School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.
School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia.
Singapore Med J. 2020 May;61(5):272-280. doi: 10.11622/smedj.2019142. Epub 2019 Nov 4.
Falls, the leading cause of injury and death among older people, can have a significant psychosocial impact on carers. Carers play a crucial role in caring for older persons at home and in fall prevention. This review, which included 15 studies, aimed to identify carers' concern about older people falling and its impact. We identified that most carers had concerns about repeated falls in older people, unknown consequences of falls and care recipients' non-adherence to fall prevention advice. These concerns, in turn, affect carers' physical and psychological health, lifestyle, caregiving burden and use of fall prevention strategies. This paper highlights the importance of recognising carers' fall concern so as to identify carers' needs and awareness of fall prevention in older people living at home. Greater insight into carers' fall concern could facilitate the implementation of new strategies to manage older people's fall risk as well as improve carers' well-being.
跌倒，是老年人受伤和死亡的主要原因，会对照顾者造成重大的心理社会影响。照顾者在老年人的家庭护理和跌倒预防中发挥着关键作用。这项综述共纳入了 15 项研究，旨在确定照顾者对老年人跌倒的担忧及其影响。我们发现，大多数照顾者对老年人反复跌倒、跌倒的未知后果以及护理对象不遵守跌倒预防建议表示担忧。这些担忧反过来又影响了照顾者的身心健康、生活方式、照顾负担以及对跌倒预防策略的使用。本文强调了认识照顾者跌倒担忧的重要性，以便确定居家生活的老年人中照顾者的需求和对跌倒预防的认识。更深入地了解照顾者对跌倒的担忧，可以促进实施新的策略来管理老年人的跌倒风险，并改善照顾者的幸福感。
