解决对老年人跌倒的担忧的现有心理干预措施:范围审查
Bianca Nicklen1, Kim Delbaere2,3, Toby Jack Ellmers1
1Department of Brain Sciences, Imperial College London, London W6 8RP, UK.
Age and ageing
|October 19, 2025
概括
心理干预有效地减少了对老年人跌倒的担忧,认知行为疗法是最常见的. 然而,干预的持续时间和资源需求可能会限制临床使用.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 老年人中普遍存在对跌倒 (CaF) 的担忧,影响他们的生活质量并增加跌倒风险.
- 心理因素在CaF中起着重要作用,需要有针对性的干预措施.
研究的目的:
- 在老年人中对CaF进行心理干预的范围审查.
- 评估这些干预措施的可行性和可接受性.
主要方法:
- 在五个主要数据库中使用Arksey和O'Malley框架进行了系统搜索.
- 包括的研究使用了基于心理学的方法来解决老年人群中的CaF问题.
主要成果:
- 分析了32项涉及3674名参与者的干预措施,采用了13种不同的心理方法.
- 认知行为疗法 (CBT) 是最常见的干预措施 (n=15).
- 大多数干预措施都显示了CaF的显著降低,持续时间各不相同;有些只需20分钟的激励面试会话就有效了.
结论:
- 虽然用于CaF的各种心理技术,特别是CBT,但它们的大量时间和资源需求给临床实施带来了挑战.
- 进一步的研究应该调查医疗保健提供者和老年人的观点,以优化CaF管理策略.
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