认知障碍老年人防摔干预措施:系统性文献综述和元分析
Hyein Choi1, Sunghee H Tak2,3, Dayeon Lee4
1College of Nursing, Gyeongsang National University, Jinju-si, Gyeongsangnam-do, Republic of Korea.
Western journal of nursing research
|October 17, 2025
概括
预防跌倒的干预措施显著降低了认知障碍的老年人的跌倒率. 针对性,基于证据的策略对于这个高风险群体至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 认知障碍的老年人面临着由于判断力,平衡力和运动能力受损而增加的跌倒风险.
- 在这个人口群体中,预防跌倒干预措施的有效性尚未得到充分证实.
研究的目的:
- 评估预防跌倒干预措施对经历认知障碍的老年人跌倒发生率的影响.
- 这一系统性审查和元分析旨在综合当前的证据.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 从2014年1月至2023年12月,搜索了六个数据库,查找随机或准实验性试验 (≥60岁与认知障碍) 从2025年5月进行更新的搜索.
- 包括17项研究 (10项在元分析中) 评估质量,使用随机效应模型合成数据.
主要成果:
- 干预措施包括运动,技术和环境/认知策略,持续4-52周.
- 分析显示,干预组的摔倒率显著降低 (IRR=0.82,95% CI:0.69-0.98).
- 发现了适度的异质性 (I2=73.7%,p<.001).
结论:
- 预防跌倒的干预措施有效地降低了认知障碍的老年人中跌倒率.
- 实施定制的,基于证据的防摔策略对于这个脆弱人群至关重要.
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