增加内部医学住院人员和老年人之间关于跌倒风险和预防的沟通
Mary L Thomas1, Yulu Pan2, Christopher D Jackson1
1From the Department of Internal Medicine, University of Tennessee Health Science Center, Memphis.
Southern medical journal
|January 30, 2025
概括
一项提醒调查显著增加了居民与老年人的跌倒风险讨论,从43%增加到81%. 这种干预措施对改善老年人跌倒预防策略充满希望.
科学领域:
- 老年病的医生 老年病的医生
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 超过25%的老年人每年都会跌倒,但不到一半的人会向医疗保健提供者报告这些事件.
- 医疗学员需要在评估老年患者中跌倒风险方面有足够的经验.
- 需要研究居民发起的跌倒风险评估的频率和有效的干预措施来增加它们.
研究的目的:
- 评估提醒调查干预是否会增加内科医生与老年成人患者发起的跌倒风险和预防讨论的频率和比例.
主要方法:
- 在城市内科住院诊所进行了一项定量干预前后研究.
- 居民接受了"阻止老年人事故,死亡和伤害" (STEADI) 跌倒风险评估工具一周.
- 在干预之前和干预结束三个月后,对居民进行了匿名调查.
主要成果:
- 居民发起的跌倒风险和预防讨论的比例在干预后显著增加 (43%至81%,P=0.03).
- 居民报告说,增加了对跌倒风险 (14%对19%) 和预防 (3.6%对19%) 的讨论,尽管在统计学上并不显著.
- 忘记作为障碍在居民中减少了 (57%至44%).
结论:
- 落风险工具 STEADI 作为一个有希望的提醒干预,以加强居民主动的关于落风险和预防的讨论.
- 更大的多站点研究是必要的,以证实这些发现的统计学意义和更广泛的适用性.
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