探讨社区居住老年人跌倒风险的因素:文献综述

Ola Hassan Hamato, Jessie Johnson, Hajer Arbabi, Daniel Forgrave, Sumayya Ansar
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摘要

背景:跌倒是社区老年人独立生活的一大威胁。随着人们年龄的增长,跌倒的机会也在增加,这就增加了发病率和死亡率。与跌倒有关的后果影响到家庭、社区和卫生保健系统。因此,初级保健公司(PHCC)力求减少卡塔尔社区居住的老年人跌倒的次数。目的:探讨社区居住老年人跌倒的危险因素。告知初级保健中心护士的教育,使他们可能开始关注预防策略。方法:Cronin等人的框架指导了本综合文献综述。使用CINAHL、Academic Search Complete、Embase和PubMed数据库检索相关文章。搜索过程返回了20篇符合纳入要求的文章。结果:多种内因和外因因素导致社区居住老年人跌倒。内在因素包括社会人口因素、身体健康因素、生理因素、感官因素、心理因素和社会因素。环境因素是唯一的外在因素。结论:本文献回顾的发现可用于教育计划的创建,以提高家庭护理护士对社区居住的老年人跌倒原因的理解和态度。通过这个项目,护士可以开始预测导致跌倒的因素,从而找到有助于减少跌倒的策略。
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Exploring factors contributing to the risk of falls in community-dwelling older adults: A review of the literature
Background: Falling is a big threat to community-dwelling older adults’ independence. The chance of falling increases as people become older, which increases morbidity and mortality. The outcomes related to falls impact families, communities, and healthcare systems. As a result, the Primary Health Care Corporation (PHCC) seeks to decrease the number of falls for community-dwelling older adults in Qatar.Aims: To explore the risk factors for falls in community-dwelling older adults. To inform the education of PHCC nurses so that they might begin to look at prevention strategies.Method: Cronin et al.’s framework guided this integrative literature review. CINAHL, Academic Search Complete, Embase, and PubMed databases were utilized to search for relevant articles. The search process returned 20 articles that met the inclusion requirements.Results: Various intrinsic and extrinsic factors lead to falls in community-dwelling older adults. The intrinsic factors include socio-demographic factors, physical health factors, physiological factors, sensory factors, psychological factors, and social factors. Environmental factors were the sole extrinsic factor.Conclusion: The findings of this literature review can be used to inform the creation of an educational program to improve home care nurses’ understanding of and attitudes toward the causes of falls in community-dwelling older adults. Through this program, nurses may begin to predict factors that lead to falls and, therefore, find strategies that help to reduce them.
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