Frisendahl Nathalie, Karlsson Patrik, Ek Stina, Franzén Erika, Boström Anne-Marie, Welmer Anna-Karin
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Huddinge, 23100, Stockholm, Sweden.
Department of Neurobiology, Care Sciences and Society, Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Eur Geriatr Med. 2024 Dec;15(6):1771-1782. doi: 10.1007/s41999-024-01056-0. Epub 2024 Sep 19.
There is a need for further research on older adults' experiences of fall risk screening to improve health communication strategies. The purpose of this study was to describe and explore older adults' experiences of being screened for risk of an injurious fall, using the first-time injurious falls (FIF) screening tool.
A qualitative study with five focus group interviews was carried out including 17 older adults (11 women and six men, with a mean age of 77.4 years) who were recruited from two primary healthcare rehabilitation clinics in Sweden. Data were analyzed using reflexive thematic analysis.
The analysis generated one overarching theme, "Screening for fall risk promotes engagement by raising older adults' awareness of their own abilities", and four categories; "Screening may motivate to take action but can also create a false sense of security", "Self-sufficiency is affected by the screening result and level of control over the environment", "Easy-to-perform and helps to facilitate a discussion with the healthcare professional" and "Ideas of how FIF tool could be used in healthcare".
Older adults considered screening for fall risk to be meaningful insofar as it raises awareness of their own abilities and motivates them to prevent falls. On the other hand, a low fall risk could create a false sense of security, and lack of control over environmental factors related to fall risk could negatively impact their sense of self-sufficiency. They emphasized the need to receive support from healthcare providers and to be involved in care decisions if the screening indicates a high fall risk.
有必要进一步研究老年人跌倒风险筛查的经历，以改进健康沟通策略。本研究的目的是使用首次伤害性跌倒（FIF）筛查工具，描述和探索老年人接受伤害性跌倒风险筛查的经历。
开展了一项定性研究，进行了五次焦点小组访谈，包括17名老年人（11名女性和6名男性，平均年龄77.4岁），他们是从瑞典的两家初级医疗康复诊所招募的。使用反思性主题分析法对数据进行分析。
分析得出一个总体主题，即“跌倒风险筛查通过提高老年人对自身能力的认识来促进参与”，以及四个类别；“筛查可能会促使采取行动，但也可能产生虚假的安全感”、“自给自足受到筛查结果和对环境控制程度的影响”、“易于操作并有助于促进与医护人员的讨论”以及“关于FIF工具如何在医疗保健中使用的想法”。
老年人认为跌倒风险筛查是有意义的，因为它提高了他们对自身能力的认识，并促使他们预防跌倒。另一方面，低跌倒风险可能会产生虚假的安全感，并且对与跌倒风险相关的环境因素缺乏控制可能会对他们的自给自足感产生负面影响。他们强调，如果筛查表明跌倒风险高，需要得到医护人员的支持并参与护理决策。
