社区居住老年人的冒险行为和跌倒风险:一项范围审查

IF 0.1 Q4 ORTHOPEDICS
Diane Bégin, A. Morgan, Jocelyne Labonté, J. Richardson, Luciana G. Macedo, S. Wojkowski
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引用次数: 0

摘要

背景:冒险行为已成为预防跌倒的目标。然而,风险承担的概念是复杂的,并且存在几种方法来识别风险承担行为。此外,与跌倒相关的冒险行为的研究尚未得到系统的评估。方法:这个范围审查是按照乔安娜布里格斯研究所的范围审查方法进行的。研究人员检索了6个电子数据库,以确定2000年至2020年间发表的研究。如果研究对象为社区居住的老年人(≥65岁),并讨论了与跌倒相关的冒险行为,则纳入我们的综述。数据提取和分析是使用研究小组预先开发的表格完成的。结果:使用定性方法的自我报告行为是识别社区居住老年人冒险行为的最常见方法。一般来说,老年人意识到他们跌倒的风险,并倾向于采取有助于减轻风险的行为。然而,老年人也描述了在这种行为的潜在好处驱使下故意冒险的时刻。与冒险有关的因素包括个人能力、个人价值观、物质和社会环境。结论:本综述表明,与跌倒相关的冒险行为是一个高度个性化的概念,受许多因素的影响。因此,未来的研究应该评估风险评估、风险态度和风险倾向如何预测社区居住老年人跌倒相关的冒险行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Risk-Taking and Risk of Falls in Community-Dwelling Older Adults: A Scoping Review"
Background: Risk-taking behaviors have emerged as a target for fall prevention. However, the risk-taking concepts are complex, and several approaches exist to identify risk-taking behaviors. In addition, studies of fall-related risk-taking behaviors have not yet been systematically evaluated. Methods: This scoping review was conducted in accordance with Joanna Briggs Institute’s methodology for scoping reviews. Six electronic databases were searched to identify studies published between 2000 and 2020. Studies were included in our review if they were conducted on community-dwelling older adults (≥ 65 years) and discussed fall-related risk-taking behaviors. Data extraction and analyses were completed using a table developed a priori by the research team. Results: Self-reported behaviors using qualitative methodology were the most common approach to identifying risk-taking behaviors in community-dwelling older adults. Generally, older adults are aware of their fall risk and tend to adopt behaviours to help mitigate it. However, older adults also described moments of deliberate risk-taking driven by the potential benefits of this behavior. Factors associated with risk-taking include an individual’s abilities, personal values, and physical and social environment. Conclusion: This review demonstrated that fall-related risk-taking behaviors are a highly individualized concept influenced by a number of factors. Therefore, future research should evaluate how risk appraisal, risk attitudes, and risk propensity predict fall-related risk-taking behaviors in community-dwelling older adults.
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