预防短期住院体弱多病老年人跌倒:使用防滑袜子。系统的文献综述。

IF 0.3 Q4 Medicine Recherche en Soins Infirmiers Pub Date : 2021-01-01 DOI:10.3917/rsi.146.0060
Thomas Pelliard, Marine Brika, Thomas Rulleau
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引用次数: 0

摘要

导读:在住院的体弱老年患者中,跌倒是一个令人担忧的日常重大现象。背景:在这一人群中经常观察到的不合适的鞋子是跌倒背后的主要危险因素之一。一些医院使用防滑袜子作为预防措施。然而,在循证医学的背景下,验证其有效性是否存在强有力的证据是很重要的。目的:本研究的目的是确定防滑袜的预防效果。方法:调查5个数据库(PubMed、PEDro、Cochrane、ScienceDirect和Google Scholar)。采用PICO方法建立了包括老年住院患者在内的研究的资格标准。结果:纳入7项研究。防滑袜在减少跌倒复发(p=0.009)和与尿失禁相关的跌倒发生率方面显示出预防作用。讨论:几项研究总结了与传统袜子或拖鞋相比,防滑袜子的附加值。在得出结论时,考虑到所选研究固有的局限性。结论:目前最推荐的选择是治疗师认为安全且患者认为安全的鞋子。然而,需要更多的临床研究来支持我们的发现。
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Prévention des chutes chez les personnes âgées fragiles hospitalisées en court séjour : utilisation des chaussettes antidérapantes. Une revue systématique de littérature.

Introduction: Falls among hospitalized frail elderly patients are a worrying, major daily phenomenon.

Context: Inadequate footwear, frequently observed in this population, is one of the main risk factors behind falls. Several hospitals use non-slip socks as a preventive measure. However, in the context of evidence-based medicine, it is important to verify the existence of strong evidence for their effectiveness.

Objective: The aim of this study is to determine the preventive effectiveness of non-slip socks.

Method: Five databases were investigated (PubMed, PEDro, Cochrane, ScienceDirect, and Google Scholar). Eligibility criteria were established (using the PICO method), for studies including elderly hospitalized patients.

Results: Seven studies were included. Non-slip socks showed a preventive effect in reducing the recurrence of falls (p=0.009) and the prevalence of falls related to urinary incontinence.

Discussion: Several studies conclude on the added value of non-slip socks compared to traditional socks or slippers. The limitations inherent in the selected studies are taken into account when drawing conclusions.

Conclusion: Footwear that is considered safe by therapists and secure by the patient is currently the most recommended option. However, more clinical studies are needed to support our findings.

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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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