Härlein J, Scheffel E, Heinze C, Dassen T
Staatliche Berufsfachschule für Krankenpflege am Universitätsklinikum Erlangen, Universitätsstr. 42-44, 91054 Erlangen, Germany.
Z Gerontol Geriatr. 2007 Jun;40(3):185-91. doi: 10.1007/s00391-007-0452-4.
Elderly persons suffering dementia are at increased risk for falls. Because of this, an investigation of the state of the science and the state of the art in fall prevention in patients suffering dementia has been made. A systematic literature review showed lack of documentation of effective interventions in preventing falls in persons with cognitive impairment. This was the reason for studying which measures nurses undertake in the field of long-term-care. Focus-group interviews with experienced geriatric nurses were undertaken. Nurses assume that there are specific risk factors in this patient group which have to be taken into account. Cognitive deficits are causing an increased fall risk in a specific manner. Geriatric nurses have ideas about how to adapt interventions for persons with dementia. They also assume that interventions primarily addressing cognitive disorders may also reduce the risk of falling. The interventions mentioned by the interviewed experts have not yet been examined concerning their effectiveness, therefore, fall prevention for people with dementia has to be further differentiated and systemized on a scientific basis.
患有痴呆症的老年人跌倒风险增加。因此,对痴呆症患者预防跌倒的科学现状和技术现状进行了调查。系统的文献综述表明,缺乏关于预防认知障碍患者跌倒的有效干预措施的文献记录。这就是研究护士在长期护理领域采取哪些措施的原因。对经验丰富的老年护士进行了焦点小组访谈。护士们认为,该患者群体存在一些特定的风险因素,必须加以考虑。认知缺陷以特定方式导致跌倒风险增加。老年护士对于如何调整针对痴呆症患者的干预措施有想法。他们还认为,主要针对认知障碍的干预措施也可能降低跌倒风险。受访专家提到的干预措施尚未对其有效性进行检验,因此,痴呆症患者的跌倒预防必须在科学基础上进一步细化和系统化。