评估接受居家护理服务的居家西班牙裔老年人秋季复发风险。
Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services.
作者信息
Solis Guillermina R, Champion Jane Dimmitt
机构信息
1 The University of Texas at El Paso, El Paso, TX, USA.
2 The University of Texas at Austin, Austin, TX, USA.
出版信息
Hisp Health Care Int. 2017 Mar;15(1):20-26. doi: 10.1177/1540415317691490. Epub 2017 Feb 14.
INTRODUCTION
Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person's quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health and risk for fall recurrence. Most fall studies focus on fall risk with few studies on fall recurrence in older adults receiving home health care services unrelated to fall incident.
METHOD
A descriptive pilot study of 30 homebound Hispanic older adults receiving home care services who reported a fall within 3 months was conducted by a multidisciplinary team to evaluate risk of fall recurrence.
RESULTS
A heightened risk for fall recurrence was identified with high number of chronic illnesses, high intake of medications, vision problems, and prevalence of urinary incontinence.
CONCLUSION
Findings highlight significant number of intrinsic factors for fall risk recurrence and injuries in a Hispanic older adults population that is homebound and receiving home care services. A multidisciplinary evaluation and culturally appropriate interventions to lessen the risk of fall recurrence are recommended.
引言
意外跌倒和受伤是老年人面临的一个主要问题，也是美国第四大死因。既往跌倒事件会使复发风险加倍，并降低个人生活质量。由于健康状况不佳和跌倒复发风险，西班牙裔老年人的残疾率较高，独立功能较低。大多数跌倒研究关注跌倒风险，而针对接受与跌倒事件无关的家庭保健服务的老年人跌倒复发的研究较少。
方法
一个多学科团队对30名接受家庭护理服务且在3个月内报告有跌倒情况的居家西班牙裔老年人进行了一项描述性试点研究，以评估跌倒复发风险。
结果
研究发现，慢性病数量多、药物摄入量高、视力问题和尿失禁患病率高与跌倒复发风险增加有关。
结论
研究结果突出表明，在居家且接受家庭护理服务的西班牙裔老年人群体中，存在大量导致跌倒风险复发和受伤的内在因素。建议进行多学科评估并采取符合文化背景的干预措施，以降低跌倒复发风险。
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