探索使用床边装置帮助预防夜间跌倒的可行性。

Kevin Edward Anthony, Laura Houten, Pip Logan
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摘要

背景:生活在社区中的老年人面临可预防的夜间跌倒风险。技术可以支持跌倒干预措施,但这方面的研究还很缺乏。一种名为 "Bide "的新型床旁装置可感知移动和光照度的变化,并播放预先录制的信息,鼓励用户在夜间尝试移动时遵循预防跌倒的建议:方法:对医护人员进行 Bide 设备使用培训,并要求他们确定潜在参与者。研究小组随后招募了参与者,向他们提供了一个设备,并向他们解释了如何使用。四周后,参与者参加了关于该装置接受度的面对面半结构化访谈。使用国际跌倒效能量表(Falls Efficacy Scale-International)计算了干预前后参与者对跌倒的恐惧程度:Bide装置似乎增强了患者夜间行动的信心,使用过程中未出现任何不良反应。人们普遍认为该装置可以接受且易于使用,但有一名参与者认为它令人恼火。医护人员向研究小组推荐的潜在参与者寥寥无几,这可能是由于工作压力以及医护人员与技术脱节造成的:研究在社区使用 Bide 设备预防夜间跌倒似乎是可行的。为了加强招募工作,研究团队的一名成员可以加入临床团队,以便积极主动地寻找潜在参与者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the feasibility of using a bedside device to help prevent nighttime falls.

Background: Older people living in the community are at risk of preventable nighttime falls. Technology can support falls interventions but there is a lack of research into this area. A new bedside device called Bide senses movement and changes in light levels and plays a prerecorded message encouraging the user to follow falls prevention advice when trying to mobilise at night.

Aim: To test the feasibility of using the Bide device in a community health service.

Method: Healthcare workers were trained in the use of the Bide device and asked to identify potential participants. The research team subsequently recruited participants, provided them with a device and explained how to use it. After four weeks, participants took part in face-to-face semi-structured interviews regarding the acceptability of the device. Participants' fear of falling was calculated before and after the intervention using the Falls Efficacy Scale-International.

Findings: The Bide device appeared to increase patients' confidence to mobilise at night and no adverse events were reported from its use. The device was generally found to be acceptable and easy to use, although one participant found it irritating. Healthcare workers flagged up very few potential participants to the research team, which may have been due to workload pressures and a disconnect between healthcare workers and technology.

Conclusion: It appears feasible to study the use of the Bide device for nighttime falls prevention in the community. To enhance recruitment, a member of the research team may be embedded in the clinical team with the aim of proactively identifying potential participants.

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