在住院期间应用的平衡相关干预措施:系统性审查和元分析
Bruna Wageck1, Arine O E Rodrigues1, Matheus da Fontoura Dias1
1Department of Physiotherapy and Rehabilitation, Federal University of Santa Maria, Santa Maria/RS, Brazil.
Disability and rehabilitation
|July 20, 2025
概括
平衡干预改善了住院患者的功能和生活质量. 然而,它们并没有显著降低落率,缩短住院时间,或增强住院成年人的姿势控制.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 跌倒是住院患者的一个重大问题,影响了康复和停留时间.
- 需要有效的干预措施来改善患者的治疗结果,并减少医疗负担.
研究的目的:
- 评估住院成人的平衡相关干预措施的有效性.
- 评估对跌倒,姿势控制,功能,生活质量和住院时间的影响.
主要方法:
- 随机对照试验的系统审查和元分析.
- 在主要数据库 (Medline,EMBASE,CINAHL,Web of Science,Cochrane Library) 进行的搜索,截至2025年6月.
- 包括12项试验,包括1374名住院成年参与者.
主要成果:
- 平衡干预措施对跌倒率 (RR=1.06) 或姿势控制 (SMD=0.57) 没有显著影响.
- 没有观察到医院住院时间的显著减少 (MD=0.02天).
- 在生活质量 (SMD=0.34) 和功能 (SPPB SMD=0.70,PROMs SMD=0.33,TUG SMD=-0.23,步行速度SMD=0.30) 中注意到了显著的改善.
结论:
- 与平衡相关的干预措施有效地提高住院患者的功能和生活质量.
- 这些干预措施似乎没有降低跌倒率,缩短住院时间,或改善姿势控制.
- 可能需要进一步的研究来优化全面住院护理的平衡干预措施.
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