注,跌倒恐惧,自我意识和行为/意图.
- 两种PROM,落风险感知问卷和脊髓损伤-落关注度表,收到了A类建议.
- 13个PROM获得了B类建议,表明需要进一步验证.
结论:
- 两种经过验证的工具对评估特定医院人群中跌倒风险感知有希望.
- 需要进一步的研究来验证额外的跌倒风险感知措施,以便在更广泛的临床应用中得到验证.
- 改善跌倒风险感知评估可以加强医院的多因素跌倒预防策略.
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