System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Dahee Wi, Andrew Ustach, Wonkyung Jung, Sungwon Lim, Hilaire J Thompson
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引用次数: 0

Abstract

Objectives: Older adults living in long-term care facilities (LTCFs) are at high risk for falls. Interventions to prevent falls and fall-related injury in this population may be individual-level or system-focused interventions. However, relatively little attention has been given to research on system-focused interventions. This scoping review seeks to synthesise previous studies on the effects of system-focused interventions for fall prevention in LTCFs.

Methods: We searched Ovid-Medline, CINAHL and Embase databases from 2007 to 2024 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews. We conducted a narrative synthesis to summarise findings from the included studies.

Results: In the initial search, 403 studies were identified and underwent title and abstract screening resulting in 116 articles retrieved for full-text review. 20 studies were included in the final data extraction. System-level fall prevention interventions evaluated in LTCFs include (1) multicomponent and multidisciplinary programmes, (2) environmental adaptations, (3) technological adaptations, and (4) staff education and training programmes. 11 out of 17 included quantitative studies reported significant effects of system-focused interventions to reduce falls in LTCFs.

Conclusions: This scoping review reveals the effectiveness of system-level fall prevention strategies in LTCFs. Enhancing training, customising tools and fostering a supportive leadership culture are vital for improving fall prevention practices in LTCFs.

针对长期护理机构中的跌倒风险评估、跌倒预防和跌倒伤害预防的系统级干预措施:范围界定综述。
目的:居住在长期护理机构(LTCF)的老年人是跌倒的高危人群。预防该人群跌倒和跌倒相关伤害的干预措施可以是个人层面的干预措施,也可以是以系统为重点的干预措施。然而,对以系统为重点的干预措施的研究关注相对较少。本范围综述旨在综合以往关于以系统为重点的干预措施对预防 LTCF 中跌倒的影响的研究:我们按照范围界定综述的 "系统综述和元分析首选报告项目"(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)扩展标准,检索了 2007 年至 2024 年的 Ovid-Medline、CINAHL 和 Embase 数据库。我们对纳入的研究结果进行了叙述性综合总结:在最初的搜索中,我们发现了 403 项研究,经过标题和摘要筛选后,我们检索到 116 篇文章进行全文检索。20项研究被纳入最终数据提取。在长期护理设施中评估的系统级预防跌倒干预措施包括:(1)多成分和多学科计划;(2)环境改造;(3)技术改造;以及(4)员工教育和培训计划。在纳入的 17 项定量研究中,有 11 项研究报告了以系统为重点的干预措施对减少 LTCFs 中跌倒的显著效果:本次范围界定研究揭示了在长期护理设施中采取系统性预防跌倒策略的有效性。加强培训、定制工具和培养支持性的领导文化对于改善长者照护中心的跌倒预防工作至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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