Teresi Jeanne A, Ramírez Mildred, Fulmer Terry, Ellis Julie, Silver Stephanie, Kong Jian, Eimicke Joseph P, Boratgis Gabriel, Meador Rhoda, Lachs Mark S, Pillemer Karl
J Gerontol Nurs. 2018 Jun 1;44(6):15-23. doi: 10.3928/00989134-20180326-01. Epub 2018 Apr 23.
Resident-to-resident elder mistreatment (R-REM) occurs frequently in long-term services and support settings. The purpose of the current study was to evaluate the effect of a R-REM training program for nursing and other frontline staff on resident falls and injuries in a cluster randomized trial of units within four nursing homes. Interview and observational data from a sample of 1,201 residents (n = 600 and n = 601 in the usual care and intervention groups, respectively) and staff were collected at baseline and 6 and 12 months. A generalized linear model was used to model the falls/injuries outcome. The net reduction in falls and injuries was 5%, translating to 10 saved events per year in an averagesized facility. Although the result did not reach statistical significance due to low power, the findings of fall prevention associated with implementing the intervention in long-term care facilities is clinically important. [Journal of Gerontological Nursing, 44(6), 15-23.].
住院医对住院医的老年人虐待行为（R-REM）在长期服务和支持环境中经常发生。本研究的目的是在一项针对四家养老院各单元的整群随机试验中，评估针对护理人员和其他一线工作人员的R-REM培训计划对住院老人跌倒和受伤情况的影响。在基线以及6个月和12个月时，收集了来自1201名住院老人（常规护理组和干预组分别为n = 600和n = 601）和工作人员样本的访谈及观察数据。使用广义线性模型对跌倒/受伤结果进行建模。跌倒和受伤的净减少率为5%，在一个中等规模的机构中，这意味着每年可减少10起此类事件。尽管由于检验效能低，结果未达到统计学显著性，但与在长期护理机构实施干预措施相关的预防跌倒研究结果具有临床重要性。[《老年护理杂志》，44(6)，15 - 23。]
