McMaster University, School of Nursing, Hamilton, Ontario.
Can J Aging. 2010 Mar;29(1):139-61. doi: 10.1017/S0714980809990377.
This study determined the effects and costs of a multifactorial, interdisciplinary team approach to falls prevention. Randomized controlled trial of 109 older adults who are at risk for falls. This was a six-month multifactorial and evidence-based prevention strategy involving an interdisciplinary team. The primary outcome was number of falls during the six-month follow-up. At six months, no difference in the mean number of falls between groups. Subgroup analyses showed that the intervention effectively reduced falls in men (75-84 years old) with a fear of falling or negative fall history. Number of slips and trips was greatly reduced; and emotional health had a greater improvement in role functioning related to emotional health in the intervention group. Quality of life was improved, slips and trips were reduced, as were falls among males (75-84 years old) with a fear of falling or negative fall history.
本研究旨在确定多因素、跨学科团队方法预防跌倒的效果和成本。对 109 名有跌倒风险的老年人进行了随机对照试验。这是一项为期六个月的多因素和基于证据的预防策略，涉及跨学科团队。主要结果是在六个月的随访期间发生跌倒的次数。在六个月时，两组之间平均跌倒次数没有差异。亚组分析显示，该干预措施有效地减少了有跌倒恐惧或负面跌倒史的 75-84 岁男性的跌倒次数。滑倒和绊倒的次数大大减少；干预组在与情绪健康相关的角色功能方面的情绪健康得到了更大的改善。生活质量得到提高，滑倒和绊倒的次数减少，有跌倒恐惧或负面跌倒史的 75-84 岁男性的跌倒次数也减少。
