Singh Sonia, Kwon Ashley, Whitehurst David G T, Friesen Kathleen, Scott Vicky, Hejazi Samar, Feldman Fabio
Fraser Health Authority,Surrey,British Columbia.
Faculty of Health Sciences,Simon Fraser University,Burnaby,British Columbia.
Can J Aging. 2018 Dec;37(4):482-495. doi: 10.1017/S0714980818000284. Epub 2018 Sep 4.
ABSTRACTCauses of falls in older adults are common, multifactorial, and can lead to significant injury. This before-and-after study evaluated the benefits of a Fall Prevention Mobile Clinic (FPMC) in reducing the risk of falling in older adults in British Columbia, Canada. Four hundred seventy-six participants (average age of 83.6 years) enrolled in the study and were followed for 12 months after attending the FPMC. At 12-month follow-up, the mean percentage uptake of fall prevention recommendations was 48.8 per cent (SD = 25.7%), the Timed Up and Go mobility measure improved from a median of 19.04 seconds to 17.45 seconds and the number of participants falling decreased from 64.8 per cent (in the 12 months before attending the clinic) to 55.6 per cent (in the 12 months after attending the clinic) (p = .012). After attending the FPMC, participants acted on recommendations, improved mobility and decreased their risk of future falls.
摘要老年人跌倒的原因很常见，是多因素导致的，且可能造成严重损伤。这项前后对照研究评估了预防跌倒移动诊所（FPMC）在降低加拿大不列颠哥伦比亚省老年人跌倒风险方面的益处。476名参与者（平均年龄83.6岁）参与了该研究，并在参加FPMC后接受了12个月的随访。在12个月的随访中，预防跌倒建议的平均采纳率为48.8%（标准差=25.7%），计时起立行走移动能力测量值从中位数19.04秒改善至17.45秒，跌倒的参与者人数从（参加诊所前12个月的）64.8%降至（参加诊所后12个月的）55.6%（p = 0.012）。参加FPMC后，参与者按照建议行动，改善了移动能力，并降低了未来跌倒的风险。
