老年人对跌倒恐惧的经历与认知：定性研究的系统评价与元整合
Experiences and perceptions of fear of falling in older adults: A systematic review and meta-synthesis of qualitative studies.
作者信息
Cui Qiuyue, Zhong Ying, Gui Yuxin, Ma Shuai, Ge Yuan
机构信息
Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, 530200, PR China.
Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, 530200, PR China.
出版信息
Geriatr Nurs. 2025 Jan-Feb;61:324-335. doi: 10.1016/j.gerinurse.2024.11.003. Epub 2024 Nov 22.
OBJECTIVE
To examine and synthesize qualitative data about the experiences of fear of falling in older adults.
METHOD
This review used the Joanna Briggs methodology for qualitative systematic reviews. The PubMed, Cochrane Library, Embase, Web of Science, PsycINFO, CINAHL, CBMdisc, CNKI, Wanfang, and VIP databases were searched up to December 2023. In addition, gray literature was manually searched and the references of included studies were traced. Qualitative data was evaluated, synthesized, and analyzed by meta-synthesis.
RESULT
18 studies were included and 3 themes were summarized, including: multiple fear disturbances; needs not fully met; and self-management strategies.
CONCLUSION
The experiences of older adults suffering from fear of falling needs more attention. Health care providers should identify problems from Older adults' experiences of fear of falling, they should recognize the subjective experiences and unique needs of older adults, understand the underlying behavioral reasons for their fear of falling, and offer effective self-management techniques to enhance their quality of life.
目的
审视并综合关于老年人跌倒恐惧经历的定性数据。
方法
本综述采用乔安娜·布里格斯定性系统评价方法。检索了截至2023年12月的PubMed、考克兰图书馆、Embase、科学引文索引、心理学文摘数据库、护理学与健康领域数据库、中国生物医学文献数据库、中国知网、万方数据和维普资讯等数据库。此外，还手动检索了灰色文献，并追溯了纳入研究的参考文献。通过元综合法对定性数据进行评估、综合和分析。
结果
纳入18项研究，总结出3个主题，包括：多种恐惧干扰；需求未得到充分满足；以及自我管理策略。
结论
患有跌倒恐惧的老年人的经历需要更多关注。医疗保健提供者应从老年人跌倒恐惧的经历中识别问题，认识到老年人的主观经历和独特需求，理解他们跌倒恐惧的潜在行为原因，并提供有效的自我管理技巧以提高他们的生活质量。
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