一个多元组件的初级保健干预措施,以预防生活在社区的老年人倒:PREMIO研究
Walter Marrocco1,2, Antonella Galli1,2, Silvestro Scotti1
1Federazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Journal of clinical medicine
|November 25, 2023
概括
一项多组分干预措施显著减少了高风险老年人中的倒. 然而,干预组的骨折风险增加,需要进一步调查.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 跌倒是致病率和老年人的功能衰退的主要原因.
- 一般医生 (GPs) 在提供预防性卫生服务方面发挥着关键作用.
- 在PREMIO试验中,研究了一种用于预防高风险老年人跌倒的多组分干预措施.
研究的目的:
- 评估多组分干预措施在高风险的老年人 (≥65岁) 中预防跌倒的有效性.
- 评估干预对跌倒率,住院,全科医生访问和骨折风险的影响.
主要方法:
- 一项随机临床试验,涉及117名全科医生和1757名高风险老年人.
- 干预组接受了医疗/行为咨询,家庭风险评估,体育活动和营养咨询.
- 对照组仅接受营养咨询;两组都接受了12个月的随访.
主要成果:
- 干预组显示,家庭跌倒 (-31.2%) 和总跌倒 (-26.0%) 显著减少.
- 观察到降落者数量略有显著减少 (-3.9%).
- 在干预组中,骨折风险意外增加 (OR2.39,p=0.023).
结论:
- 多元组件方法,包括药物审查,运动和家庭风险评估,可能有利于老年人预防跌倒.
- 未来的干预措施应包括对骨折风险因素的评估.
- 需要进一步的研究来理解和减轻观察到的骨折风险增加.
相关概念视频
Community Based Intervention
44
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...
44
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
Preventive Healthcare Services
1.0K
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:
1.0K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Documentation in Long-Term and Home Healthcare Setting
894
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
894


