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不同方法收集痴呆老年人跌倒数据的可行性和准确性。

Feasibility and Accuracy of Different Methods for Collecting Data on Falls Among Older People With Dementia.

机构信息

Department of Psychology and Ageing & Dementia Research Centre.

Centre of Postgraduate Medical Research and Education.

出版信息

Alzheimer Dis Assoc Disord. 2020 Oct-Dec;34(4):362-365. doi: 10.1097/WAD.0000000000000364.

DOI:10.1097/WAD.0000000000000364
PMID:31789633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7116406/
Abstract

This study compared different methods for collecting data on falls among people with dementia to identify which is most feasible and accurate. Eighty-three dyads, comprised of a community-dwelling person with dementia and their informal carer, participated in the TAi ChI for people with demenTia (TACIT) trial. Falls were collected prospectively over 6 months using monthly calendars, weekly and monthly telephone interviews, and 3-monthly telephone interviews with the carer. Unique falls identified across the reporting methods were combined, and this total was compared against each reporting method in isolation and combinations. A higher frequency of falls indicated greater accuracy. Falls data collection was most feasible with weekly telephone interviews (84%), and most accurate with the combination of weekly telephone interviews with monthly calendars (96%). For the greatest completeness and accuracy of falls data with community-dwelling people with dementia, researchers should use both weekly telephone interviews and monthly calendars.

摘要

本研究比较了收集痴呆症患者跌倒数据的不同方法,以确定哪种方法最可行和准确。83 对由社区居住的痴呆症患者及其非专业照顾者组成的二人组参与了 TAi ChI for people with demenTia(TACIT)试验。使用每月日历、每周和每月电话访谈以及每 3 个月与照顾者的电话访谈,前瞻性地收集了 6 个月的跌倒数据。通过报告方法识别的独特跌倒被合并,然后将这个总数与每种报告方法单独和组合进行比较。较高的跌倒频率表明更高的准确性。每周电话访谈是最可行的跌倒数据收集方法(84%),而每周电话访谈与每月日历相结合的方法则是最准确的(96%)。对于收集社区居住的痴呆症患者的跌倒数据,为了获得最大的完整性和准确性,研究人员应该同时使用每周电话访谈和每月日历。

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本文引用的文献

1
A randomised controlled trial comparing the effectiveness of tai chi alongside usual care with usual care alone on the postural balance of community-dwelling people with dementia: protocol for the TACIT trial (TAi ChI for people with demenTia).一项随机对照试验,比较太极拳联合常规护理与单纯常规护理对社区居住的痴呆症患者姿势平衡的效果:TACIT 试验(太极拳治疗痴呆症)方案。
BMC Geriatr. 2018 Nov 3;18(1):263. doi: 10.1186/s12877-018-0935-8.
2
Interventions for preventing falls in older people in care facilities and hospitals.护理机构和医院中预防老年人跌倒的干预措施。
Cochrane Database Syst Rev. 2018 Sep 7;9(9):CD005465. doi: 10.1002/14651858.CD005465.pub4.
3
The Mini-Addenbrooke's Cognitive Examination: a new assessment tool for dementia.简易版阿登布鲁克认知检查:一种用于痴呆症的新评估工具。
Dement Geriatr Cogn Disord. 2015;39(1-2):1-11. doi: 10.1159/000366040. Epub 2014 Sep 11.
4
Physiological fall risk factors in cognitively impaired older people: a one-year prospective study.认知障碍老年人的生理跌倒风险因素:一项为期一年的前瞻性研究。
Dement Geriatr Cogn Disord. 2012;34(3-4):181-9. doi: 10.1159/000343077. Epub 2012 Oct 11.
5
Feasibility and accuracy of fall reports in persons with dementia: a prospective observational study.痴呆症患者跌倒报告的可行性和准确性:一项前瞻性观察研究。
Int Psychogeriatr. 2012 Apr;24(4):587-98. doi: 10.1017/S1041610211002122. Epub 2011 Dec 6.
6
The fall telephone for falls assessment in frail older persons; feasibility, reliability, and validity.用于体弱老年人跌倒评估的秋季电话评估;可行性、可靠性和有效性。
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