家庭危险环境改造项目对降低老年人跌倒发生率的效果：系统评价和荟萃分析。

Home hazard modification programs for reducing falls in older adults: a systematic review and meta-analysis.

机构信息

Movement Sciences and Exercise Research Center, Walailak University, Nakhon Si Thammarat, Thailand.

Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand.

出版信息

PeerJ. 2023 Jul 20;11:e15699. doi: 10.7717/peerj.15699. eCollection 2023.

OBJECTIVE

This study aims to assess the effect of home modification in preventing falls in older adults.

METHODS

A systematic review and meta-analysis of randomized studies were performed. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered prospectively. Five electronic databases were systematically searched for related articles. The titles and abstracts of the articles found using the key search phrases-home modification and falling-were screened using inclusion and exclusion criteria. The Cochrane risk of bias tool was used to evaluate the studies' methodology.

RESULTS

A total of 12 trials were included. A meta-analysis was conducted using 10 studies with = 1, 960 participants showing a clinically meaningful 7% reduction in falls (risk ratio = 0.93; 0.87-1).

CONCLUSIONS

Falls can be significantly reduced with the use of home modification interventions that are thorough, well-focused, have an environmental-fit perspective, and have adequate follow-up.

目的

本研究旨在评估居家改造对预防老年人跌倒的效果。

方法

对随机研究进行了系统评价和荟萃分析。该综述按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行，并进行了前瞻性注册。系统地在五个电子数据库中搜索了相关文章。使用关键搜索短语“居家改造和跌倒”筛选了文章的标题和摘要，以确定是否符合纳入和排除标准。使用 Cochrane 偏倚风险工具评估了研究的方法学。