救护车对老年人摔倒的反应:一个系统的审查
Imogen M Gunson1,2, Chloé Barley2, Andy Rosser2
1Faculty of Medicine & Health Sciences, Keele University, Newcastle-under-Lyme, UK.
Age and ageing
|August 17, 2025
概括
针对老年人摔倒的结构化救护照顾改善了结果. 实施跌倒路径可以提高患者的护理,但护理人员的采用和指南的相关性需要进一步研究以获得更广泛的应用.
科学领域:
- 老年学是一门学科.
- 紧急医疗服务 紧急医疗服务
- 公共卫生 公共卫生
背景情况:
- 跌倒是老年人的一个重大问题,约占紧急救护车呼叫的10%.
- 老年人摔倒的结构化管理可能会改善患者的治疗结果和医疗保健的成本效益.
研究的目的:
- 综合有关救护车照顾老年人摔倒的证据.
- 评估这些干预措施对患者结果的影响.
主要方法:
- 在多个数据库 (CINAHL,MEDLINE,Embase,HMIC,Web of Science,AMBER) 进行了全面的文献搜索,没有日期限制.
- 在使用Joanna Briggs Institute工具进行质量评估后,包括随机集群试验和队列研究在内的9项同行评审研究被纳入.
- 数据使用 PRISMA 准则的叙事合成进行了合成.
主要成果:
- 用特定于季节的决策工具或转诊途径管理的患者的住院时间减少,获得社区医疗保健的机会增加.
- 尽管现有的秋季应急计划取得了积极的成果,但护理人员的接受程度不佳限制了广泛的影响.
- 观察到遵守国家指导方针,患者的社会因素,如独自生活,影响了偏差.
结论:
- 实施的下降途径表明患者的治疗结果有所改善,尽管环境特定的因素影响了成功实施.
- 救护车工作人员通常遵循指导方针,但它们与当代呈现和治疗方法的当前相关性需要评估.
- 需要进行进一步的研究,以开发针对老年人的救护车式倒护理的可通用方法.
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