评估老年人准备好采用预防跌倒的建议使用变化的超理论阶段的老年人准备
Janice A Mark1,2, Ankita Henry1,3, Briana Moreland1
1Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Injury Prevention (CDC), Atlanta, GA, USA.
概括
老年人处于预防整体跌的行动阶段,但正在考虑药物管理. 相信跌倒是可以预防的,鼓励采取预防跌倒的行动.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 降低跌倒风险对于老年人 (65岁以上) 来说至关重要.
- 有效的防摔策略需要老年人采用.
- 了解老年人对变革的准备是成功干预的关键.
研究的目的:
- 评估老年人中三个跌倒预防策略的变化阶段 (SOC).
- 确定老年人目前使用的防摔策略.
- 确定与老年人准备实施预防跌倒行动相关的特征.
主要方法:
- 对1063名老年人进行了一项调查.
- 收集的数据包括跌倒风险,变化阶段 (SOC) 和跌倒预防策略的使用.
- 进行了描述性统计和回归分析.
主要成果:
- 大多数老年人都是"行动"SOC,用于整体防摔 (61%).
- 对于药物管理,有45%的人处于"沉思"SOC.
- 对于力量/平衡策略,29%的SOC处于"准备"阶段,29%处于"行动"阶段.
- 对跌倒可预防性的信念与处于"变化"阶段有很强的相关性 (风险比:1.4,95% CI:1.1,1.7).
结论:
- 促进健康应该强调基于证据的防摔知识.
- 对所有策略而言,干预措施的目标应该是将老年人推向"行动"阶段.
- 需要有针对性的战略来应对不同的准备水平,特别是药物管理.
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