Experiences and perceptions of fear of falling in older adults: A systematic review and meta-synthesis of qualitative studies

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-11-22 DOI:10.1016/j.gerinurse.2024.11.003

Qiuyue Cui, Ying Zhong, Yuxin Gui, Shuai Ma, Yuan Ge

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Abstract

Objective

To examine and synthesize qualitative data about the experiences of fear of falling in older adults.

Method

This review used the Joanna Briggs methodology for qualitative systematic reviews. The PubMed, Cochrane Library, Embase, Web of Science, PsycINFO, CINAHL, CBMdisc, CNKI, Wanfang, and VIP databases were searched up to December 2023. In addition, gray literature was manually searched and the references of included studies were traced. Qualitative data was evaluated, synthesized, and analyzed by meta-synthesis.

Result

18 studies were included and 3 themes were summarized, including: multiple fear disturbances; needs not fully met; and self-management strategies.

Conclusion

The experiences of older adults suffering from fear of falling needs more attention. Health care providers should identify problems from Older adults' experiences of fear of falling, they should recognize the subjective experiences and unique needs of older adults, understand the underlying behavioral reasons for their fear of falling, and offer effective self-management techniques to enhance their quality of life.

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老年人对跌倒恐惧的经历和看法：定性研究的系统回顾和元综合。

目的研究并综合有关老年人跌倒恐惧经历的定性数据：本综述采用乔安娜-布里格斯（Joanna Briggs）定性系统综述方法。检索了 PubMed、Cochrane Library、Embase、Web of Science、PsycINFO、CINAHL、CBMdisc、CNKI、万方和 VIP 数据库，检索期截至 2023 年 12 月。此外，还人工检索了灰色文献，并追踪了纳入研究的参考文献。结果：共纳入 18 项研究，总结出 3 个主题，包括：多重恐惧干扰；需求未得到充分满足；自我管理策略：结论：老年人对跌倒的恐惧需要得到更多关注。医疗服务提供者应从老年人害怕跌倒的经历中发现问题，认识到老年人的主观体验和独特需求，了解他们害怕跌倒的潜在行为原因，并提供有效的自我管理技巧，以提高他们的生活质量。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.