"这是常识":老年人的个人策略,以防止在医院跌倒. 一个定性描述性研究
Hanne Dolan1, Andrew Daniels1, David W Coon1
1Arizona State University Edson College of Nursing and Health Innovation, Phoenix, Arizona, USA.
Journal of clinical nursing
|June 20, 2025
概括
在医院的老年人使用个人策略来管理平衡并防止跌倒,为自己的安全负责. 医疗人员应该认识到并支持这些自我有效的平衡管理技术.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健研究 医疗保健研究
- 患者安全 患者安全
背景情况:
- 跌倒对老年人来说是一个很大的风险,特别是在住院期间.
- 有效的平衡管理策略对于防止这一人口群体的下降至关重要.
研究的目的:
- 描述老年人在医院环境中使用的平衡维护和跌倒预防策略.
- 了解老年人对住院期间平衡管理的看法.
主要方法:
- 在美国农村医院,使用半结构面试对15名老年人 (平均年龄77岁) 进行了定性描述性研究.
- 根据扩展健康信念模型指导,对音频录制的采访进行内容分析,以确定主题.
- 通过独立分析和共识确保可信度,坚持林肯和古巴的标准.
主要成果:
- 四个主要主题出现了:平衡的个人责任,自我有效的常识策略,医院工作人员的影响 (积极或消极),以及支持需求.
- 老年人积极规划和执行环境观察,设备评估,保持专注和缓慢运动等策略.
- 医院工作人员的协助各不相同,有时会阻碍平衡管理;老年人更喜欢用于预防跌倒的指导学习.
结论:
- 农村地区住院的老年人使用独立和自我有效的平衡管理策略.
- 医疗保健提供者必须承认并将老年人的个人平衡策略纳入护理.
- 未来的跌倒预防干预措施应该以患者为中心,应对最佳和次优平衡行为,以减少住院患者的跌倒.
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