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康复护理中降低跌倒相关伤害风险的策略。

Strategies to reduce risk of fall-related injuries in rehabilitation nursing.

作者信息

Quigley Patricia A, Bulat Tatjana, Hart-Hughes Stephanie

机构信息

VISN 8 Patient Safety Center, USA.

出版信息

Rehabil Nurs. 2007 May-Jun;32(3):120-5. doi: 10.1002/j.2048-7940.2007.tb00163.x.

DOI:10.1002/j.2048-7940.2007.tb00163.x
PMID:17514996
Abstract

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.

摘要

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。

相似文献

1
Strategies to reduce risk of fall-related injuries in rehabilitation nursing.康复护理中降低跌倒相关伤害风险的策略。
Rehabil Nurs. 2007 May-Jun;32(3):120-5. doi: 10.1002/j.2048-7940.2007.tb00163.x.
2
Musculoskeletal rehabilitation in osteoporosis: a review.骨质疏松症的肌肉骨骼康复:综述
J Bone Miner Res. 2004 Aug;19(8):1208-14. doi: 10.1359/JBMR.040507. Epub 2004 May 10.
3
Reducing falls and resulting hip fractures among older women.减少老年女性跌倒及由此导致的髋部骨折。
MMWR Recomm Rep. 2000 Mar 31;49(RR-2):3-12.
4
Falls in the nursing home: are they preventable?养老院中的跌倒:它们可以预防吗?
J Am Med Dir Assoc. 2004 Nov-Dec;5(6):401-6. doi: 10.1097/01.JAM.0000144553.45330.AD.
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Preventing falls and fall-related injuries in hospitals.预防医院内跌倒及相关伤害。
Clin Geriatr Med. 2010 Nov;26(4):645-92. doi: 10.1016/j.cger.2010.06.005.
6
[Fall and fracture risk].[跌倒与骨折风险]
Clin Calcium. 2010 Sep;20(9):1341-7.
7
[Prevention with hip protectors. Biomechanical aspects in falls and hip fractures].[使用髋部保护器进行预防。跌倒和髋部骨折的生物力学方面]
Nord Med. 1996 Dec;111(10):340-3.
8
Hip protectors: a pilot study of older people in Taiwan.髋部保护器:台湾老年人的一项试点研究。
J Clin Nurs. 2006 Apr;15(4):436-43. doi: 10.1111/j.1365-2702.2006.01346.x.
9
Prevention of fall-related injuries in the elderly: An Eastern Association for the Surgery of Trauma practice management guideline.老年人跌倒相关损伤的预防:东部创伤外科学会实践管理指南
J Trauma Acute Care Surg. 2016 Jul;81(1):196-206. doi: 10.1097/TA.0000000000001025.
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Fall and injury prevention in older people living in residential care facilities. A cluster randomized trial.居住在养老院的老年人跌倒与伤害预防。一项整群随机试验。
Ann Intern Med. 2002 May 21;136(10):733-41. doi: 10.7326/0003-4819-136-10-200205210-00008.

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A retrospective analysis of bilateral fractures over sixteen years: localisation and variation in treatment of second hip fractures.十六年双侧骨折回顾性分析:第二髋部骨折的定位和治疗变化。
Int Orthop. 2011 Oct;35(10):1545-51. doi: 10.1007/s00264-010-1176-4. Epub 2010 Dec 17.