Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Amsterdam UMC, University of Amsterdam, the Netherlands.
J Appl Gerontol. 2021 Nov;40(11):1492-1501. doi: 10.1177/07334648211004037. Epub 2021 Apr 2.
We investigated whether an in-hospital intervention consisting of fall risk screening and tailored advice could prompt patients to take preventive action.
Patients (≥70) attending the emergency department and nephrology outpatient clinic in a Dutch hospital were screened. Patients at high risk received tailored advice based on their individual risk factors. Three months after screening, preventive steps taken by patients were surveyed.
Two hundred sixteen patients were screened. Of the 83 patients completing a 3-month follow-up, 51.8% took action; among patients who received tailored advice ( = 20), 70% took action. Patients most often adhered to advice on improving muscle strength and undergoing vision checkups (20%). Tailored advice and a reported low quality of life were associated with consulting a health care provider.
Patients at risk in these settings are inclined to take action after screening. However, they do not always adhere to the tailored prevention advice.
我们调查了住院期间的干预措施（包括跌倒风险筛查和有针对性的建议）是否能促使患者采取预防措施。
对荷兰一家医院的急诊科和肾病科门诊的患者进行了筛查。对高风险患者根据其个体危险因素提供有针对性的建议。在筛查后 3 个月，调查患者采取的预防措施。
对 216 名患者进行了筛查。在完成 3 个月随访的 83 名患者中，51.8%采取了行动；在接受有针对性建议的 20 名患者中，70%采取了行动。患者最常遵循的建议是增强肌肉力量和进行视力检查（20%）。有针对性的建议和较低的生活质量与咨询医疗保健提供者有关。
在这些环境中处于风险中的患者在筛查后倾向于采取行动。然而，他们并不总是遵循有针对性的预防建议。
