预防跌倒策略中的健康素养:范围审查。

IF 2.1 3区 医学 Q2 NURSING Asian Nursing Research Pub Date : 2024-11-14 DOI:10.1016/j.anr.2024.10.011
Yusun Park, Sung Reul Kim, Hyun-Ju Seo, Jeonghyun Cho
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引用次数: 0

摘要

目的:尽管健康素养(HL)在跌倒预防策略中的重要性日益凸显,但有关健康素养与跌倒的关系、影响和作用的知识却十分有限。本次范围界定综述旨在探索和综合当前有关健康素养在医院和社区环境中加强跌倒预防作用的证据:我们遵照乔安娜-布里格斯研究所手册和《系统综述和荟萃分析首选报告项目》扩展版进行范围界定综述。在 2023 年 11 月之前,我们使用医学主题词和文本词对 PubMed、CINAHL、EMBASE 和 Cochrane 图书馆进行了检索。与 HL 和跌倒相关的研究,无论研究设计如何,均被视为符合条件:我们筛选了 99,249 条记录,其中 27 条被纳入:结果:我们筛选了 99,249 条记录,其中 27 条被纳入:12 项干预性研究、7 项观察性研究、4 项定性研究和 4 项混合方法研究。三分之二的研究是在社区环境中进行的。四项观察性研究报告称,HL 与跌倒相关结果(包括跌倒发生率)有关。虽然干预研究并不包括基于健康素养框架的健康素养的所有要素,但在 12 项干预研究中,有 8 项研究报告了嵌入健康素养的跌倒预防干预措施的效果,有 6 项研究报告了健康素养对跌倒相关结果(包括跌倒发生率)的有效性。14 项研究中有 3 项报告了跌倒相关健康素养的测量特性。虽然可以通过有针对性的信息、口头汇报、互动交流和文化适应性干预来提高HL,但在定性和混合方法研究中,低HL阻碍了对教育的理解、参与性干预以及在实施跌倒预防干预中使用技术设备:本范围综述表明,护士需要认识到并评估患者的 HL 是跌倒的潜在风险因素,并根据参与者的 HL 水平实施跌倒预防干预措施。需要开展进一步的研究,以开发适用于各种弱势人群和环境的、适应不同文化并与跌倒相关的 HL 测量方法。
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Health Literacy in Fall Prevention Strategy: A Scoping Review.

Purpose: Although the significance of health literacy (HL) in fall prevention strategies is growing, limited knowledge is available regarding the relationship, impact, and role of HL in falls. This scoping review aimed to explore and synthesize the current evidence regarding the role of HL in enhancing fall prevention in hospital and community settings.

Methods: We adhered to the Joanna Briggs Institute manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews. PubMed, CINAHL, EMBASE, and the Cochrane Library were searched until November 2023 using Medical Subject Headings and text words. Studies related to HL and falls, regardless of study design, were considered eligible.

Results: We screened 99,249 records, of which 27 were included: 12 interventional studies, seven observational studies, four qualitative studies, and four mixed methods studies. Two-thirds of the studies were conducted in community-based settings. Four observational studies reported that HL was associated with fall-related outcome including fall incidence. Although intervention studies did not encompass all elements of HL based on the Health Literacy Framework, eight out of 12 intervention studies reported effect of HL-embedded fall prevention interventions, and HL was effective in fall-related outcomes including fall incidence in six studies. Three of 14 studies reported the measurement properties of fall-related HL. While HL can be increased through tailored information, verbal debriefing, interactive communication, and culturally adapted interventions, low HL impedes the understanding of education, engaging interventions, and using technological devices in implementing fall prevention interventions in qualitative and mixed methods studies.

Conclusion: This scoping review suggests that nurses need to recognize and assess patients' HL as a potential risk factor for falls and implement fall prevention interventions based on the HL level of participants. Further research is required to develop culturally adapted and fall-relevant HL measures applicable to various vulnerable populations and settings.

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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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