Romli M H, Tan M P, Mackenzie L, Lovarini M, Suttanon P, Clemson L
Discipline of Occupational Therapy, Faculty of Health Sciences, Cumberland Campus, University of Sydney, 75 East Street, Lidcombe, NSW 2141, Australia; Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.
Ageing and Age Associated Disorders Research Group, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.
Public Health. 2017 Apr;145:96-112. doi: 10.1016/j.puhe.2016.12.035. Epub 2017 Jan 21.
The older population in the Southeast Asian region is accelerating and is expected to surpass the proportion of the ageing population in North America and Europe in the future. This study aims to identify the research literature related to falls among older people in Southeast Asia, to examine current practice and discuss the future direction on falls prevention and interventions in the region.
A scoping review design was used.
A systematic literature search was conducted using the Medline, CINAHL, AMED, Ageline, PsycINFO, Web of Sciences, Scopus, Thai-Journal Citation Index, MyCite and trial registries databases.
Thirty-seven studies and six study protocols were included, from Thailand, Malaysia, Singapore, Vietnam, Indonesia and the Philippines. One-sixth of the studies involved interventions, while the remainder were observational studies. The observational studies mainly determined the falls risk factors. The intervention studies comprised multifactorial interventions and single interventions such as exercises, educational materials and visual correction. Many of the studies replicated international studies and may not have taken into account features unique to Southeast Asia.
Our review has revealed studies evaluating falls and management of falls in the Southeast Asian context. More research is required from all Southeast Asian countries to prepare for the future challenges of managing falls as the population ages.
东南亚地区老年人口数量正在加速增长,预计未来将超过北美和欧洲的老龄化人口比例。本研究旨在识别与东南亚老年人跌倒相关的研究文献,审视当前的实践情况,并探讨该地区跌倒预防及干预措施的未来方向。
采用范围综述设计。
利用Medline、CINAHL、AMED、Ageline、PsycINFO、科学网、Scopus、泰国期刊引文索引、MyCite及试验注册数据库进行系统的文献检索。
纳入了来自泰国、马来西亚、新加坡、越南、印度尼西亚和菲律宾的37项研究及6项研究方案。六分之一的研究涉及干预措施,其余为观察性研究。观察性研究主要确定跌倒风险因素。干预性研究包括多因素干预和单一干预,如运动、教育材料及视力矫正。许多研究重复了国际研究,可能未考虑到东南亚地区的独特特征。
我们的综述揭示了在东南亚背景下评估跌倒及跌倒管理的研究。随着人口老龄化,东南亚所有国家都需要开展更多研究,以应对未来跌倒管理方面的挑战。