在中风幸存者中,害怕跌倒的因素和干预措施:系统性审查
Xue Tian1, Ying-Hong Mai1, Zai-Jin Guo1
1School of Nursing, School of Public Health, Yangzhou University, Yangzhou, China.
Topics in stroke rehabilitation
|April 3, 2024
概括
在中风幸存者中,跌倒恐惧 (FOF) 非常普遍,影响高达93.8%的患者. 关键的风险因素包括女性性别和身体障碍. 综合干预措施在减少FOF方面表现最有前途.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 老年学是一门学科.
背景情况:
- 跌倒恐惧 (FOF) 显著影响中风幸存者的生活质量和流动性.
- 了解FOF患病率和促成因素对于有效的干预策略至关重要.
研究的目的:
- 综合审查中风幸存者中FOF的流行率,测量工具,影响因素和干预措施.
- 综合当前关于FOF在这个人群中的证据.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 搜索包括到2023年2月的PubMed,EMBASE,Cochrane和科学网络.
- 使用乔安娜·布里格斯研究所工具评估了偏见的质量和风险.
主要成果:
- 包括25项观察性研究和10项实验性研究,质量从低到好不等.
- 最常用的测量工具是国际布效率尺度 (FES-I).
- FOF的患病率从42%到93.8%不等,在身体障碍者中最高.
结论:
- 在中风幸存者中FOF的高患病率需要多因素预防策略.
- 识别风险因素,如女性性别,辅助设备的使用,平衡和流动性问题是关键.
- 结合的认知行为和运动干预措施是最有效的; 建议进行标准化的FOF测量.
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