Romli Muhammad Hibatullah, Mackenzie Lynette, Lovarini Meryl, Tan Maw Pin, Clemson Lindy
1 Occupational Therapy, University of Sydney, NSW, Australia.
2 Faculty of Medicine and Health Sciences, Department of Nursing and Rehabilitation, Universiti Putra Malaysia, Selangor, Malaysia.
Eval Health Prof. 2018 Mar;41(1):82-128. doi: 10.1177/0163278716684166. Epub 2016 Dec 22.
Home hazards are associated with falls among older people living in the community. However, evaluating home hazards is a complex process as environmental factors vary according to geography, culture, and architectural design. As a result, many health practitioners commonly use nonstandardized assessment methods that may lead to inaccurate findings. Thus, the aim of this systematic review was to identify standardized instruments for evaluating home hazards related to falls and evaluate the clinimetric properties of these instruments for use by health practitioners. A systematic search was conducted in the Medline, CINAHL, AgeLine, Web of Science databases, and the University of Sydney Library CrossSearch Engine. Study screening, assessment, and quality ratings were conducted independently. Thirty-six studies were identified describing 19 instruments and three assessment techniques. The clinimetric properties varied between instruments. The Home Falls and Accidents Screening Tool, Home Safety Self-Assessment Tool, In-Home Occupational Performance Evaluation, and Westmead Home Safety Assessment were the instruments with high potential for evaluating home hazards associated with falls. Health practitioners can choose the most appropriate instruments for their practice, as a range of standardized instruments with established clinimetric properties are available.
家庭危险因素与社区老年人跌倒有关。然而，评估家庭危险因素是一个复杂的过程，因为环境因素会因地理、文化和建筑设计的不同而有所差异。因此，许多医疗从业者通常使用非标准化的评估方法，这可能会导致结果不准确。因此，本系统评价的目的是确定用于评估与跌倒相关的家庭危险因素的标准化工具，并评估这些工具供医疗从业者使用时的临床测量特性。我们在Medline、CINAHL、AgeLine、科学网数据库以及悉尼大学图书馆交叉搜索引擎中进行了系统检索。研究筛选、评估和质量评级均独立进行。共识别出36项研究，描述了19种工具和三种评估技术。不同工具的临床测量特性各不相同。家庭跌倒与事故筛查工具、家庭安全自我评估工具、家庭职业表现评估以及韦斯特米德家庭安全评估是评估与跌倒相关的家庭危险因素具有高潜力的工具。由于有一系列具有既定临床测量特性的标准化工具可供使用，医疗从业者可以为他们的实践选择最合适的工具。
