在长期护理机构使用轮椅的人中跌倒的特征和后果
Makenna B Snyder1, Tobia Zanotto2, Emilia Potts3
1Mobility and Falls Laboratory, Human Performance Laboratory, University of Kansas Medical Center, Kansas City, KS, USA; Department of Occupational Therapy Education, University of Kansas Medical Center, Kansas City, KS, USA.
Journal of the American Medical Directors Association
|April 21, 2024
概括
长期护理中的轮椅落通常是由重量转移和不适当的车使用引起的. 轮椅用户的保护反应有限,需要专门的防摔策略.
科学领域:
- 老年学是一门学科.
- 生物力学 生物力学
- 医疗保健安全 医疗保健安全
背景情况:
- 跌倒对老年人来说是一个很大的问题,特别是那些在长期护理中使用轮椅的人.
- 了解轮椅落的具体机制和促成因素对于有效预防至关重要.
研究的目的:
- 描述长期护理机构中轮椅使用者中跌倒的原因,行为和环境因素.
- 为了确定与这些跌倒相关的后果和受伤模式.
主要方法:
- 进行了对现实世界轮椅落的观察分析.
- 两个评级人员使用经过验证的布视频分析问卷来评估32名长期护理居民的58个布视频.
- 数据收集时间从2007年到2014年在加拿大不列颠哥伦比亚省进行.
主要成果:
- 错误的重量转移 (70.7%) 和不当的车动作 (67.2%) 是轮椅落的主要原因.
- 大多数跌倒导致后向运动,其中89.7%撞击骨盆.
- 观察到的保护性反应有限,只有10.3%的个体试图采取一步反应. 据报道,没有严重受伤.
结论:
- 长期护理中的轮椅跌倒表现出独特的特征,与一般跌倒人群不同.
- 这些发现强调了针对轮椅使用者进行量身定制的防摔和检测干预措施的必要性.
- 临床实践应整合专门的策略,以减轻与长期护理环境中的轮椅使用相关的风险.
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