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首页> 外文期刊>Patient Safety in Surgery >The “Aachen fall prevention App” – a Smartphone application app for the self-assessment of elderly patients at risk for ground level falls
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The “Aachen fall prevention App” – a Smartphone application app for the self-assessment of elderly patients at risk for ground level falls

机译：“亚琛防坠落应用程序” –一种智能手机应用程序，可对处于地面坠落危险中的老年患者进行自我评估

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Background Fall incidents are a major problem for patients and healthcare. The “Aachen Fall Prevention App” (AFPA) represents the first mobile Health (mHealth) application (app) empowering older patients (persons 50+ years) to self-assess and monitor their individual fall risk. Self-assessment is based on the “Aachen Fall Prevention Scale,” which consists of three steps. First, patients answer ten standardized yes–no questions (positive criterion?≥?5 “Yes” responses). Second, a ten-second test of free standing without compensatory movement is performed (positive criterion: compensatory movement). Finally, during the third step, patients rate their subjective fall risk on a 10-point Likert scale, based on the results of steps one and two. The purpose of this app is (1) to offer a low-threshold service through which individuals can independently monitor their individual fall risk and (2) to collect data about how a patient-centered mHealth app for fall risk assessment is used in the field. Results The results represent the first year of an ongoing field study. From December 2015 to December 2016, 197 persons downloaded the AFPA (iOS? and Android?; free of charge). N =?111 of these persons voluntarily shared their data and thereby participated in the field study. Data from a final number of n =?79 persons were analyzed due to exclusion criteria (age, missing objective fall risk, missing self-assessment). The objective fall risk and the self-assessed subjective risk measured by the AFPA showed a significant positive relationship. Conclusions The “Aachen Fall Prevention App” (AFPA) is an mHealth app released for iOS and Android. This field study revealed the AFPA as a promising tool to raise older adults’ awareness of their individual fall risk by means of a low-threshold patient-driven fall risk assessment tool.
机译：背景跌倒事件是患者和医疗保健的主要问题。 “亚琛跌倒预防应用程序”（AFPA）代表第一个移动健康（mHealth）应用程序（应用程序），该应用程序可以使年龄较大的患者（50岁以上的人）进行自我评估并监控他们的个人跌倒风险。自我评估基于“亚琛防坠落量表”，包括三个步骤。首先，患者回答十个标准的是-不是问题（阳性标准？≥？5是）。其次，进行无补偿运动的十秒钟自由站立测试（阳性标准：补偿运动）。最后，在第三步中，患者根据第一步和第二步的结果以10点李克特量表对主观跌倒风险进行评分。该应用程序的目的是（1）提供低阈值服务，通过该服务，个人可以独立监控其个人跌倒风险;（2）收集有关如何在现场使用以患者为中心的mHealth应用程序进行跌倒风险评估的数据。结果结果代表正在进行的现场研究的第一年。从2015年12月到2016年12月，有197人下载了AFPA（iOS ？和Android ？;免费）。这些人中的N =？111人自愿共享其数据，从而参与了现场研究。由于排除标准（年龄，缺少客观跌倒风险，缺少自我评估），对最终n =？79人的数据进行了分析。 AFPA测得的客观跌倒风险与自我评估的主观风险呈显着正相关。结论“亚琛坠落预防应用程序”（AFPA）是为iOS和Android发布的mHealth应用程序。这项现场研究表明，AFPA是一种有前途的工具，可通过低阈值患者驱动的跌倒风险评估工具来提高老年人对个人跌倒风险的认识。

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