高级实践护士在健壮的老年人中预防摔倒发病率:APN-FIT混合随机对照试验的协议
Jérémie Huet1,2, Cédric Rat3, Carine Renaux4
1Pole de Gérontologie Clinique, Nantes Université, CHU Nantes, Nantes, F-44000, France. jeremie.huet@chu-nantes.fr.
BMC geriatrics
|November 22, 2025
概括
高级实践护士 (APN) 可以帮助预防老年人的跌倒. 这项研究表明,APN主导的随访可以减少强壮老年人的跌倒发生率和延迟脆弱性.
科学领域:
- 老年学是指老年学的学科.
- 预防医学 预防医学
- 护理实践 护理实践
背景情况:
- 跌倒是导致老年人残疾和虚弱的主要原因,对大规模的预防计划构成挑战.
- 高级实践护士 (APN) 在初级保健中越来越重要,为老年人提供以患者为中心的多式联络预防护理的潜力.
- APN-FIT试验调查了APN在强壮,社区生活的老年人中预防跌倒方面的作用.
研究的目的:
- 评估APN进行12个月个性化多模式跟踪的有效性,以减少80岁及以上的健壮成年人中跌倒的发生率.
- 评估APN主导的干预措施对内在能力领域和过渡到脆弱前或移动障碍方面的影响.
- 在临床试验的同时进行混合方法实施研究和成本效益分析.
主要方法:
- 一个多中心的,随机的,开放的标签,优越性试验 (APN-FIT) 涉及386名年龄≥80岁的参与者 (临床脆弱度量 ≤3).
- 参与者在综合老年学评估 (CGA) 后随机分配1:1;干预组在1,3,6,9和12个月后接受APN随访.
- 主要和次要结果,包括内在能力,12个月后重新评估;包括实施和经济评估.
主要成果:
- 与标准护理相比,在APN随访组中,跌倒发生率的预期减少.
- 预期的延迟从强度过渡到脆弱前或移动性受损.
- 将产生关于临床有效性,经济影响和实施可行性的数据.
结论:
- 由APN主导的跌倒预防计划有可能显著降低社区老年人的跌倒率.
- 这种方法可能有助于保持功能独立性,并延迟虚弱和移动问题的出现.
- 实用混合试验设计将提供全面的证据,证明APN在老年人预防跌倒的价值.
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