University of Calgary, Calgary, AB, Canada.
Faculty of Nursing, University of Calgary, Calgary, AB, Canada.
Clin Nurs Res. 2021 Jan;30(1):5-11. doi: 10.1177/1054773820907805. Epub 2020 Feb 22.
Bedrail use for fall prevention in elderly clients (>65 years) is controversial. Some healthcare providers believe bedrails prevent falls, while others think they are ineffective and dangerous. A systematic review was conducted to address: "For older adults living in nursing homes, does more or less bedrail use reduce the incidence of falls?" We searched HealthStar, MEDLINE, CINAHL, Academic Search complete ProQuest and Canadian Health Research Collection using "elder*," "bedrail*," "fall*," and "assisted-living*." After filtering for primary data, English records, older adult population, relationship between bedrails and falls, fourteen studies remained. Results suggest using alternative fall prevention measures, and bedrails are either beneficial, harmful, or do not influence falls. Bedrail reduction with fall prevention interventions led to no changes in fall frequency. Ambiguity persists regarding fall frequencies and bedrail use without using other fall prevention strategies. Educating health care providers on fall prevention is key to patient safety.
使用床栏防止老年人（>65 岁）跌倒存在争议。一些医疗保健提供者认为床栏可以预防跌倒，而另一些人则认为它们无效且危险。进行了一项系统评价，以解决以下问题：“对于居住在养老院的老年人，使用更多或更少的床栏是否可以减少跌倒的发生率？”我们使用“elder*”、“bedrail*”、“fall*”和“assisted-living*”在 HealthStar、MEDLINE、CINAHL、Academic Search complete ProQuest 和 Canadian Health Research Collection 中进行了搜索。经过初步数据筛选、英文记录、老年人群体、床栏与跌倒的关系，留下了 14 项研究。结果表明，使用替代跌倒预防措施，床栏要么有益，要么有害，要么对跌倒没有影响。减少床栏使用并结合跌倒预防干预措施并没有改变跌倒的频率。在不使用其他跌倒预防策略的情况下，关于跌倒频率和床栏使用的问题仍然存在。教育医疗保健提供者预防跌倒对患者安全至关重要。
