{"title":"Evidence Based Strategies for Preventing Falls in Community-Dwelling Older Adults.","authors":"Xiang An, YuanXin Pan, ChenHong He, Yi Liang","doi":"10.2147/JMDH.S535977","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate and summarize the best evidence for fall prevention measures in community-dwelling elderly individuals.</p><p><strong>Methods: </strong>A systematic search was conducted in databases including UpToDate, BMJ Best Practice, the Joanna Briggs Institute (JBI) Evidence-Based Healthcare Center, National Guidelines Clearinghouse, China Medical Guidelines Network, NICE, Scottish Intercollegiate Guidelines Network, and the Ontario Nurses' Association website. Additional searches were performed in the Cochrane Library, CINAHL, PubMed, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases for clinical decisions, guidelines, evidence summaries, systematic reviews, and expert consensus related to fall prevention in community-dwelling elderly individuals. The methodological quality of included literature was assessed, and evidence was extracted and synthesized based on key themes.</p><p><strong>Results: </strong>A total of 3 guidelines, 1 expert consensus, and 12 systematic reviews were included. Twenty-six pieces of evidence were summarized across 8 areas: fall risk screening, fall risk assessment, exercise interventions, medication management, environmental safety, health education, psychological interventions, and multifactorial interventions.</p><p><strong>Conclusion: </strong>The best evidence for fall prevention in community-dwelling elderly individuals was summarized, providing an evidence-based foundation for community healthcare providers to implement fall prevention measures.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"4033-4044"},"PeriodicalIF":2.7000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277083/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Multidisciplinary Healthcare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JMDH.S535977","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To evaluate and summarize the best evidence for fall prevention measures in community-dwelling elderly individuals.
Methods: A systematic search was conducted in databases including UpToDate, BMJ Best Practice, the Joanna Briggs Institute (JBI) Evidence-Based Healthcare Center, National Guidelines Clearinghouse, China Medical Guidelines Network, NICE, Scottish Intercollegiate Guidelines Network, and the Ontario Nurses' Association website. Additional searches were performed in the Cochrane Library, CINAHL, PubMed, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases for clinical decisions, guidelines, evidence summaries, systematic reviews, and expert consensus related to fall prevention in community-dwelling elderly individuals. The methodological quality of included literature was assessed, and evidence was extracted and synthesized based on key themes.
Results: A total of 3 guidelines, 1 expert consensus, and 12 systematic reviews were included. Twenty-six pieces of evidence were summarized across 8 areas: fall risk screening, fall risk assessment, exercise interventions, medication management, environmental safety, health education, psychological interventions, and multifactorial interventions.
Conclusion: The best evidence for fall prevention in community-dwelling elderly individuals was summarized, providing an evidence-based foundation for community healthcare providers to implement fall prevention measures.
目的：评价和总结社区居住老年人预防跌倒措施的最佳证据。方法：系统检索UpToDate、BMJ Best Practice、Joanna Briggs Institute （JBI）循证医疗中心、国家指南信息中心、中国医学指南网络、NICE、苏格兰校际指南网络和安大略省护士协会网站等数据库。在Cochrane图书馆、CINAHL、PubMed、Embase、中国知网（CNKI）、万方和VIP数据库中进行额外的检索，以获取与社区居住老年人预防跌倒相关的临床决策、指南、证据摘要、系统评价和专家共识。评估纳入文献的方法学质量，并根据关键主题提取和合成证据。结果：共纳入指南3篇，专家共识1篇，系统评价12篇。总结了跌倒风险筛查、跌倒风险评估、运动干预、药物管理、环境安全、健康教育、心理干预和多因素干预等8个领域的26项证据。结论：总结了社区居住老年人预防跌倒的最佳证据，为社区卫生服务提供者实施预防跌倒措施提供了循证依据。
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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