一个多因素计划与病例管理的预防摔倒在社区居住的老年人的功能结果的影响:一项随机临床研究
Areta Dames Cachapuz Novaes1, Juliana Hotta Ansai1, Silsam Napolitano Alberto1
1Graduate Program in Gerontology, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil.
Healthcare (Basel, Switzerland)
|August 9, 2024
概括
使用案例管理 (CM) 的多因素落预防计划没有改善体力表现或降低老年人落风险. 然而,它有助于描述这种脆弱人群的疼痛和骨折概率.
科学领域:
- 老年学是指老年学的学科.
- 预防医学 预防医学
- 临床试验 临床试验
背景情况:
- 跌倒是75岁及以上人群残疾的主要原因.
- 预防策略,如病例管理 (CM),对于减轻与落相关的风险至关重要.
研究的目的:
- 评估一个以CM为中心的多因素防摔计划对身体表现,疼痛,以及老年人有跌倒史的跌倒和骨折风险的影响.
主要方法:
- 一个随机的单盲临床试验涉及55名社区居住的老年人,他们有跌倒史.
- 参与者被分为一个干预组 (IG) 接受CM,运动和认知刺激,一个控制组 (CG) 接受标准指导.
- 评估包括视频通话评估病史,体能测试,跌倒风险得分和骨折风险计算.
主要成果:
- 该研究发现,IG和CG之间在身体能力,疼痛程度,跌倒风险或骨折发生率方面没有统计学上显著的差异.
- 与对照组相比,干预组在所有测量结果中没有观察到改善.
结论:
- 研究的多因素跌倒预防计划在经历过跌倒的老年人中提高功能性能的效果是无效的.
- 该计划在描述疼痛和估计在这个特定的人群中骨折的10年概率方面被证明是有价值的.
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