La Trobe Centre for Sport and Exercise Medicine Research, School of Allied Health, Human Services and Sport and ARCH, La Trobe University, Plenty Rd and Kingsbury Dr, Bundoora, VIC 3086, Australia.
The Victorian Rehabilitation Centre, 499 Springvale Rd, Glen Waverley, VIC 3150, Australia , ARCH Healthscope 312 St Kilda Rd, Melbourne, VIC 3004, Australia, and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Plenty Rd and, Kingsbury Dr, Bundoora, VIC 3086, Australia.
Int J Qual Health Care. 2021 Apr 9;33(2). doi: 10.1093/intqhc/mzab057.
Non-slip socks are sometimes used in an attempt to prevent falls in hospitals despite limited evidence of benefit. We critique the current literature on their risks, benefits and effects.
A rapid review was conducted following the Cochrane Rapid Review Methods Group Guidelines. To be included, studies needed to have data on single or multifactorial interventions that used non-slip socks in hospitals or their safety, risks or effects in a laboratory setting. Six electronic databases were searched: Medline, Embase, Cinahl, Cochrane, Allied and Medical Health Database (AMED) and Proquest Central.
Fourteen articles met the inclusion criteria. Nine used non-slip socks as an intervention in hospitals. Three assessed their effects in laboratory settings. Two reported risks in relation to bacterial transfer. Most studies that used non-slip socks to prevent hospital falls had negative or equivocal results and were of comparatively low method quality, with a high risk of bias. Two of the laboratory tests reported traction socks to be no safer than walking barefoot and to have similar slip resistance. The laboratory studies had a low risk of bias and showed that bacteria can sometimes be acquired from socks.
Non-slip socks have the potential to carry an infection control risk that requires careful management. There was no strong or conclusive evidence that they prevent hospital falls.
尽管防滑袜在预防医院跌倒方面的益处有限，但有时仍会被使用。我们对其风险、益处和效果的现有文献进行了评估。
根据 Cochrane 快速评论方法组指南进行了快速审查。为了纳入研究，需要有关于在医院使用防滑袜或在实验室环境中评估其安全性、风险或效果的单一或多因素干预的数据。共检索了 6 个电子数据库：Medline、Embase、Cinahl、Cochrane、Allied 和 Medical Health Database (AMED) 以及 Proquest Central。
有 14 篇文章符合纳入标准。其中 9 篇将防滑袜作为干预措施在医院使用。3 篇评估了其在实验室环境中的效果。有 2 篇报道了与细菌转移相关的风险。大多数使用防滑袜预防医院跌倒的研究结果为阴性或不确定，方法质量相对较低，存在较高的偏倚风险。两项实验室测试报告称，牵引袜并不比赤脚行走更安全，且具有相似的防滑阻力。实验室研究的偏倚风险较低，并且表明细菌有时可以从袜子上获得。
防滑袜具有潜在的感染控制风险，需要谨慎管理。没有强有力或确凿的证据表明它们可以预防医院跌倒。
