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首页> 外文期刊>Gerontologist, The (Combination: The Gerontologist, The Journals of Gerontology: Series A, & The Journals of Gerontology: Series B)New >Falls After Discharge From Hospital: Is There a Gap Between Older Peoples’ Knowledge About Falls Prevention Strategies and the Research Evidence?
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Falls After Discharge From Hospital: Is There a Gap Between Older Peoples’ Knowledge About Falls Prevention Strategies and the Research Evidence?

机译：出院后跌倒：老年人对跌倒预防策略的了解与研究证据之间是否存在差距？

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Purpose: The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital. Design and Methods: We used a semi-structured interview to survey older patients about to be discharged from hospital and examined their knowledge regarding falls prevention strategies to utilize in the post-discharge period. The study was part of a prospective cohort study, nested within a larger, randomized controlled trial. Participants (n = 333) were asked to suggest strategies to reduce their falls risk at home after discharge, and their responses were compared with current reported research evidence for falls prevention interventions. Results: Participants’ strategies (n = 629) were classified into 7 categories: behavioral, support while mobilizing, approach to movement, physical environment, visual, medical, and activities or exercise. Although exercise has been identified as an effective falls risk reduction strategy, only 2.9% of participants suggested engaging in exercises. Falls prevention was most often conceptualized by participants as requiring 1 (35.4%) or 2 (40.8%) strategies for avoiding an accidental event, rather than engaging in sustained multiple risk reduction behaviors. Implications: Results demonstrate that older patients have low levels of knowledge about appropriate falls prevention strategies that could be used after discharge in spite of their increased falls risk during this period. Findings suggest that health care workers should design and deliver falls prevention education programs specifically targeted to older people who are to be discharged from hospital.
机译：目的：本研究的目的是检查老年人出院后是否准备好采取适当的预防跌倒的策略。设计与方法：我们使用半结构化访谈对即将出院的老年患者进行调查，并检查了他们关于出院后使用跌倒预防策略的知识。该研究是一项前瞻性队列研究的一部分，该研究嵌套在一个较大的随机对照试验中。要求参与者（n = 333）提出降低出院后在家中跌倒风险的策略，并将他们的反应与当前报道的预防跌倒干预的研究证据进行比较。结果：参与者的策略（n = 629）分为7类：行为，动员时的支持，运动方式，物理环境，视觉，医疗以及活动或锻炼。尽管运动被认为是一种有效的降低跌倒风险的策略，但只有2.9％的参与者建议参加运动。参与者经常将跌倒预防的概念定义为需要1（35.4％）或2（40.8％）策略来避免意外事件，而不是采取持续的多重风险降低行为。启示：结果表明，尽管老年患者在此期间摔倒的风险增加，但他们对出院后仍可使用的适当的摔倒预防策略的了解却很少。研究结果表明，医护人员应设计并实施针对坠落老人的预防跌倒教育计划。

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