居家老年人群跌倒预防策略及措施的证据总结
Evidence summary for preventing fall among home-based elderly people
目的:检索预防居家老年人群跌倒的策略和措施的相关证据,对最佳的证据进行总结,为社区普及和规范老年人跌倒预防提供理论依据。方法:计算机检索BMJ最佳临床实践、UpToDate、加拿大安大略注册护士协会(RANO)、美国指南网(NGC)、英国国家卫生与临床优化研究所(NICE)、Cochrane Library、JBI COnNECT+等循证资源数据库;另外,补充检索世界卫生组织(WHO)、美国疾病与预防控制中心(CDC)、PubMed、中国知网(CNKI)、万方数据库、中国生物医学文献网中的相关居家老年人群跌倒预防策略及措施证据,包括指南、证据总结、最佳实践信息、推荐实践及系统评价/Meta分析。由2名研究者对纳入的文献质量进行评价,并对符合质量标准的文献进行证据提取。结果:最终共纳入文献13篇,临床决策1篇、指南6篇、证据总结1篇、系统评价/Meta分析5篇,最终总结了8条最佳证据。结论:合理按照预防居家老年人群跌倒策略和措施最佳级别证据,规范化的预防老年人跌倒和跌倒损伤,提高老年人群健康相关的生命质量。
更多Objective:To retrieve and select the available evidence on preventing the fall on the home-based elderly people and summarize the best available evidence.Methods:The BMJ Best Practice, UpToData, Registered Nurses′ Association of Ontario (RANO), National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence (NICE), Joanna Briggs Institute (JBI), Cochrane Library, and complementally the Center for Disease Control and Prevention(CDC), PubMed、CNKI and SinoMed were searched to collect literatures including guideline, evidence summary, best practice information sheet, recommended practice, systematic review/Meta-analysis.Results:13 articles were selected, including 6 guidelines, 1 clinical decision, 1 evidence summary, 5 systematic reviews/Meta-analysis. Finally, 8 items of best evidence were summarized.Conclusions:Healthcare workers should appropriately consult the best evidence to prevent falling and falling injuries for the home-based elderly people, and finally improve their health-related quality of life.
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