心理和教育干预措施,以预防生活在社区中老年人的跌倒
Amy Drahota1, Julie E Udell2, Heather Mackenzie3
1School of Dental, Health and Care Professions, University of Portsmouth, Portsmouth, UK.
The Cochrane database of systematic reviews
|October 3, 2024
概括
心理和教育干预相结合可能会降低老年人跌倒率,但不会降低跌倒者数量. 对于个别干预的证据的确定性很低,这凸显了未来研究的必要性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 老年人面临较高的跌倒和相关伤害的风险.
- 跌倒源于多种原因,需要不同的预防策略.
- 教育和心理干预旨在减轻社区老年人的跌倒风险.
研究的目的:
- 评估心理和教育干预措施的有效性和安全性,以预防社区居住的老年人跌倒.
- 综合各种防摔方法的好处和危害的证据.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了多个数据库和试验注册表,直到2023年6月.
- 包括37个RCT,涉及17,478名60岁及以上的参与者.
主要成果:
- 结合心理和教育干预措施可能会降低跌倒率 (中度确定性证据).
- 认知行为干预对摔倒者数量几乎没有影响,但可能会略微减少对摔倒的担忧 (低确定性证据).
- 个人心理或教育干预的证据通常具有低或非常低的确定性.
结论:
- 综合干预似乎有望减少跌倒率,但对单个方法的证据有限.
- 需要进一步的研究来澄清具体干预措施及其机制的有效性.
- 低收入和中等收入国家的证据存在重大差距.
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