Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore 539747, Singapore.
Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore 539747, Singapore.
Geriatr Nurs. 2023 Jul-Aug;52:181-190. doi: 10.1016/j.gerinurse.2023.06.004. Epub 2023 Jun 28.
Worldwide, falls lead to possible complications such as prolonged hospitalization, prolonged bed rest, pressure injuries, fractures and mortality.
The study aimed to evaluate the effectiveness of novel fall prevention strategies that utilized technology in preventing falls.
The meta-analysis and systematic review was guided by the Cochrane guidelines for systematic reviews of interventions. The authors searched databases for specified keywords.
A total of 22 studies were included. Interventions included multi-modal fall prevention interventions, camera surveillance, motion sensors and bed/chair exit alarms. Video monitoring was equivocal in reducing fall rates. Exit alarms statistically significantly reduce falls between groups but not within groups. The interventions were not statistically significant in reducing falls with minor injuries but they were statistically significant in reducing falls with serious injuries including fractures.
A comprehensive fall prevention care plan, rather than one specific intervention, is necessary to prevent falls effectively.
在全球范围内,跌倒可能导致并发症,如延长住院时间、长时间卧床休息、压疮、骨折和死亡。
本研究旨在评估利用技术预防跌倒的新型跌倒预防策略的有效性。
该荟萃分析和系统评价遵循 Cochrane 干预系统评价指南。作者按特定关键词搜索数据库。
共有 22 项研究纳入。干预措施包括多模式跌倒预防干预、摄像头监控、运动传感器和床/椅出口警报。视频监测在降低跌倒率方面效果不明确。出口警报在统计学上显著降低了组间跌倒率,但在组内没有显著降低。这些干预措施在降低轻微受伤的跌倒率方面没有统计学意义,但在降低严重受伤包括骨折的跌倒率方面有统计学意义。
需要制定全面的跌倒预防护理计划,而不是单一的干预措施,才能有效地预防跌倒。