Basel Mobility Center, Department of Acute Geriatrics, University Hospital Basel, Switzerland.
Swiss Med Wkly. 2011 Nov 21;141:w13305. doi: 10.4414/smw.2011.13305. eCollection 2011.
During the 20th century Switzerland, like many other Western countries, experienced significant ageing of the population over the age of 65. As the lifespan of the Swiss population increases, so does the prevalence of falls. A multiplicity of fall prevention programmes are available, but extracting their most effective components remains a challenge. This article summarises the results of current studies on fall prevention, with a particular focus on methodological quality and successful reduction of fall incidence in vulnerable older people. Characteristics of effective fall prevention programmes in the fields of exercise, home modifications, appropriate footwear and walking aids are assessed. We then briefly discuss how these study results can be adapted to the Swiss context. This knowledge emphasises an interdisciplinary approach in the prevention of falls, the objective being to reinforce autonomy, promote health and enhance quality of life in vulnerable older people.
20 世纪的瑞士和许多其他西方国家一样,65 岁以上的人口老龄化现象非常严重。随着瑞士人口寿命的延长,跌倒的发生率也在上升。有许多预防跌倒的项目,但提取其最有效的组成部分仍然是一个挑战。本文总结了目前关于预防跌倒的研究结果,特别关注方法学质量和脆弱老年人跌倒发生率的降低。评估了运动、家庭改造、合适的鞋子和助行器等领域中有效预防跌倒的项目的特点。然后,我们简要讨论了如何将这些研究结果适用于瑞士的情况。这些知识强调了预防跌倒的跨学科方法,其目标是增强脆弱老年人的自主性、促进健康和提高生活质量。