在卫生服务中实施数字运动计划,以防止老年人跌倒
Morag E Taylor1,2,3, Meghan Ambrens1,2, Helen Hawley-Hague4,5,6
1Neuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Age and ageing
|August 8, 2024
概括
衡量和强度的电子健康计划StandingTall显示出参与者接受度很高,但面临实施挑战. 未来的成功取决于为这种数字健康干预提供足够的资源和支持.
科学领域:
- 老年学是一门学科.
- 数字健康数字健康
- 运动科学 运动科学
背景情况:
- StandingTall是一个电子健康平台,提供基于证据的平衡和功能力量练习.
- 之前的临床试验证明了其在改善平衡,减少跌倒和实现高坚持方面的有效性.
- 这项研究评估了澳大利亚和英国卫生服务中StandingTall的现实实施情况.
研究的目的:
- 评估澳大利亚和英国卫生服务中StandingTall电子健康计划的采用,接受和遵守情况.
- 确定对老年人数字健康干预措施的实施和可持续性的障碍和促进因素.
- 评估参与者使用StandingTall.的经验和感知好处.
主要方法:
- 在6个月内对246名参与者 (184名在澳大利亚,62名在英国) 进行了一项混合方法的过程评估.
- 鼓励参与者每周使用StandingTall2小时.
- 坚持被测量为完成处方剂量的百分比;吸收和可接受性也被评估.
主要成果:
- 参与者吸收率为42%,平均坚持率为41% (39分钟/周),低于有效性试验,但高于其他运动研究.
- 尽管有COVID-19的影响,但76%的参与者喜欢使用StandingTall,56%的人报告了更好的平衡,80%的人将其评为好到优秀.
- 实施伙伴面临着挑战,只有34%的人同意参与,37%的人推了足够多的参与者.
结论:
- StandingTall表现出高参与者接受度和未来在卫生服务中实施的承诺.
- 实施面临与COVID-19相关的重大挑战,合作伙伴参与,以及缺乏持续资金.
- 足够的资源和支持对于像StandingTall.这样的数字健康干预措施的成功采用和可持续性至关重要.
相关概念视频
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:30Heart Failure VII: Nursing Interventions
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
01:30Preventive Healthcare Services
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:
01:11Assessing Blood pressure in the Leg
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
01:25Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
01:22Healthcare Associated Infections II: Preventive Measures
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...