van Haastregt J C, Diederiks J P, van Rossum E, de Witte L P, Voorhoeve P M, Crebolder H F
Research Division, Institute for Rehabilitation Research, PO Box 192, 6430 AD Hoensbroek, Netherlands.
BMJ. 2000 Oct 21;321(7267):994-8. doi: 10.1136/bmj.321.7267.994.
To evaluate whether a programme of multifactorial home visits reduces falls and impairments in mobility in elderly people living in the community.
Randomised controlled trial with 18 months of follow up.
Six general practices in Hoensbroek, the Netherlands.
316 people aged 70 and over living in the community, with moderate impairments in mobility or a history of recent falls.
Five home visits by a community nurse over a period of one year. Visits consisted of screening for medical, environmental, and behavioural factors causing falls and impairments in mobility, followed by specific advice, referrals, and other actions aimed at dealing with the observed hazards.
Falls and impairments in mobility.
No differences were found in falls and mobility outcomes between the intervention and usual care groups.
Multifactorial home visits had no effects on falls and impairments in mobility in elderly people at risk who were living in the community. Because falls and impairments in mobility remain a serious problem among elderly people, alternative strategies should be developed and evaluated.
评估多因素家庭访视计划是否能减少社区老年人的跌倒及行动能力障碍。
为期18个月随访的随机对照试验。
荷兰洪斯布罗克的6家普通诊所。
316名年龄在70岁及以上的社区居民,行动能力有中度障碍或近期有跌倒史。
社区护士在一年内进行5次家庭访视。访视包括筛查导致跌倒及行动能力障碍的医学、环境和行为因素,随后给出针对性建议、进行转诊及采取其他措施以应对观察到的危险因素。
跌倒及行动能力障碍。
干预组和常规护理组在跌倒及行动能力结果方面未发现差异。
多因素家庭访视对社区中有跌倒风险的老年人的跌倒及行动能力障碍没有影响。由于跌倒及行动能力障碍在老年人中仍然是一个严重问题,应制定并评估替代策略。