Pelliard Thomas, Brika Marine, Rulleau Thomas
Rech Soins Infirm. 2021 Oct 15(146):60-73. doi: 10.3917/rsi.146.0060.
Falls among hospitalized frail elderly patients are a worrying, major daily phenomenon.
Inadequate footwear, frequently observed in this population, is one of the main risk factors behind falls. Several hospitals use non-slip socks as a preventive measure. However, in the context of evidence-based medicine, it is important to verify the existence of strong evidence for their effectiveness.
The aim of this study is to determine the preventive effectiveness of non-slip socks.
Five databases were investigated (PubMed, PEDro, Cochrane, ScienceDirect, and Google Scholar). Eligibility criteria were established (using the PICO method), for studies including elderly hospitalized patients.
Seven studies were included. Non-slip socks showed a preventive effect in reducing the recurrence of falls (p=0.009) and the prevalence of falls related to urinary incontinence.
Several studies conclude on the added value of non-slip socks compared to traditional socks or slippers. The limitations inherent in the selected studies are taken into account when drawing conclusions.
Footwear that is considered safe by therapists and secure by the patient is currently the most recommended option. However, more clinical studies are needed to support our findings.
住院体弱老年患者跌倒现象令人担忧，是日常主要问题。
该人群中常见的鞋类不合适是跌倒的主要风险因素之一。几家医院使用防滑袜作为预防措施。然而，在循证医学背景下，验证其有效性的有力证据是否存在很重要。
本研究旨在确定防滑袜的预防效果。
对五个数据库（PubMed、PEDro、Cochrane、ScienceDirect和谷歌学术）进行了调查。制定了纳入标准（采用PICO方法），用于纳入老年住院患者的研究。
纳入了七项研究。防滑袜在降低跌倒复发率（p = 0.009）和与尿失禁相关的跌倒发生率方面显示出预防效果。
多项研究得出结论，防滑袜相对于传统袜子或拖鞋具有附加价值。得出结论时考虑了所选研究固有的局限性。
目前最推荐的选择是治疗师认为安全且患者感觉稳固的鞋类。然而，需要更多临床研究来支持我们的发现。
