{"title":"评估住院老年人跌倒的风险因素：元分析。","authors":"Hongyan Yang, Yingzhao Jiang, Xiaofeng Yang, Caihong Zhu, Lingyun Luo, Wenjie Hao","doi":"10.3928/19404921-20240911-02","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate risk factors for falls in hospitalized older adults to justify the adoption of targeted nursing measures.</p><p><strong>Method: </strong>Meta-analysis was used to synthesize national and international published studies on risk factors for falls in hospitalized older adults.</p><p><strong>Results: </strong>A total of 10 studies were included. Administration of psychotropic drugs, limb weakness, weak walking ability or unsteady gait, visual impairment, and history of falls were risk factors for the occur-rence of falls in hospitalized older adults. Administration of psychotropic drugs had the highest association with falls (odds ratio [OR] = 1.86; 95% confidence interval [CI] [0.58, 3.14]) followed by limb weakness (OR = 1.59; 95% CI [0.26, 2.92]) and visual impairment (OR = 1.51; 95% CI [0.22, 2.80]). The lowest combined OR for the association between weak walking ability or unsteady gait and falls was 1.05 (95% CI [0.60, 1.50]) compared with 1.38 (95% CI [1.15, 1.60]) for history of falls.</p><p><strong>Conclusion: </strong>The current meta-analysis derived risk factors for falls in hospitalized older adults, with results having greater stability and reliability than those of a single study. [<i>Research in Gerontological Nursing, 17</i>(5), 238-245.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 5","pages":"238-245"},"PeriodicalIF":1.1000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of Risk Factors for Falls in Hospitalized Older Adults: A Meta-Analysis.\",\"authors\":\"Hongyan Yang, Yingzhao Jiang, Xiaofeng Yang, Caihong Zhu, Lingyun Luo, Wenjie Hao\",\"doi\":\"10.3928/19404921-20240911-02\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate risk factors for falls in hospitalized older adults to justify the adoption of targeted nursing measures.</p><p><strong>Method: </strong>Meta-analysis was used to synthesize national and international published studies on risk factors for falls in hospitalized older adults.</p><p><strong>Results: </strong>A total of 10 studies were included. Administration of psychotropic drugs, limb weakness, weak walking ability or unsteady gait, visual impairment, and history of falls were risk factors for the occur-rence of falls in hospitalized older adults. Administration of psychotropic drugs had the highest association with falls (odds ratio [OR] = 1.86; 95% confidence interval [CI] [0.58, 3.14]) followed by limb weakness (OR = 1.59; 95% CI [0.26, 2.92]) and visual impairment (OR = 1.51; 95% CI [0.22, 2.80]). The lowest combined OR for the association between weak walking ability or unsteady gait and falls was 1.05 (95% CI [0.60, 1.50]) compared with 1.38 (95% CI [1.15, 1.60]) for history of falls.</p><p><strong>Conclusion: </strong>The current meta-analysis derived risk factors for falls in hospitalized older adults, with results having greater stability and reliability than those of a single study. [<i>Research in Gerontological Nursing, 17</i>(5), 238-245.].</p>\",\"PeriodicalId\":51272,\"journal\":{\"name\":\"Research in Gerontological Nursing\",\"volume\":\"17 5\",\"pages\":\"238-245\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research in Gerontological Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/19404921-20240911-02\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Gerontological Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/19404921-20240911-02","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：调查住院老年人跌倒的风险因素，为采取有针对性的护理措施提供依据：结果：共纳入 10 项研究：结果：共纳入了 10 项研究。服用精神药物、四肢无力、行走能力弱或步态不稳、视力障碍和跌倒史是住院老年人发生跌倒的风险因素。服用精神药物与跌倒的关系最大（几率比 [OR] = 1.86；95% 置信区间 [CI] [0.58，3.14]），其次是四肢无力（OR = 1.59；95% CI [0.26，2.92]）和视力障碍（OR = 1.51；95% CI [0.22，2.80]）。行走能力弱或步态不稳与跌倒之间的最低综合 OR 值为 1.05（95% CI [0.60，1.50]），而跌倒史的综合 OR 值为 1.38（95% CI [1.15，1.60]）：目前的荟萃分析得出了住院老年人跌倒的风险因素，其结果比单项研究的结果更稳定、更可靠。[老年护理研究》（Research in Gerontological Nursing），17（5），238-245。
Assessment of Risk Factors for Falls in Hospitalized Older Adults: A Meta-Analysis.
Purpose: To investigate risk factors for falls in hospitalized older adults to justify the adoption of targeted nursing measures.
Method: Meta-analysis was used to synthesize national and international published studies on risk factors for falls in hospitalized older adults.
Results: A total of 10 studies were included. Administration of psychotropic drugs, limb weakness, weak walking ability or unsteady gait, visual impairment, and history of falls were risk factors for the occur-rence of falls in hospitalized older adults. Administration of psychotropic drugs had the highest association with falls (odds ratio [OR] = 1.86; 95% confidence interval [CI] [0.58, 3.14]) followed by limb weakness (OR = 1.59; 95% CI [0.26, 2.92]) and visual impairment (OR = 1.51; 95% CI [0.22, 2.80]). The lowest combined OR for the association between weak walking ability or unsteady gait and falls was 1.05 (95% CI [0.60, 1.50]) compared with 1.38 (95% CI [1.15, 1.60]) for history of falls.
Conclusion: The current meta-analysis derived risk factors for falls in hospitalized older adults, with results having greater stability and reliability than those of a single study. [Research in Gerontological Nursing, 17(5), 238-245.].
期刊介绍：
Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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