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首页> 外文期刊>Aging & Mental Health >Qualitative study on the impact of falling in frail older persons and family caregivers: Foundations for an intervention to prevent falls
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Qualitative study on the impact of falling in frail older persons and family caregivers: Foundations for an intervention to prevent falls

机译：对体弱的老年人和家庭看护者跌倒的影响的定性研究：预防跌倒的干预措施的基础

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Objectives: The primary aim of this study was to explore the impact of falling for frail community-dwelling older persons with and without cognitive impairments who have experienced a recent fall and their primary family caregivers. The secondary aim was to define components for a future fall prevention programme. Methods: Grounded theory interview study, with 10 patients (three cognitively unimpaired, four with mild cognitive impairment and three with dementia) and 10 caregivers. Results: All patients described a fear of falling and social withdrawal. Caregivers reported a fear of their care recipient (CR) falling. Most patients were unable to name a cause for the falls. Patients rejected the ideas that falling is preventable and that the fear of falling can be reduced. Some caregivers rated the consequences of their CRs’ cognitive problems as more burdensome than their falls and believed that a prevention programme would not be useful because of the CRs’ cognitive impairment, physical problems, age and personalities. Conclusion: Falling has major physical and emotional consequences for patients and caregivers. A fall prevention programme should focus on reducing the consequences of falling and on promoting self-efficacy and activity. The causes of falls should be discussed. The programme should include dyads of patients and caregivers because caregivers are highly involved and also suffer from anxiety. Before beginning such a programme, providers should transform negative expectations about the programme into positive ones. Finally, caregivers must learn how to deal with the consequences of their CRs’ falling as well as their cognitive impairment.View full textDownload full textKeywordsaccidental falls, frail older persons, cognitive impairment, informal caregivers, qualitative researchRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/13607861003781825
机译：目的：这项研究的主要目的是探讨跌倒对最近跌倒的脆弱的社区居民老年人（有或没有认知障碍）及其主要家庭照顾者的影响。第二个目的是为未来的防摔计划定义组件。方法：扎根的理论访谈研究，包括10例患者（3例认知无障碍，4例轻度认知障碍和3例痴呆）和10例护理人员。结果：所有患者均描述有跌倒和社交退缩的恐惧。护理人员报告担心他们的护理对象（CR）摔倒。大多数患者无法说出跌倒的原因。患者拒绝了跌倒是可以预防的，跌倒的恐惧可以减轻的想法。一些护理人员认为其CRs认知问题的后果比跌倒更沉重，他们认为，由于CRs认知障碍，身体问题，年龄和个性，预防计划将无济于事。结论：跌倒会对患者和护理人员造成重大的身体和情感后果。预防跌倒的计划应着重于减少跌倒的后果以及促进自我效能和活动。跌倒的原因应予以讨论。该计划应包括患者和护理人员的二元组，因为护理人员参与度很高，并且还患有焦虑症。在开始此类计划之前，提供商应将对计划的负面期望转变为正面期望。最后，护理人员必须学习如何应对CR下降和认知障碍的后果。查看全文下载全文关键词意外摔倒，体弱的老年人，认知障碍，非正式护理人员，定性研究相关var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，services_compact：“ citeulike，netvibes，twitter，technorati，delicious，linkedin，facebook，stumbleupon，digg，google，更多”，发布号：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/13607861003781825

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