Soyano Ayako, Suzuki Mizue
Shinshu University.
Clin Calcium. 2008 Jun;18(6):776-83.
Fall prevention interventions for patients with dementia are broadly classified into those aimed at the patients themselves and those aimed at caregivers and the living environment. The former includes exercise programs, but these interventions have a low adherence and have not led to decreases in the incidence of falls. The latter includes comprehensive, multidisciplinary measures that are conducted at medical and welfare facilities commonly used by elderly with dementia, such as fall risk assessment, dementia care management, and education for caregivers. Although comprehensive, multidisciplinary interventions for fall prevention that focus on fall risk management were shown to be effective, their effects with specific regard to elderly with dementia have not been sufficiently elucidated, and remain a future issue.
针对痴呆症患者的跌倒预防干预措施大致可分为针对患者自身的措施以及针对护理人员和生活环境的措施。前者包括运动项目，但这些干预措施的依从性较低，且并未导致跌倒发生率的降低。后者包括在痴呆症老年人常用的医疗和福利设施中实施的综合多学科措施，如跌倒风险评估、痴呆症护理管理以及对护理人员的教育。尽管以跌倒风险管理为重点的综合多学科跌倒预防干预措施已被证明是有效的，但它们对痴呆症老年人的具体效果尚未得到充分阐明，仍是未来需要解决的问题。
