老年人眼科医生和跌倒预防:一个范围审查
Jingyi Chen1, Khyber Alam1, Si Ye Lee1,2
1Department of Optometry, School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.
Geriatrics & gerontology international
|February 10, 2025
概括
社区眼科医生对老年人防摔指南的认识和实施有限. 证据和实践之间存在差距,突出需要更好地理解和整合防摔策略.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
背景情况:
- 年长的成年人有较高的跌倒风险,预防跌倒是关键的公共卫生问题.
- 眼科医生处于独特的地位,可以在社区环境中提供预防跌倒的建议.
- 现有的文献缺乏对社区眼科医生的落预防实践的全面理解.
研究的目的:
- 绘制和综合社区眼科医生关于老年人跌倒预防的意识和行为的证据.
- 识别障碍物和推动者,在社区眼科护理环境中实施防摔证据.
主要方法:
- 以阿克西和奥马利框架和PRISMA-ScR指南为指导的范围审查.
- 在MEDLINE,CINAHL Complete,Embase,Web of Science和OpenMD搜索了从1990年1月到2024年10月的文献.
- 数据与世界布指南框架 (风险分层,评估,管理) 以及障碍/支持者框架进行映射.
主要成果:
- 19个来源符合纳入标准;很少有研究直接关注眼科医生.
- 有证据表明,落后指南的实施存在差距.
- 实践者表现出对跌倒的认识很低,并且没有定期进行跌倒风险评估 (例如,历史记录,视野评估).
结论:
- 眼科医生有一些防摔意识,但需要对基于证据的指导方针有更好的理解.
- 目前的证据与其转化为社区眼科护理实践之间存在重大差距.
- 未来的研究应该调查从业人员的经验,以改善跌倒预防的整合.
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