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警报和/或警示设备在减少长期护理(LTC)机构跌倒方面的有效性?一项系统评价。

Alarming and/or Alerting Device Effectiveness in Reducing Falls in Long-Term Care (LTC) Facilities? A Systematic Review.

作者信息

Mileski Michael, Brooks Matthew, Topinka Joseph Baar, Hamilton Guy, Land Cleatus, Mitchell Traci, Mosley Brandy, McClay Rebecca

机构信息

School of Health Administration, Texas State University, San Marcos, TX 78666, USA.

School of Science, Technology, Engineering, and Math American Public University System, Charles Town, WV 25414, USA.

出版信息

Healthcare (Basel). 2019 Mar 25;7(1):51. doi: 10.3390/healthcare7010051.

DOI:10.3390/healthcare7010051
PMID:30934633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6473316/
Abstract

Perceptions against the use of alarming devices persist in long-term care environments as they are seen as annoying, costly, and a waste of time to the staff involved. Ascertaining whether these perceptions are true or false via the literature was a focus of this study. Proper information to educate staff and to work past these perceptions can be a positive effector for resident safety. Many facilitators for the use of alarming devices were found, as well as many barriers to their use as well. New technology is changing the perceptions regarding these types of devices as time passes. Education is a key component for staff, residents, and families. There are "traditional" issues with the use of alarms such as alarm fatigue by caregivers, high costs of implementation, and issues with proper implementation of alarms. Alarms are perceived as intrusive and the noise from them can be a potential cause of falls. However, alarming devices can be a key intervention in the safety of those residents who are prone to falls. This requires proper implementation and education for all parties involved, and proper oversight surrounding use of the devices.

摘要

在长期护理环境中,人们对使用警报装置的看法依然存在,因为它们被认为会让工作人员感到厌烦、成本高昂且浪费时间。通过文献来确定这些看法是真是假是本研究的一个重点。向工作人员提供恰当的信息并克服这些看法,对于居民安全而言可能是一个积极的影响因素。研究发现了许多使用警报装置的促进因素,同时也发现了许多使用障碍。随着时间的推移,新技术正在改变人们对这类装置的看法。教育对于工作人员、居民和家庭来说都是关键因素。使用警报存在一些“传统”问题,比如护理人员的警报疲劳、实施成本高昂以及警报正确实施方面的问题。警报被视为具有侵扰性,其发出的噪音可能是导致跌倒的一个潜在原因。然而,警报装置对于那些容易跌倒的居民的安全而言可能是一项关键干预措施。这需要对所有相关方进行正确的实施和教育,并对装置的使用进行适当监督。

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