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骨科患者中的虐待老人问题:骨科医生对患病率、识别及筛查工具的最新综述

Elder Abuse in the Orthopaedic Patient: An Updated Review of Prevalence, Identification, and Screening Tools for Orthopaedic Surgeons.

作者信息

Scott Sophia, Brameier Devon T, Tryggedsson Ida, Suneja Nishant, Stenquist Derek S, Weaver Michael J, von Keudell Arvind

机构信息

Human Evolutionary Biology, Harvard University, Cambridge, MA, USA.

Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Geriatr Orthop Surg Rehabil. 2024 Aug 16;15:21514593241266486. doi: 10.1177/21514593241266486. eCollection 2024.

Abstract

INTRODUCTION

Elder abuse is a prevalent, though often overlooked and underreported, cause of musculoskeletal injury in the elderly population. The purpose of this review is to provide an updated overview of the prevalence of elder abuse, its association with musculoskeletal injuries, and the available resources to aid orthopaedic surgeons in early detection and intervention.

SIGNIFICANCE

Improved training on this topic is needed throughout the medical education of orthopaedic surgeons to effectively recognize and address elder abuse. Our findings reveal an urgent need for increased awareness, education, and collaboration among healthcare professionals to address this significant public health concern. As the aging population continues to grow, understanding the connection between elder abuse and musculoskeletal injuries is essential for providing comprehensive care to older adults.

RESULTS

This review offers practical recommendations for identifying individuals at risk of elder abuse and outlines strategies for intervention. Indicators of abuse range from obvious signs like dirty clothes, neglect, and unattended injuries from falls, to more subtle cues requiring careful observation and questioning, such as mental health symptoms and family histories of abuse.

CONCLUSION

By shedding light on this often-overlooked issue, this review advocates for a proactive approach to identifying and addressing elder abuse to safeguard the well-being and quality of life of older individuals.

摘要

引言

虐待老年人是老年人群体中肌肉骨骼损伤的一个普遍原因,尽管常常被忽视和漏报。本综述的目的是提供关于虐待老年人的患病率、其与肌肉骨骼损伤的关联以及帮助骨科医生进行早期检测和干预的可用资源的最新概述。

意义

在骨科医生的整个医学教育过程中,需要加强关于这个主题的培训,以便有效地识别和处理虐待老年人的问题。我们的研究结果表明,迫切需要提高医疗保健专业人员的认识、教育水平并加强协作,以解决这一重大的公共卫生问题。随着老年人口持续增长,了解虐待老年人与肌肉骨骼损伤之间的联系对于为老年人提供全面护理至关重要。

结果

本综述提供了识别有遭受虐待风险个体的实用建议,并概述了干预策略。虐待的指标范围从明显的迹象,如脏衣服、忽视以及跌倒后无人照料的损伤,到需要仔细观察和询问的更微妙线索,如心理健康症状和虐待家族史。

结论

通过揭示这个常常被忽视的问题,本综述倡导采取积极主动的方法来识别和处理虐待老年人的问题,以保障老年人的福祉和生活质量。

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本文引用的文献

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