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2019冠状病毒病对一家老年护理机构跌倒情况的影响:纵向观察性研究

Effect of COVID-19 on Falls in a Residential Care Facility for the Elderly: Longitudinal Observational Study.

作者信息

González-Castro Ana, Leirós-Rodríguez Raquel, Nistal-Martínez Marta, Bodero-Vidal Ernesto, Benítez-Andrades José Alberto, Hernandez-Lucas Pablo

机构信息

Nursing and Physical Therapy Department, University of León, Astorga Ave., 24401 Ponferrada, Spain.

SALBIS Research Group, Nursing and Physical Therapy Department, University of León, Astorga Ave., 24401 Ponferrada, Spain.

出版信息

J Clin Med. 2025 Sep 3;14(17):6229. doi: 10.3390/jcm14176229.

DOI:10.3390/jcm14176229
PMID:40943988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12429417/
Abstract

During the Coronavirus Disease 2019 (COVID-19) pandemic, various safety measures were implemented in elderly care facilities in Spain. These measures led to a reduction in physical activity and increased supervision of residents, often resulting in the suspension of outings from the facility. The objective of this study was to assess the influence of COVID-19 preventive measures on the number and characteristics of falls among elderly individuals living in a residential care facility in Spain. A retrospective longitudinal observational study was conducted from 2018 to 2021. Over these four years, data related to falls were collected from a residential care facility for the elderly. Both patient characteristics and fall characteristics were recorded. The average age of the 48 residents continuously institutionalized between 2018 and 2021 was 85.8 ± 5.1 years. A total of 364 falls occurred during the study period, with 68% of them taking place in 2019 and 2020. Although the number of falls increased during the COVID-19 pandemic, the characteristics of the falls did not change. However, residents who experienced falls were increasingly accompanied at the time of the event. Based on the data collected from the elderly care facility analyzed in this study, falls increased during the COVID-19 pandemic, but the measures implemented in residential care facilities do not appear to have altered the characteristics of the falls, except for the greater presence of companionship.

摘要

在2019年冠状病毒病(COVID-19)大流行期间,西班牙的老年护理机构实施了各种安全措施。这些措施导致身体活动减少,对居民的监督增加,常常致使机构内的外出活动暂停。本研究的目的是评估COVID-19预防措施对居住在西班牙一家寄宿护理机构中的老年人跌倒数量及特征的影响。从2018年至2021年进行了一项回顾性纵向观察研究。在这四年间,从一家老年寄宿护理机构收集了与跌倒相关的数据。记录了患者特征和跌倒特征。2018年至2021年期间持续入住该机构的48名居民的平均年龄为85.8±5.1岁。研究期间共发生了364次跌倒,其中68%发生在2019年和2020年。尽管在COVID-19大流行期间跌倒次数增加,但跌倒的特征并未改变。然而,跌倒时居民身边陪伴的人越来越多。基于本研究分析的从老年护理机构收集的数据,在COVID-19大流行期间跌倒次数增加,但寄宿护理机构实施的措施除了陪伴情况增多外,似乎并未改变跌倒的特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4de/12429417/91025288ecf9/jcm-14-06229-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4de/12429417/c2e6a8d8f19c/jcm-14-06229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4de/12429417/91025288ecf9/jcm-14-06229-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4de/12429417/c2e6a8d8f19c/jcm-14-06229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4de/12429417/91025288ecf9/jcm-14-06229-g002.jpg

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本文引用的文献

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Impact of the COVID-19 Pandemic on Functionality and Fall Risk in Institutionalized Geriatric Patients: A Longitudinal Observational Study.2019年冠状病毒病大流行对机构养老老年患者功能及跌倒风险的影响:一项纵向观察研究
Life (Basel). 2025 Jul 18;15(7):1130. doi: 10.3390/life15071130.
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"It just isn't the same": altered routines among older Americans three years after the COVID-19 pandemic onset.“一切都不一样了”:新冠疫情爆发三年后美国老年人日常生活的改变
Front Public Health. 2025 Jul 9;13:1573302. doi: 10.3389/fpubh.2025.1573302. eCollection 2025.
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Effects of deprescribing antidepressants in nursing home residents with dementia-a cluster randomized controlled trial.
老年痴呆症疗养院居民停用抗抑郁药的效果——一项整群随机对照试验
BMC Prim Care. 2025 Jun 3;26(1):190. doi: 10.1186/s12875-025-02894-y.
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Impact of Nurse Staffing Levels on Patient Fall Rates: A Retrospective Cross-Sectional Study in General Wards in Japan.护士人员配置水平对患者跌倒率的影响:日本普通病房的一项回顾性横断面研究。
Healthcare (Basel). 2025 Jan 6;13(1):88. doi: 10.3390/healthcare13010088.
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Staff perspectives on fall prevention activities in long-term care facilities for older residents: "Brief but often" staff education is key.工作人员对老年人长期护理机构中预防跌倒活动的看法:“简短但频繁”的员工教育是关键。
PLoS One. 2024 Sep 9;19(9):e0310139. doi: 10.1371/journal.pone.0310139. eCollection 2024.
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Falls in focus: an analysis of the rate of falls in 25 Australian residential aged care facilities from 2019 to 2021, pre- and during COVID-19 lockdowns.聚焦跌倒:2019 年至 2021 年 COVID-19 封锁前后,对 25 家澳大利亚养老院跌倒率的分析。
BMC Health Serv Res. 2024 Sep 2;24(1):1015. doi: 10.1186/s12913-024-11479-x.
7
Feasibility of a Novel Lighting System to Reduce Nighttime Falls in Assisted Living Residents With Dementia.一种新型照明系统减少痴呆症辅助生活居民夜间跌倒的可行性
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