Gomes Erika Carla Cavalcanti, Marques Ana Paula de Oliveira, Leal Márcia Carréra Campos, Barros Benvinda Pereira de
Universidade Federal de Pernambuco, Recife, PE, Brasil,
Cien Saude Colet. 2014 Aug;19(8):3543-51. doi: 10.1590/1413-81232014198.16302013.
The scope of this research is to identify the major risk factors associated with accidental falls among the elderly. It involves an integrative review of the literature between 2002 and 2012 in English and Portuguese. The selection of articles was based on the following key words in the Lilacs, Medline and BDENF databases: accidental falls, homes for the elderly and health services. In the final sample 19 articles were selected, of which 11 were national and 8 were international. They indicate that the major factors related to the risk of accidental falls in Homes for the Elderly are: being female, being diagnosed with chronic disease, treatment with benzodiazepine, earlier cases of accident falls, and mobility restriction. The research reveals that architectonic and furniture inadequacies in Homes for the Elderly may be predisposing factors for accidental falls. Analysis of the articles reveals the need for further longitudinal studies and, consequently, enhanced monitoring of the conditions of the functional capacity of the elderly, especially the risks related to falls, considered one of the leading causes of death among institutionalized elderly individuals.
本研究的范围是确定与老年人意外跌倒相关的主要风险因素。它涉及对2002年至2012年间英文和葡萄牙文文献的综合综述。文章的选择基于Lilacs、Medline和BDENF数据库中的以下关键词：意外跌倒、养老院和医疗服务。在最终样本中，选择了19篇文章，其中11篇是国内的，8篇是国际的。它们表明，养老院中与意外跌倒风险相关的主要因素是：女性、被诊断患有慢性病、使用苯二氮䓬类药物治疗、早期意外跌倒病例以及行动受限。研究表明，养老院中的建筑和家具不足可能是意外跌倒的诱发因素。对文章的分析表明，需要进一步进行纵向研究，因此，需要加强对老年人功能能力状况的监测，尤其是与跌倒相关的风险，跌倒是机构养老老年人的主要死因之一。
