Dickinson Angela, Machen Ina, Horton Khim, Jain Deepak, Maddex Ted, Cove Jenny
Centre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UK.
Br J Community Nurs. 2011 Apr;16(4):174-80. doi: 10.12968/bjcn.2011.16.4.174.
Uptake of and adherence to fall prevention interventions is often poor and we know little about how older people's perceptions of and beliefs about fall prevention interventions affect uptake. This study aimed to explore older people's perceptions of the facilitators and barriers to participation in fall prevention interventions. We undertook a qualitative study with older people who had taken part in, declined to participate or adhere to fall prevention interventions using semi-structured interviews (n=65), and 17 focus groups (n=122) with older people (including 32 South Asian and 30 Chinese older people) in primary and community care settings in the South of England. A number of factors acted as either barriers or facilitators to uptake of interventions. Older people also made recommendations for improving access to interventions. Community nurses are ideally placed to screen older people, identify those at risk of falling and refer them to appropriate interventions as well as providing health promotion and education.
对预防跌倒干预措施的接受度和依从性往往较差，而且我们对老年人对预防跌倒干预措施的认知和信念如何影响接受度了解甚少。本研究旨在探讨老年人对参与预防跌倒干预措施的促进因素和障碍的认知。我们对参与、拒绝参与或未坚持预防跌倒干预措施的老年人进行了一项定性研究，采用半结构式访谈（n = 65），并在英格兰南部的初级和社区护理环境中与老年人（包括32名南亚老年人和30名中国老年人）进行了17个焦点小组访谈（n = 122）。一些因素对干预措施的接受起到了障碍或促进作用。老年人还就改善干预措施的可及性提出了建议。社区护士最适合对老年人进行筛查，识别有跌倒风险的人，并将他们转介到适当的干预措施，同时提供健康促进和教育。
