Cozart Huberta-Corazon T, Cesario Sandra K
Prairie View A/M University College of Nursing, Houston, TX 77030, USA.
Crit Care Nurs Q. 2009 Apr-Jun;32(2):116-27. doi: 10.1097/CNQ.0b013e3181a27dc0.
This article reviews the scientific health and medical literature on accidental falls and fall prevention modalities specifically directed to the hospitalized elderly population over a 15-year period.
Electronic searches of databases include CINAHL, Cochrane Library, Dissertation Abstracts, ERIC, MEDLINE, MeSH, PubMed PEDro, Ulrich's, and Web of Science. Key words and controlled subject headings used include accidental falls, fall prevention, fall risk factors, hospitalized elderly, fall incidence and rates, and environmental and patient safety. Boolean operators were utilized. Search limits include English languages, human subjects, older adult population, clinical trials, and meta-analyses.
Wide array and multitude of papers were accessed. Analyses of the various documents from classical seminal works to the current technological studies were performed.
Fall prevention modalities may facilitate achievement of the ninth goal of The Joint Commission namely, to "reduce the risk of patient harm resulting form falls" and achievement of Healthy People 2010 15th goal namely, to "reduce death from falls."
本文回顾了15年间关于意外跌倒及专门针对住院老年人群的跌倒预防方式的科学健康与医学文献。
对多个数据库进行电子检索,包括护理学与健康领域数据库(CINAHL)、考科蓝图书馆、论文摘要数据库、教育资源信息中心(ERIC)、医学索引数据库(MEDLINE)、医学主题词表(MeSH)、医学期刊数据库(PubMed)、循证医学数据库(PEDro)、乌尔里希期刊指南及科学引文索引数据库(Web of Science)。所使用的关键词及受控主题词包括意外跌倒、跌倒预防、跌倒风险因素、住院老年人、跌倒发生率及比率,以及环境与患者安全。使用了布尔运算符。检索限制包括英语文献、人类受试者、老年人群、临床试验及荟萃分析。
获取了大量文献。对从经典开创性著作到当前技术研究的各类文献进行了分析。
跌倒预防方式可能有助于实现联合委员会的第九个目标,即“降低因跌倒导致患者伤害的风险”,以及实现“健康人民2010”的第15个目标,即“降低跌倒死亡率”。