系统层面的干预措施,以评估长期护理设施中的跌倒风险,预防跌倒和预防跌倒伤害:一个范围审查
Dahee Wi1, Andrew Ustach2, Wonkyung Jung3
1Human Development Nursing Science, University of Illinois Chicago College of Nursing, Chicago, Illinois, USA dwi3@uic.edu.
概括
系统层面的干预措施有效地减少了长期护理设施 (LTCF) 的下降. 加强员工培训和领导力支持是改善老年人跌倒预防策略的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 长期护理机构 (LTCF) 的老年人面临着高跌倒风险.
- 防摔策略可以是以个人为重点或以系统为重点,对后者的研究较少.
- 本综述综合了针对LTCF的系统性干预措施的证据,以预防LTCF的跌倒.
研究的目的:
- 进行针对LTCF的系统性干预措施的范围审查,以预防LTCF的跌倒.
- 综合这些干预措施有效性的研究结果.
主要方法:
- 在Ovid-Medline,CINAHL和Embase数据库中进行了搜索 (2007-2024年).
- 接下来是PRISMA扩展范围审查指南.
- 进行了包括20项研究的叙事综合.
主要成果:
- 系统层面的干预措施包括多组件计划,环境/技术适应和员工培训.
- 在17项定量研究中的11项报告显示,跌倒的数量有显著减少.
- 干预措施在减少LTCF下降方面表现出有效性.
结论:
- 在LTCF中,系统层面的防摔策略是有效的.
- 成功的关键要素包括加强培训,定制工具和支持性领导力.
- 改善防摔需要关注LTCF内部的系统变化.
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