Connell B R
Rehabilitation Research and Development Center on Aging, Atlanta Veterans Affairs Medical Center, Decatur, Georgia 30033, USA.
Clin Geriatr Med. 1996 Nov;12(4):859-80.
Environmental change offers an attractive approach to falls prevention, particularly as part of multidimensional intervention strategies. This article reviews and summarizes prior research that has examined environmental factors in falls experienced by older people in community and long-term care settings. Limitations of this research as a basis for falls prevention activities also are discussed. Studies that focused on environmental hazards as well as those that examined the interaction of environmental conditions and environmental use activities from a situational perspective are included. The first group of studies suggests an approach to falls prevention centered on hazard removal; the second group suggests an approach centered on the provision of more supportive environments that reduce excessive environmental demands. Environmental change and falls prevention in long-term care and community settings, including common barriers to change among older individuals living in the community, are discussed.
环境改变为预防跌倒提供了一种有吸引力的方法，尤其是作为多维干预策略的一部分。本文回顾并总结了先前的研究，这些研究考察了社区和长期护理环境中老年人跌倒的环境因素。还讨论了这项研究作为预防跌倒活动基础的局限性。纳入了关注环境危害的研究以及从情境角度考察环境条件与环境使用活动相互作用的研究。第一组研究提出了一种以消除危害为中心的预防跌倒方法；第二组研究提出了一种以提供更具支持性的环境、减少过多环境需求为中心的方法。讨论了长期护理和社区环境中的环境改变与跌倒预防，包括社区中老年人生活中常见的改变障碍。
