养老院的秋季风险管理:一个范围审查
Cecília Gaspar1,2, Larissa Chaves Pedreira3, Neuza Reis1
1Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, University of Lisbon, 1600-096 Lisbon, Portugal.
Healthcare (Basel, Switzerland)
|December 30, 2025
概括
预防养老院居民的跌倒需要采取全面的方法. 证据强调了综合评估,运动,环境变化和老年人教育的有效性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 护理科学 护理科学
背景情况:
- 人口老龄化带来了重大的公共卫生挑战,跌倒是老年人患病和死亡的主要原因.
- 由于身体,认知和环境因素,养老院面临着加剧的跌倒风险,需要有效的预防策略.
- 目前针对养老院中跌倒风险的可行的干预措施需要进一步澄清.
研究的目的:
- 绘制现有证据的干预措施,在制度化的老年人中降低风险管理.
- 突出关键策略,包括评估,练习,环境修改和教育计划.
- 为了确定当前的研究和实践中对于养老院防摔的差距.
主要方法:
- 根据JBI的指导方针进行了范围审查.
- 在主要数据库 (MEDLINE,CINAHL,Scopus,Cochrane,Web of Science) 中对2019年至2024年间发表的研究进行了搜索.
- 包括专注于护理干预措施的研究,用于在65岁以上的成年人中降落风险管理,居住在养老院.
主要成果:
- 18项研究符合最初1146个记录的纳入标准.
- 有效的干预措施包括验证的跌倒风险评估 (例如,TUG,BBS,摩尔斯跌倒量表).
- 运动计划 (例如,奥塔戈,多元组件培训),环境修改和教育举措表现出积极的结果.
结论:
- 在养老院有效的跌倒风险管理需要采用综合,多学科和以人为中心的方法.
- 护士在评估,协调和实施预防跌倒干预措施方面发挥着关键作用.
- 在标准化评估工具,对机构背景进行验证以及评估长期结果方面存在差距.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:21Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
01:30Heart Failure VII: Nursing Interventions
392
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
392
01:28Current Trends in Nursing I
5.2K
Current trends in nursing include:
5.2K
01:30Venous Thrombosis IV: Nursing Management
176
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
176
01:30Pneumonia V: Nursing management and Prevention
3.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.4K