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基于群体干预对社区居住老年人预防跌倒的有效性——中国7个地区、6个省级行政区,2019 - 2020年

Effectiveness of Group-Based Interventions for Fall Prevention Among Community-Dwelling Older Adults - 7 Regions, 6 PLADs, China, 2019-2020.

作者信息

Er Yuliang, Lu Zhiming, Jin Ye, Ye Pengpeng, Duan Leilei

机构信息

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical College, Beijing, China.

出版信息

China CDC Wkly. 2023 Nov 24;5(47):1047-1051. doi: 10.46234/ccdcw2023.196.

DOI:10.46234/ccdcw2023.196
PMID:38047243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10689962/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Many of the current studies focusing on fall prevention interventions have been conducted in hospital settings within a select few urban areas in China, thus yielding limited evidence on the effectiveness of large-scale, multicenter, community-based interventions.

WHAT IS ADDED BY THIS REPORT?: In comparison to the control group, participants in the intervention group exhibited a 64% reduction in fall risk. Group-based fall prevention programs have demonstrated efficacy in mitigating fall risk among the elderly population.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Group-based fall prevention interventions serve as a significant adjunctive resource for the management of elderly health within communities and offer compelling evidence to support the incorporation of fall prevention strategies into health policy frameworks in China.

摘要

关于该主题已了解的情况

目前许多关注跌倒预防干预措施的研究是在中国少数几个城市地区的医院环境中进行的,因此关于大规模、多中心、基于社区的干预措施有效性的证据有限。

本报告补充的内容

与对照组相比,干预组参与者的跌倒风险降低了64%。基于群体的跌倒预防计划已证明在降低老年人群跌倒风险方面具有成效。

对公共卫生实践的启示

基于群体的跌倒预防干预措施是社区老年健康管理的重要辅助资源,并为将跌倒预防策略纳入中国卫生政策框架提供了有力证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c7/10689962/151751cea017/ccdcw-5-47-1047-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c7/10689962/151751cea017/ccdcw-5-47-1047-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c7/10689962/151751cea017/ccdcw-5-47-1047-1.jpg

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本文引用的文献

1
Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review.社区居住老年人预防跌倒的运动锻炼:一项 Cochrane 系统评价的简明报告。
Br J Sports Med. 2020 Aug;54(15):885-891. doi: 10.1136/bjsports-2019-101512. Epub 2019 Dec 2.
2
Exercise for preventing falls in older people living in the community.针对社区中老年人预防跌倒的锻炼。
Cochrane Database Syst Rev. 2019 Jan 31;1(1):CD012424. doi: 10.1002/14651858.CD012424.pub2.
3
A feasibility study to prevent falls in older people who are sight impaired: the VIP2UK randomised controlled trial.
一项针对视力受损老年人预防跌倒的可行性研究:VIP2UK随机对照试验。
Trials. 2016 Sep 26;17(1):464. doi: 10.1186/s13063-016-1565-0.
4
Prevention of falls in older people living in the community.预防社区老年人跌倒。
BMJ. 2016 Apr 28;353:i1419. doi: 10.1136/bmj.i1419.