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赋能家庭照顾者管理老年人跌倒风险的护理干预措施:范围综述。

Nursing Interventions to Empower Family Caregivers to Manage the Risk of Falling in Older Adults: A Scoping Review.

机构信息

Setúbal Hospital Center E.P.E., 2910-446 Setúbal, Portugal.

Nursing School of Lisbon, 1900-160 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2024 Feb 21;21(3):246. doi: 10.3390/ijerph21030246.

Abstract

Falls pose a significant risk to older adults, resulting in injuries and declining quality of life. The psychological impact, particularly the fear of falling, impairs their well-being. This pervasive fear affects daily activities, leading to self-imposed limitations and reduced engagement. This review aimed to identify nursing interventions to empower family caregivers to manage the risk of falling in older adults. A scoping review was developed following the JBI framework. We searched the CINAHL, MEDLINE, Nursing & Allied Health Collection, Cochrane Central Register of Controlled Trials, MedicLatina, and Cochrane Database of Systematic Reviews. The findings of this review revealed that out of 460 initially identified records, nine articles met the eligibility criteria and were retained for further in-depth analysis. These articles provided insights into nine distinct categories of nurse interventions: Therapeutic Relationships, Family Involvement, Personalized Care, Health Education, Multifactorial Falls Risk Assessment, Home Modifications, Referral, Transition Between Healthcare Services, and Health Care Consultants. The findings of this review have significant implications for clinical practice, particularly in emphasizing the crucial role of nurses in empowering family caregivers and older adults to manage the risk of falling at home. Healthcare professionals, policymakers, and researchers can benefit from this informative resource to develop strategies and guidelines.

摘要

跌倒对老年人构成重大风险,导致受伤和生活质量下降。心理影响,特别是对跌倒的恐惧,会损害他们的幸福感。这种普遍存在的恐惧会影响日常活动,导致自我限制和参与度降低。本次综述旨在确定护理干预措施,以使家庭照顾者能够管理老年人跌倒的风险。本研究采用 JBI 框架进行了范围综述。我们检索了 CINAHL、MEDLINE、护理与联合健康收藏、Cochrane 对照试验中心注册、MedicLatina 和 Cochrane 系统评价数据库。本综述的结果显示,在最初确定的 460 份记录中,有 9 篇文章符合纳入标准,并被保留进行进一步深入分析。这些文章提供了关于护士干预的九个不同类别的见解:治疗关系、家庭参与、个性化护理、健康教育、多因素跌倒风险评估、家庭改造、转介、医疗保健服务之间的过渡和医疗保健顾问。本综述的结果对临床实践具有重要意义,特别是强调了护士在赋权家庭照顾者和老年人在家中管理跌倒风险方面的关键作用。医疗保健专业人员、政策制定者和研究人员可以从这个信息资源中受益,以制定策略和指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f9/10970157/48f1fc4b1b5b/ijerph-21-00246-g001.jpg

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