Department of Clinical Gerontology, Robert-Bosch-Hospital, Auerbachstrasse 110, 70376 Stuttgart, Germany.
Clin Geriatr Med. 2010 Nov;26(4):693-704. doi: 10.1016/j.cger.2010.07.004.
The incidence of falls and fall-related injuries such as hip fractures remains high in nursing homes (NHs) across the world. Randomized controlled trials have shown that interventions that combine multiple components such as progressive exercise, medication review, and improvements in the person-environment fit and delivered by multidisciplinary teams can effectively reduce the number of falls and fallers. Vitamin D supplementation in adequate dosage is another effective method to reduce the burden of injuries in NHs. Single interventions such as exercise alone or insufficient organizational support are reasons for failure or even harmful consequences. Large-scale efforts are needed and justified to translate these findings into meaningful results.
在全球范围内，养老院（NHs）的跌倒发生率和与跌倒相关的伤害（如髋部骨折）仍然很高。随机对照试验表明，结合多种干预措施，如渐进式运动、药物审查、改善人与环境的适配度，并由多学科团队提供的干预措施，可以有效地减少跌倒和跌倒者的数量。足够剂量的维生素 D 补充剂是另一种有效减少 NHs 伤害负担的方法。单一干预措施，如单独运动或组织支持不足，是失败甚至产生有害后果的原因。需要并证明有理由进行大规模的努力，将这些发现转化为有意义的结果。
