Quigley Patricia A, Bulat Tatjana, Hart-Hughes Stephanie
VISN 8 Patient Safety Center, USA.
Rehabil Nurs. 2007 May-Jun;32(3):120-5. doi: 10.1002/j.2048-7940.2007.tb00163.x.
Rehabilitation nurses are in a critical position to lead interdisciplinary team fall prevention management, including injury risk reduction. This article provides an update for rehabilitation nurses on evidence-based strategies to reduce patients'risk of fall-related injuries. This content builds on existing literature by focusing on knowledge to promote patient responses that reduce the risk of falls and ultimately fall-related injuries. Although rehabilitation nurses understand the complex nature of falls, addressing the intrinsic and extrinsic risk factors that increase the risk of fall-related injuries requires both individually based treatment programs and a system-wide commitment. A plethora of literature discusses fall risks and falls, but this article profiles the at-risk patient and describes current and emerging evidence-based interventions to protect patients from fall-related injuries by reducing risk factors. This discussion is limited to exercise, environmental redesign, osteoporosis prevention, and hip protectors.
康复护士在领导跨学科团队进行跌倒预防管理(包括降低受伤风险)方面处于关键地位。本文为康复护士提供了关于基于证据的策略的最新信息,以降低患者发生跌倒相关损伤的风险。本内容基于现有文献,重点关注促进患者反应的知识,以降低跌倒风险并最终减少跌倒相关损伤。尽管康复护士了解跌倒的复杂性,但应对增加跌倒相关损伤风险的内在和外在风险因素既需要基于个体的治疗方案,也需要全系统的承诺。大量文献讨论了跌倒风险和跌倒情况,但本文介绍了高危患者,并描述了当前和新出现的基于证据的干预措施,通过降低风险因素来保护患者免受跌倒相关损伤。本讨论仅限于运动、环境重新设计、骨质疏松症预防和髋部保护器。