Henry Ankita, Haddad Yara, Bergen Gwen
Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Lifestyle Med. 2022 May 17;18(1):108-117. doi: 10.1177/15598276221100431. eCollection 2024 Jan-Feb.
Older adults reported about 36 million falls in 2018. Although effective strategies are available to address risk factors and minimize fall risk, little is known about older adults' and healthcare providers' awareness of these strategies. This study describes and compares healthcare providers' and older adults' beliefs about fall prevention and strategies. Demographic and fall-related data for older adults were obtained from the 2019 fall cohort of Porter Novelli ConsumerStyles. Similar data from primary care practitioners, nurse practitioners, and physician assistants were gathered from the 2019 cohort of DocStyles. Most providers (91.3%) and older adults (85.1%) believed falls can be prevented. Both providers and older adults were most likely to consider strength and balance exercises (90.7% and 82.8%, respectively) and making homes safer (90.5% and 79.9%, respectively) as strategies that help prevent falls. More providers reported that managing medications (84.2%) and tai chi (45.7%) can prevent falls compared to older adults (24.0% and 21.7%, respectively; P < .0001). More healthcare providers than older adults indicated evidence-based strategies exist to reduce falls. Increased patient and provider communication can increase awareness about the benefits of evidence-based strategies such as tai chi, strength and balance exercises, and medication management.
2018年,老年人报告的跌倒事件约有3600万起。尽管有有效的策略来应对风险因素并将跌倒风险降至最低,但对于老年人和医疗保健提供者对这些策略的认知情况却知之甚少。本研究描述并比较了医疗保健提供者和老年人对跌倒预防及策略的看法。老年人的人口统计学数据和与跌倒相关的数据来自波特诺韦利消费者风格调查2019年的跌倒队列。来自初级保健医生、执业护士和医师助理的类似数据则从DocStyles 2019年队列中收集。大多数医疗保健提供者(91.3%)和老年人(85.1%)认为跌倒是可以预防的。医疗保健提供者和老年人都最有可能将力量和平衡锻炼(分别为90.7%和82.8%)以及使家庭更安全(分别为90.5%和79.9%)视为有助于预防跌倒的策略。与老年人相比(分别为24.0%和21.7%;P < .0001),更多的医疗保健提供者报告称管理药物(84.2%)和太极拳(45.7%)可以预防跌倒。表示存在基于证据的策略来减少跌倒的医疗保健提供者比老年人更多。加强患者与医疗保健提供者之间的沟通可以提高对太极拳、力量和平衡锻炼以及药物管理等基于证据的策略的益处的认识。