Banez Carol, Tully Sandra, Amaral Lina, Kwan Debbie, Kung Anita, Mak Kitty, Moghabghab Rola, Alibhai Shabbir M H
University Health Network, Toronto, Canada.
J Am Geriatr Soc. 2008 Aug;56(8):1549-55. doi: 10.1111/j.1532-5415.2008.01790.x. Epub 2008 Jun 28.
This article describes the development and implementation of an Interprofessional Falls Prevention Program (IFPP) designed for community-dwelling seniors. The program was a collaborative pilot research study conducted in a retirement home and an outpatient hospital setting. The pilot was successful and was positioned into a permanent falls prevention program. The IFPP aimed at improving physical function and balance and reducing the fear of falling in seniors with a history of falls. The pilot study included an interprofessional falls assessment followed by a 12-week program of once-weekly group education and exercise sessions, 3- and 6-month follow-up visits, and individual counseling. To measure program effectiveness, the Berg Balance Scale, the Timed Up and Go Test, the Falls Efficacy Scale, and the Morse Fall Risk Scale were used at baseline, upon program completion, and at 3- and 6-month follow-up. Process measures were also collected, including patient satisfaction. Persistent improvements were found in participants' balance, strength, functional mobility, and fear of falling. Patient satisfaction with the program was high. Challenges faced in program implementation are also highlighted.
本文介绍了一项为社区居住的老年人设计的跨专业跌倒预防计划（IFPP）的开发与实施情况。该计划是在一家养老院和一家门诊医院环境中进行的一项合作试点研究。试点取得了成功，并被纳入一项永久性的跌倒预防计划。IFPP旨在改善有跌倒史的老年人的身体功能和平衡能力，并减少他们对跌倒的恐惧。试点研究包括一次跨专业跌倒评估，随后是一个为期12周的计划，每周进行一次小组教育和锻炼课程、3个月和6个月的随访以及个人咨询。为了衡量计划的有效性，在基线、计划完成时以及3个月和6个月随访时使用了伯格平衡量表、定时起立行走测试、跌倒效能量表和莫尔斯跌倒风险量表。还收集了过程指标，包括患者满意度。研究发现参与者的平衡能力、力量、功能活动能力以及对跌倒的恐惧都持续得到改善。患者对该计划的满意度很高。文中还强调了计划实施过程中面临的挑战。
